Clinical T
This input is used for staging
Notes
**Note 1:** FIGO does not include an in situ category for tumors of the vagina, but TNM does. Assign pTis (behavior code /2) for in situ cases. **Note 2:** When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and extension information on the primary tumor are available, use the extension information to assign the T in preference to a statement of FIGO stage - see Registrar notes. * If the only information is FIGO III assign the appropriate stage and leave clinical T, N, and M blank. If the only information is FIGO stage IVB, leave T and N blank and see M **Note 3:** The presence of bullous edema is not sufficient evidence to classify a tumor as T4. **Note 4:** The pelvic wall is defined as muscle, fascia, neurovascular structures, or skeletal portions of the bony pelvis.NAACCR Item
NAACCR #940| Clinical 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 OR Physician assigns cTX, no other information available to determine T |
| c0 | cT0 | No evidence of primary tumor | |
| pIS | pTis | Carcinoma in situ (preinvasive carcinoma) | Intraepithelial, noninvasive |
| c1 | cT1 | Tumor confined to vagina | Invasive cancer confined to: Submucosa (stroma) (vagina) Musculature involved Localized, NOS FIGO Stage I Stated as T1 |
| c2 | cT2 | Tumor invades paravaginal tissues (pracolpium) | Cervix Cul de sac (rectouterine pouch) Paravaginal soft tissue Rectovaginal septum Vesicovaginal septum Vulva FIGO Stage II Stated as T2 |
| c3 | cT3 | Tumor extends to pelvic wall | Extension to: Bladder wall or bladder, NOS excluding mucosa Pelvic wall (described clinically as frozen pelvis) Rectal wall or rectum, NOS excluding mucosa Stated as T3 |
| c4 | cT4 | Tumor invades mucosa of bladder or rectum, OR Extends beyond the true pelvis |
Extension to: Bladder mucosa (excluding bullous edema) Rectal mucosa Urethra FIGO Stage IVA Stated as T4 |
| 88 | 88 | Not applicable | Primary site/histology not TNM defined Death certificate only (DCO) case |
| <BLANK> | BLANK | See Registrar Notes | Only information is FIGO Stage III or IVB Clinical classification 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 |