Transitional cell carcinoma of the bladder (staging)

Changed by Yaïr Glick, 1 Jun 2017

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>

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.