Pathologic T

This input is used for staging

Notes

**Note 1:** 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 (pathologic) FIGO III [NOS], IIIC [NOS], IIIC1, or IIIC2, assign the appropriate stage and leave pathologic T, N, and M blank. If the only information is (pathologic) FIGO stage IVB, leave pathologic T and N blank and see M **Note 2:** FIGO does not include an in situ category for tumors of carcinomas of the corpus uteri, but TNM does. Assign pTis and behavior code /2 for in situ cases. **Note 3:** To assign a T2 category, stromal connective tissue of the cervix must be involved; endocervical glandular involvement only is not classified as a T2 tumor in TNM. **Note 4:** Extension to the bowel or bladder mucosa must be proven by biopsy in order to rule out bullous edema.

NAACCR Item

NAACCR #880
Pathologic T Pathologic T Display Description Registrar Notes
pX pTX Primary tumor cannot be assessed Pathologic classification criteria met, evaluation done:
Physician unable to assess T
Surgical resection of primary tumor, extension not stated
Physician assigns cTX, no other information available to determine T
p0 pT0 No evidence of primary tumor
pIS pTis Carcinoma in situ (preinvasive carcinoma) Intraepithelial, noninvasive, preinvasive

Stated as Tis
p1 pT1 Tumor confined to the corpus uteri Note: T1 has subcategories of T1a and T1b. Assign T1 only when there is no information available to assign one of the subcategories

Invasive cancer confined to corpus uteri
Invasion of myometrium, NOS

Endocervical glandular involvement WITH tumor invading myometrium, NOS or involvement of myometrium not known

Localized, NOS

FIGO Stage I [NOS]

Stated as T1 [NOS]
p1A pT1a Tumor limited to endometrium or invading less than half of myometrium Confined to endometrium (stroma)

Tumor invades less than one-half of myometrium
Invasion of inner half of myometrium

Endocervical glandular involvement WITH tumor limited to endometrium or invading less than one-half of myometrium

FIGO Stage IA

Stated as T1a
p1B pT1b Tumor invades one half or more of myometrium Tumor invades one-half or more of myometrium
Invasion of outer half of myometrium

Endocervical glandular involvement WITH tumor invading one-half or more of myometrium

FIGO Stage IB

Stated as T1b
p2 pT2 Tumor invades cervical stroma, but does not extend beyond the uterus Cervix uteri, NOS, but not beyond uterus
Cervical stromal invasion

FIGO Stage II

Stated as T2
p3 pT3 Local and/or regional spread as specified below# Note: T3 has subcategories of T3a and T3b. Assign T3 only when there is no information available to assign one of the subcategories

Stated as T3 [NOS]
p3A pT3a Tumor invades the serosa of the corpus uteri or adnexae
(direct extension or metastasis)
Extension or metastasis to
Tunica serosa (visceral peritoneum of corpus, serosa covering the corpus)
Tunica serosa of corpus
WITHOUT involvement of cervix

Extension or metastasis to:
Adnexa:
Fallopian tube(s)
Ovary(ies)

FIGO Stage IIIA

Stated as T3a
p3B pT3b Vaginal or parametrial involvement
(direct extension or metastasis)
Extension or metastasis to:
Bladder wall
Bladder, NOS excluding mucosa
Ligaments:
Broad
Round
Parametrium, NOS
Parietal serosa of pelvic wall
Pelvic wall(s)
Rectal wall
Rectum, NOS excluding mucosa
Vagina
Visceral peritoneum of pelvic organs excluding serosa of corpus

Extension to:
Ureter
Vulva

Described clinically as "frozen pelvis", NOS

FIGO Stage IIIB

Stated as T3b
p4 pT4 Tumor invades bladder/bowel mucosa Extension to bowel mucosa or bladder mucosa (excluding bullous edema)

Further contiguous extension
Abdominal serosa (visceral or parietal peritoneum of abdomen)
Cul de sac (rectouterine pouch or Pouch of Douglas)
Sigmoid colon
Small intestine

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 [NOS], IIIC [NOS], IIIC1, IIIC2, or IVB

Pathologic classification not met
Pathologic classification criteria met, evaluation done:
Results not documented in patient record
No surgical resection of known primary tumor (not T0) OR
Resection insufficient for site-specific pathologic assessment
No surgical resection of primary tumor and there isn't a positive biopsy of a structure in the highest T category and highest N category
Evidence of metastatic disease (pM1), no other workup
\# T3 [NOS] is not defined in AJCC 7th edition.