Pathologic T

This input is used for staging

Notes

**Note 1:** Assign 88 for in situ cases (behavior code /2). TNM does not include an in situ category for adrenal gland tumors. **Note 2:** Tumor size must be known to assign a value of T1 or T2. You may use a physician’s statement of the T category if this is the only information in the medical record. * If the tumor appears to be in the T1 or T2 categories, but no size or category is specified, assign TX **Note 3:** Assign the appropriate T category (T1, T2) based on the tumor size for the following descriptions Invasive carcinoma confined to adrenal gland Localized, NOS

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
Tumor size (TS) unknown for T categories where TS needed to determine T
Physician assigns pTX, no other information available to determine T
p0 pT0 No evidence of primary tumor
p1 pT1 Tumor 5 cm or less in greatest dimension
No extra-adrenal invasion
Stated as T1
p2 pT2 Tumor greater than 5 cm
NO extra-adrenal invasion
Stated as T2
p3 pT3 Tumor of any size with local invasion,
NOT invading adjacent organs
Adjacent connective tissue
Gerota fascia

Stated as T3
p4 pT4 Tumor of any size with invasion of adjacent organs Adjacent organs/structures:
Kidney, ipsilateral or NOS
Pancreas
Retroperitoneal structures including:
Great vessels:
Aorta
Inferior vena cava

Further contiguous extension including:
Diaphragm
Liver
Spleen

Stated as T4
88 88 Not applicable Primary site/histology not TNM defined
In situ case but no pTis is defined by TNM
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)