Clinical T
This input is used for staging
Notes
**Note:** Ignore extension from gallbladder to cystic duct. Ignore extension to extrahepatic bile ducts or ampulla of Vater (T3) when other structures in T4 are involved.NAACCR Item
NAACCR #940Clinical T | Clinical T Display | Description | Registrar Notes |
---|---|---|---|
cX | cTX | Primary tumor cannot be assessed | Clinical classification criteria met, evaluation done: Physician unable to assess T Extension cannot be determined Physician assigns cTX, no other information available to determine T |
c0 | cT0 | No evidence of primary tumor | |
pIS | pTis | Carcinoma in situ | Intraepithelial, noninvasive Stated as Tis |
c1 | cT1 | Tumor invades lamina propria or muscular layer | Note: T1 has subcategories of T1a and T1b. Assign T1 only when there is no information available to assign one of the subcategories Confined to gallbladder, NOS Localized, NOS Stated as T1 [NOS] |
c1A | cT1a | Tumor invades lamina propria | Invasive tumor confined to: Lamina propria Mucosa, NOS Submucosa (superficial invasion) Stated as T1a |
c1B | cT1b | Tumor invades muscular layer | Muscularis propria Stated as T1b |
c2 | cT2 | Tumor invades perimuscular connective tissue; no extension beyond serosa or into liver | Perimuscular connective tissue Stated as T2 |
c3 | cT3 | Tumor perforates the serosa (visceral peritoneum) and/or directly invades the liver and/or one other adjacent organ or structure, such as: Stomach Duodenum Colon Pancreas Omentum Extrahepatic bile ducts |
Invasion of/through serosa (visceral peritoneum) Extension to: Abdominal wall Ampulla of Vater Branch(es) of hepatic artery (right or left) but not into main portal vein or hepatic artery Branch(es) of portal vein (right or left) Cystic artery vein Diaphragm Small intestine Extension into: Liver Stated as T3 |
c4 | cT4 | Tumor invades main portal vein or hepatic artery or invades two or more extrahepatic organs or structures | Extension to: Common hepatic artery Main portal vein Hepatic artery, NOS Portal vein, NOS Further contiguous extension Stated as T4 |
88 | 88 | Not applicable | Primary site/histology not TNM defined Death certificate only (DCO) case |
<BLANK> | BLANK | See Registrar Notes | Clinical classification criteria not met Clinical classification criteria met, evaluation done: No information about diagnostic workup Results not documented in record Clinical evaluation of primary tumor not done or unknown if done Tumor first detected on surgical resection (no clinical workup) Evidence of metastatic disease [(cM1) or (pM1)], no other workup Only Clinical Stage Group documented (no T, N, or M information available) |