Clinical T

This input is used for staging


**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


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
Retroperitoneal structures including:
Great vessels:
Inferior vena cava

Further contiguous extension including:

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)