Pathologic T
This input is used for staging
Notes
**Note 1:** Assign pTa or pTis for in situ cases (behavior code /2). **Note 2:** In case of multifocal noninvasive Ta and Tis tumors, assign pTis. **Note 3:** Tumor involving both renal pelvis and ureter (unifocal or multifocal) is classified by the depth of greatest invasion in either organ for TNM staging. * Assign T1 for tumor involving the wall of both renal pelvis and ureter **Note 4:** Direct invasion of the bladder by a ureteral tumor is classified by the depth of greatest invasion of the bladder or ureter for TNM staging.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 | |
| pA | pTa | Non-invasive papillary carcinoma | Noninvasive papillary carcinoma Stated as Ta |
| pIS | pTis | Carcinoma in situ | Intraepithelial, noninvasive (flat, sessile) Stated as Tis |
| p1 | pT1 | Tumor invades subepithelial connective tissue | Subepithelial connective tissue (lamina propria, submucosa) of renal pelvis only Subepithelial connective tissue (lamina propria, submucosa) of ureter only Renal pelvis and ureter (unifocal or multifocal): Subepithelial connective tissue Renal pelvis from ureter Ureter from renal pelvis Distal ureter from proximal ureter Extension to bladder from ureter: Subepithelial connective tissue of distal ureter and/or bladder Localized, NOS Stated as T1 |
| p2 | pT2 | Tumor invades muscularis | Muscularis of renal pelvis only Muscularis of ureter only Renal pelvis and ureter (unifocal or multifocal): Muscularis Renal pelvis from ureter Ureter from renal pelvis Distal ureter from proximal ureter Extension to bladder from ureter: Muscularis of distal ureter and/or bladder Stated as T2 |
| p3 | pT3 | (Renal pelvis) Tumor invades beyond muscularis into: Peripelvic fat Renal parenchyma (Ureter) Tumor invades beyond muscular into: Periureteric fact |
Extension to adjacent (connective) tissue: Peripelvic/periureteric tissue Retroperitoneal soft/connective tissue For renal pelvis only (C659): Ipsilateral kidney parenchyma and kidney, NOS Stated as T3 |
| p4 | pT4 | Tumor invades adjacent organs OR Through the kidney into perinephric fat |
Extension to: Ascending colon from right renal pelvis Ascending colon from right ureter Bladder (wall or mucosa) from renal pelvis Colon, NOS Descending colon from left renal pelvis Descending colon from left ureter Duodenum from right renal pelvis or right ureter Ipsilateral adrenal (suprarenal) gland from renal pelvis Ipsilateral kidney parenchyma from ureter Liver Pancreas Perinephric fat via kidney Psoas muscle from ureter Spleen For renal pelvis only (C659): Extension to major blood vessel(s): Aorta Renal artery/vein Vena cava (inferior) Tumor thrombus in a renal vein, NOS For ureter only (C669): Extension to major blood vessel(s): Aorta Renal artery/vein Vena cava (inferior) Tumor thrombus in a renal vein, NOS Further contiguous extension, including: For ureter: Prostate Uterus Stated as T4 |
| 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) |