Clinical T
This input is used for staging
Notes
**Note 1:** Periosteum is a fibrous membrane that wraps the outer surface of bones. Cortical bone is the dense compact outer layer of the bone. Trabecular, cancellous, or spongy bone (spongiosa) is a porous network of tissue filling the interior of bone, decreasing weight and allowing room for blood vessels and marrow. **Note 2:** Tumor size must be known to assign a value of T1, T2 or T3. 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, T2 or T3 categories, but no size or category is specified, assign TX **Note 3:** Assign the appropriate T category (T1-T3) based on the tumor size when the tumor involvement is limited to the cortical bone for the following descriptions Invasive tumor on one side confined to Lamina propria Submucosa Tumor crosses midline Anterior 2/3 of tongue Base of tongue Bone, NOS Cartilage, NOS Cortical bone of mandible Cortical bone of maxilla Cortical bone, NOS Epiglottis Gingiva (alveolar ridge), lower Glossoepiglottic fold Glossopharyngeal sulcus Lateral pharyngeal wall Mandible, NOS Maxilla, NOS Periosteum of mandible Pharyngeal (lingual) surface Pharyngoepiglottic fold Subcutaneous soft tissue of chin/neck Sublingual gland, including ducts Submandibular (submaxillary) glands, including ducts Tonsillar pillars and fossae Tonsils Vallecula Confined to floor of mouth Localized, NOS **Note 4:** Involvement through cortical bone is required for assignment of T4a.NAACCR 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 | |
| pIS | pTis | Carcinoma in situ | Intraepithelial, noninvasive Stated as Tis |
| c1 | cT1 | Tumor 2 cm or less in greatest dimension | Stated as T1 |
| c2 | cT2 | Tumor more than 2 cm but not more than 4 cm in greatest dimension | Stated as T2 |
| c3 | cT3 | Tumor more than 4 cm in greatest dimension | Stated as T3 |
| c4 | cT4 | 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] |
| c4A | cT4a | (lip) Tumor invades through: Cortical bone Floor of mouth Inferior alveolar nerve Skin (chin or nose) (oral cavity) Tumor invades through: Cortical bone Into deep/extrinsic muscle of tongue: Genioglossus Hyoglossus Palatoglossus Styloglossus Maxillary sinus Skin of face |
Deep (extrinsic) muscle of tongue: Genioglossus Geniohyoid Hyoglossus Mylohyoid Palatoglossus Styloglossus Maxillary sinus (antrum) Skin of undersurface of chin/neck Trabecular bone of mandible Trabecular bone of maxilla Stated as T4a |
| c4B | cT4b | (lip and oral cavity) Tumor invades: Masticator space Pterygoid plates Skull base or Encases internal carotid artery |
Specified bone Masticator space Pterygoid plates Further contiguous extension: Base of skull Internal carotid artery (encased) Stated as T4b |
| 88 | 88 | Not applicable | Primary site/histology not TNM defined 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) |