TNM BLADDER CANCER STAGING

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TNM BLADDER CANCER STAGING Dr. Mahnaz Roayaei Radiation Oncologist Assistant Professor Isfahan University of Medical Sciences

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TNM BLADDER CANCER STAGING. Dr. Mahnaz Roayaei Radiation Oncologist Assistant Professor Isfahan University of Medical Sciences. AMERICAN JOINT COMMITTEE ON CANCER 2009 TNM BLADDER CANCER STAGING. PRIMARY TUMOR (T) REGIONAL LYMPH NODES(N) DISTANT METASTASIS (M). - PowerPoint PPT Presentation

Transcript of TNM BLADDER CANCER STAGING

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TNM BLADDER CANCER STAGING

Dr. Mahnaz RoayaeiRadiation OncologistAssistant Professor Isfahan University of Medical Sciences

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AMERICAN JOINT COMMITTEE ON CANCER 2009 TNM BLADDER CANCER STAGING

• PRIMARY TUMOR (T)• REGIONAL LYMPH NODES(N)• DISTANT METASTASIS (M)

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The primary pathologic substages of the TNM staging system

such as pT2a and pT2b, cannot be determined from TURBT

specimens.

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Patients who have documented muscularis propria-invasive bladder cancer require an additional set of studies:

1. chest x-ray 2. CT scan3. liver function studies4. Creatinine , and electrolytes5. Bimanual examination6. MRI lymphangiography7. A prostatic urethra and bulbous urethra

biopsy

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Tumor extends through the muscle to involve the full

thicknessof the bladder and

into the serosa

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• CTS or MRI, are not reliable for staging.• Only, when they show unequivocal tumor

extension outside the bladder

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Nonstromal invasive urothelial tumors of theprostate are not classified as T4, as the prognosis in this group is quite good

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REGIONAL LYMPH NODES

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N2 :Metastasis in multiple lymph nodes in primarydrainage region

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N3: Common

iliac lymph node

involvement

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DISTANT METASTASI

S (M)

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Thanks for your attention

Ref of photographs:Color Atlas by Dr.Hamid Eemami

Associate Professor of Radiation OncologyIsfahan University of Medical Sciences