Pathologic 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 (pathologic) FIGO III, 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 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 #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 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 (preinvasive carcinoma) | Intraepithelial, noninvasive |
| p1 | pT1 | Tumor confined to vagina | Invasive cancer confined to: Submucosa (stroma) (vagina) Musculature involved Localized, NOS FIGO Stage I Stated as T1 |
| p2 | pT2 | 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 |
| p3 | pT3 | 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 |
| p4 | pT4 | 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 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 |