Clinical 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, NOSNAACCR 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 Tumor size (TS) unknown for T categories where TS needed to determine T Physician assigns cTX, no other information available to determine T |
| c0 | cT0 | No evidence of primary tumor | |
| c1 | cT1 | Tumor 5 cm or less in greatest dimension No extra-adrenal invasion |
Stated as T1 |
| c2 | cT2 | Tumor greater than 5 cm NO extra-adrenal invasion |
Stated as T2 |
| c3 | cT3 | Tumor of any size with local invasion, NOT invading adjacent organs |
Adjacent connective tissue Gerota fascia Stated as T3 |
| c4 | cT4 | 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 | Clinical classification criteria 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 Only Clinical Stage Group documented (no T, N, or M information available) |