Transitional cell carcinoma of the ureter (staging)

Changed by Ayush Goel, 24 Sep 2014

Updates to Article Attributes

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

TNMstaging

T
  • Ta: : nonnon invasivepapillary tumour
  • Tis: : in in situ (non invasive flat)
  • T1: : through through lamina propria into sub-epithelial connective tissues
  • T2:: into into muscularis propria
  • T3: : invasion into periureteric fat
  • T4: : direct direct invasion intoadjacent organs / structures/structures
N

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

  • N0: : no no nodalinvolvement
  • N1: : single node involved < 2cm;2cm
  • N2
    • singlenode 2 - 5cm-5cm OR
    • multiple nodes all < 5cm;5cm
  • N3: : one or more nodes > 5cm;5cm
M
  • M0: : no no metastases
  • M1: : metastasesmetastases identified

Staginggroups

Individual TNM stages can then be grouped:

  • stage0: : 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
  • stageIV
    • T4b, any N, any M
    • N1-3, any T, any M
  • -<p><a href="/articles/transitional-cell-carcinoma-of-the-ureter" title="Transitional cell carcinoma of the ureter">Transitional cell carcinoma of the ureter</a> is staged
  • - using the <a href="../../../../articles/tnm-staging-system" title="TNM staging system">TNM system</a> and is very similar to <a href="/articles/staging-of-transitional-cell-carcinoma-of-the-bladder" title="TCC of the bladder staging">staging of TCC of the bladder</a> and to <a href="/articles/staging-of-tcc-of-the-renal-pelvis" title="staging of TCC of the renal pelvis">staging of TCC of the renal pelvis</a>.&#160;</p><div><h4>TNM
  • -staging</h4><h5>T</h5><ul><li><strong>Ta</strong> :&#160;non invasive
  • -papillary tumour</li><li><strong>Tis</strong>
  • -:&#160;in situ (non invasive flat)</li><li><strong>T1</strong> :&#160;through
  • -lamina propria into sub-epithelial connective tissues</li><li><strong>T2
  • - </strong>:&#160;into muscularis propria</li><li><strong>T3</strong> :
  • -invasion into periureteric fat</li><li><strong>T4</strong> :&#160;direct
  • -invasion into
  • - adjacent organs / structures</li></ul><h5>N</h5><p>Nodal staging is the same for TCC of any part of the urinary tract. </p><ul><li><strong>N0</strong>
  • -:&#160;no nodal
  • -involvement</li><li><strong>N1</strong> : single node involved &lt; 2cm</li><li><strong>N2</strong><ul><li>single
  • -
  • - node 2 - 5cm OR</li><li>multiple nodes all &lt; 5cm</li></ul></li><li><strong>N3</strong>
  • -
  • -: one or more nodes &gt; 5cm</li></ul><h5>M</h5><ul><li><strong>M0</strong>
  • - :&#160;no
  • - metastases</li><li><strong>M1</strong> :&#160;metastases identified</li></ul><h4>Staging
  • -
  • - groups</h4><p>Individual TNM stages can then be grouped:</p><ul><li><strong>stage
  • -
  • - 0</strong> : Ta or Tis, N0, M0</li><li><strong>stage I</strong> : T1,
  • -N0, M0<br />
  • - </li><li><strong>stage II</strong> : T2(a or b), N0, M0<br />
  • - </li><li><strong>stage III</strong> : T3(a or b) or T4a, N0, M0</li><li><strong>stage
  • -
  • - IV</strong><ul><li>T4b, any N, any M</li><li>N1-3, any T, any M</li></ul></li></ul></div>
  • +<p><a href="/articles/transitional-cell-carcinoma-of-the-ureter">Transitional cell carcinoma of the ureter</a> is staged using the <a href="/articles/tnm-staging-system">TNM system</a> and is very similar to <a href="/articles/staging-of-transitional-cell-carcinoma-of-the-bladder">staging of TCC of the bladder</a> and to <a href="/articles/staging-of-tcc-of-the-renal-pelvis">staging of TCC of the renal pelvis</a>. </p><h4>TNM staging</h4><h5>T</h5><ul>
  • +<li>
  • +<strong>Ta:</strong> non invasive papillary tumour</li>
  • +<li>
  • +<strong>Tis:</strong> in situ (non invasive flat)</li>
  • +<li>
  • +<strong>T1:</strong> through lamina propria into sub-epithelial connective tissues</li>
  • +<li>
  • +<strong>T2:</strong> into muscularis propria</li>
  • +<li>
  • +<strong>T3:</strong> invasion into periureteric fat</li>
  • +<li>
  • +<strong>T4:</strong> direct invasion into adjacent organs/structures</li>
  • +</ul><h5>N</h5><p>Nodal staging is the same for TCC of any part of the urinary tract.</p><ul>
  • +<li>
  • +<strong>N0:</strong> no nodal involvement</li>
  • +<li>
  • +<strong>N1:</strong> single node involved &lt;2cm</li>
  • +<li>
  • +<strong>N2</strong><ul>
  • +<li>single node 2-5cm OR</li>
  • +<li>multiple nodes all &lt;5cm</li>
  • +</ul>
  • +</li>
  • +<li>
  • +<strong>N3:</strong> one or more nodes &gt;5cm</li>
  • +</ul><h5>M</h5><ul>
  • +<li>
  • +<strong>M0:</strong> no metastases</li>
  • +<li>
  • +<strong>M1:</strong> metastases identified</li>
  • +</ul><h4>Staging groups</h4><p>Individual TNM stages can then be grouped:</p><ul>
  • +<li>
  • +<strong>stage 0:</strong> Ta or Tis, N0, M0</li>
  • +<li>
  • +<strong>stage I:</strong> T1, N0, M0</li>
  • +<li>
  • +<strong>stage II:</strong> T2(a or b), N0, M0</li>
  • +<li>
  • +<strong>stage III:</strong> T3(a or b) or T4a, N0, M0</li>
  • +<li>
  • +<strong>stage IV</strong><ul>
  • +<li>T4b, any N, any M</li>
  • +<li>N1-3, any T, any M</li>
  • +</ul>
  • +</li>
  • +</ul>

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