Transitional cell carcinoma of the bladder (staging)
Updates to Article Attributes
Body
was changed:
Transitional cell carcinoma of the bladder staging uses the TNM system (which which has replaced the previously widely used Jewett-Scott-Marshall tumour staging system. It is very similar to the staging of TCC of the renal pelvis and to staging of TCC of the ureter.
TNM staging
T
-
Ta - non
invasive-invasive papillary tumour -
Tis - in situ (non
invasive-invasive flat) - T1 - through lamina propria into sub-epithelial connective tissues
-
T2 - into muscularis propria
- T2a - only invades inner half of the muscle
- T2b - invades into outer half of the muscle
-
T3 - invasion into perivesical tissues
- T3a - microscopic extravesical invasion
- T3b - macroscopic extravesical invasion
-
T4 - direct invasion into adjacent structures
- T4a - prostate, uterus, vaginal vault
-
T4b - pelvic side wall and
/ or/or abdominal wall
N
Nodal staging is the same for TCC of any part of the urinary tract.
- N0 - no nodal involvement
- N1 - single node involved < 2cm
-
N2
- single node 2-5cm or
- multiple nodes all < 5cm 2-3
- N3 - one or more nodes > 5cm
M
- M0 - no metastases
- M1 - metastases identified
Staging groups
Individual TNM stages can then be grouped 3-4:
- stage 0 - Ta or Tis, N0, M0
- stage I - T1, N0, M0
- stage II - T2(a or b), N0, M0
- stage III - T3(a or b) or T4a, N0, M0
-
stage IV
- T4b, any N, any M
- N1-3, any T, any M
-<p><strong>Transitional cell carcinoma of the bladder staging</strong> uses the <a href="/articles/tnm-staging-system">TNM system</a> (which has replaced the previously widely used <a href="/articles/jewett-scott-marshall-tumour-staging-system">Jewett-Scott-Marshall tumour staging system</a>. It is very similar to <a href="/articles/transitional-cell-carcinoma-of-the-renal-pelvis-staging">staging of TCC of the renal pelvis </a>and to <a href="/articles/staging-of-tcc-of-the-ureter">staging of TCC of the ureter</a>.</p><h4>TNM staging</h4><h5>T</h5><ul>- +<p><strong>Transitional cell carcinoma of the bladder staging</strong> uses the <a href="/articles/tnm-staging-system">TNM system</a> which has replaced the previously widely used Jewett-Scott-Marshall tumour staging system. It is very similar to the <a href="/articles/transitional-cell-carcinoma-of-the-renal-pelvis-staging">staging of TCC of the renal pelvis </a>and <a href="/articles/staging-of-tcc-of-the-ureter">staging of TCC of the ureter</a>.</p><h4>TNM staging</h4><h5>T</h5><ul>
-<strong>Ta</strong> - non invasive papillary tumour</li>- +<strong>Ta</strong> - non-invasive papillary tumour</li>
-<strong>Tis</strong> - in situ (non invasive flat)</li>- +<strong>Tis</strong> - in situ (non-invasive flat)</li>
-<strong>T4b</strong> - pelvic side wall and / or abdominal wall</li>- +<strong>T4b</strong> - pelvic side wall and/or abdominal wall</li>