Pathologic T
This input is used for staging
Notes
**Note 1:** Impaired vocal cord mobility, also described as vocal cord paresis, may suggest invasion of intrinsic laryngeal muscle. Fixation of the vocal cord may be described as immobility of the arytenoids noted on endoscopy, vocal cord paralysis, or deviation of larynx to fixed side. **Note 2:** Assign T1 for localized tumor only if no information is available to identify further extension.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 pTX, no other information available to determine T |
| p0 | pT0 | No evidence of primary tumor | |
| pIS | pTis | Carcinoma in situ | Intraepithelial, noninvasive Stated as Tis |
| p1 | pT1 | Tumor limited to subglottis | Invasive tumor with normal vocal cord mobility confined to subglottis Localized, NOS Stated as T1 |
| p2 | pT2 | Tumor extends to vocal cord(s) WITH normal or impaired mobility |
Tumor involves adjacent regions(s) of larynx: Supraglottis Glottis WITH normal or impaired mobility Stated as T2 |
| p3 | pT3 | Tumor limited to larynx WITH vocal cord fixation |
Stated as T3 |
| p4 | pT4 | Not defined by UICC*# | Note: T4 has subcategories of T4a and T4b. Assign T4 only when there is no information available to assign one of the subcategories Tumor invades bone, nerve or extrinsic deep muscles Stated as T4[NOS] |
| p4A | pT4a | Tumor invades cricoid or thyroid cartilage and/or invades tissues beyond the larynx, e.g., Trachea Soft tissues of neck including deep/extrinsic muscle of tongue Genioglossus Hyoglossus Palatoglossus Styloglossus Strap muscles Thyroid Esophagus |
Base of tongue Hypopharynx, NOS Postcricoid area Pre-epiglottic tissues Pyriform sinus (pyriform fossa) Vallecula Extension to/through: Cervical esophagus Deep extrinsic muscles of tongue Strap muscles: Omohyoid Sternohyoid Sternothyroid Thyrohyoid Oropharynx Skin Soft tissues of neck Thyroid gland Trachea Stated as T4a |
| p4B | pT4b | Tumor invades: Prevertebral space Encases carotid artery Mediastinal structures |
Stated as T4b |
| 88 | 88 | Not applicable | Primary site/histology not TNM defined Death certificate only (DCO) case |
| <BLANK> | BLANK | See Registrar Notes | Pathologic classification criteria not met Pathologic classification criteria met, evaluation done: Results not documented in patient record No surgical resection of known primary tumor (not T0) 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 Only Pathologic Stage Group documented (no T, N, or M information available) |