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TNM classification for appendiceal carcinoma

Tumor classification
Tx: Primary tumor cannot be assessed
T0: No evidence of primary tumor
Tis: Carcinoma in situ (intramucosal carcinoma, invasion of lamina propria or extension into but not through muscularis mucosae)
Tis (LAMN): Low-grade appendiceal mucinous neoplasm confined by muscularis propria
T1: Tumor invades submucosa (through muscularis mucosa but not into muscularis propria)
T2: Tumor invades muscularis propria
T3: Tumor invades through muscularis propria into subserosa or into mesoappendix, including acellular mucin or mucinous epithelium extension into subserosa
T4: Tumor invades visceral peritoneum, including acellular mucin or mucinous epithelium involving serosa of appendix or mesoappendix, and/or directly invades adjacent organs or structures
T4a: Tumor invades through visceral peritoneum, including acellular mucin or mucinous epithelium involving serosa of appendix or mesoappendix
T4b: Tumor directly invades or adheres to adjacent organs or structures
Lymph node classification
Nx: Regional lymph nodes cannot be assessed
N0: No regional lymph node metastasis
N1: 1-3 regional lymph nodes (tumor in lymph node ≥ 0.2 mm), or presence of any number of tumor deposits plus all identifiable lymph nodes negative
N1a: 1 regional lymph node
N1b: 2-3 regional lymph nodes
N1c: No positive regional lymph nodes, but presence of tumor deposits in subserosa or mesentery
N2: ≥ 4 positive regional lymph nodes
Distant metastasis
M0: No distant metastasis
M1: Distant metastasis
M1a: Metastasis in intraperitoneal acellular mucin without identifiable tumor cells in disseminated peritoneal mucinous deposits
M1b: Intraperitoneal metastasis only, including peritoneal mucinous deposits containing tumor cells
M1c: Metastasis to sites other than peritoneum
Histologic grade
Gx: Grade cannot be assessed
G1: Well differentiated
G2: Moderately differentiated
G3: Poorly differentiated
Stage cannot be fully assessed
Reference
Amin, M.B., Edge et al. AJCC Cancer Staging Manual. AJCC. 2017.
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