Clinical T

This input is used for staging

Notes

**Note 1:** Except for pT4, where radical orchiectomy is not always necessary for classification purposes, the extent of the primary tumor is classified after radical orchiectomy; see pT. **Note 2:** Assign TX for clinical T prior to radical orchiectomy or if no radical orchiectomy is performed unless there is a cT4.

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 Physician assigns cTX, no other information available to determine T
c4	cT4	Tumor invades scrotum WITH or WITHOUT vascular lymphatic invasion*#	Dartos muscle, ipsilateral Scrotum, ipsilateral Extension to scrotum, contralateral Ulceration of scrotum Penis Further contiguous extension Stated as T4
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)

\* Except for pT4, where radical orchiectomy is not always necessary for classification purposes, the extent of the primary tumor is classified after radical orchiectomy; see pT. In other circumstances, TX is used if no radical orchiectomy has been performed. ( International Union Against Cancer (UICC) TNM Classification of Malignant Tumors, 7th ed., Sobin, LH, Gospodarowicz, M, Wittekind, CH, eds. New York: Wiley, 2009, pg. 250) * UICC has given permission to allow a cTX and cT4 for Testis. \# Except for pTis and pT4, extent of primary tumor is classified by radical orchiectomy. TX may be used for other categories in the absence of radical orchiectomy. (American Joint Committee on Cancer., & Edge, S.B. (2010) AJCC Cancer Staging Manual (7th ed.). New York; London: Springer, pg. 471) * Only cTX can be used for Clinical T for Testis in AJCC.