Transitional cell carcinoma of the renal pelvis (staging)

Changed by Morten Hagir, 3 May 2022

Updates to Article Attributes

Body was changed:

Transitional cell carcinoma of the renal pelvis staging uses the TNM system and is very similar to staging of TCC of the bladder and to staging of TCC of the ureter.

TNM staging (8th edition)

T
  • Ta: noninvasive papillary tumour
  • Tis: in situ (noninvasive flat)
  • T1: through lamina propria into sub-epithelial connective tissues
  • T2: into muscularis propria
  • T3: invasion into peripelvic fat or renal parenchyma
  • T4: direct invasion into adjacent structures or beyond renal capsule into perinephric fat
N

Nodal staging is the same for TCC of any part of the urinary tract. 

  • N0: no nodal involvement
  • N1: single node involved <2 cm
  • N2
    • single node 2-5>2 cm or
    • multiple nodes all <5 cm
  • N3: one or more nodes >5 cm
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 renal pelvis staging</strong> uses the <a href="/articles/tnm-staging-system">TNM system</a> and is very similar to <a href="/articles/transitional-cell-carcinoma-of-the-bladder-staging-1">staging of TCC of the bladder</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 renal pelvis staging</strong> uses the <a href="/articles/tnm-staging-system-2">TNM system</a> and is very similar to <a href="/articles/transitional-cell-carcinoma-of-the-bladder-staging-1">staging of TCC of the bladder</a> and to <a href="/articles/staging-of-tcc-of-the-ureter">staging of TCC of the ureter</a>.</p><h4>TNM staging (8<sup>th</sup> edition)</h4><h5>T</h5><ul>
  • -<strong>T4:</strong> direct invasion into adjacent structures or beyond renal capsule</li>
  • -</ul><h5>N</h5><p>Nodal staging is the same for TCC of any part of the urinary tract. </p><ul>
  • +<strong>T4:</strong> direct invasion into adjacent structures or beyond renal capsule into perinephric fat</li>
  • +</ul><h5>N</h5><ul>
  • -<li>single node 2-5 cm or</li>
  • -<li>multiple nodes all &lt;5 cm</li>
  • +<li>single node &gt;2 cm or</li>
  • +<li>multiple nodes</li>
  • -<li>
  • -<strong>N3:</strong> one or more nodes &gt;5 cm</li>

References changed:

  • 3. Mary K. Gospodarowicz, James D. Brierley, Christian Wittekind. TNM Classification of Malignant Tumours. (2017) ISBN: 9781119263579 - <a href="http://books.google.com/books?vid=ISBN9781119263579">Google Books</a>

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.