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staging classification for multiple myeloma? (sm)

Posted By: fuzz5 on 2006-03-05
In Reply to:

Subject: staging classification for multiple myeloma? (sm)

Sounds like "Dewey-Salmon" 3A??

Thanks.


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in cancer staging with Hodgkin's lymphoma do we use Roman or arabic numerals?
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Subject: Staging...

I work for a anatomic pathology lab and the doctor or pathologist gave me this as a reference, hope it helps. The doctor specified using commas in between staging.

This tends to be a problem knowing exactly how to transcribe these, so here's a reference chart for you.


CANCER STAGES/GRADES:
STAGES are in Roman numerals - I, II, III, IV
GRADES are numbers (and capital letters) - 1, 2, 3; 1A, 2B
STAGING are: T, N, M with numbers (and possibly lower case letters) i.e., T1, T1a; N1, N1b, M0
_______________________________
System for staging malignant tumors, developed by the American Joint Committee on Cancer and the Union Internationale Contre le Cancer.
T tumor size or involvement
N regional lymph node involvement
M extent of metastasis


Write TNM expressions with on-line arabic numerals and commas, spacing after the commas.


T2, N1, M1
T4, N3, M1


Letters and symbols following the letter T, N. and M:


X means assessment cannot be done.

0 indicates no evidence found.


Numbers indicate increasing evidence of the characteristics represented by those letters.

Tis indicates in situ tumor.
Tis, NO, M0


The TNM system criteria for defining cancer stages vary according to the tyype of cancer. Thus a stage II cancer of one type may be efined as T1 N0 M0, while one of another type may be defined as T2 N1 M0.


Staging indications are used along with TNM criteria to define cancers and assess stages. These are expressed with capital letters and arabic numerals.

grade GX, G1, G2, G3, G4
host performance H0, H1, H2, H3, H4
lymphatic invasion LX, L0, L1, L2
residual tumor RX, R0, R1, R2
scleral invasion SX, S0, S1, S2
venous invasion VX, V0, V1, V2


Prefixes:
Lowercased prefixes with TNM and other symbols indicate criteria used to describe and stage the tumor. Please the prefix on-line, e.g.,
cTNM, aT2.


LETTER determining criteria


a autopy staging
c clinical classification
p pathological classification
r retreatment classification
y, yp classification during or following treatment with multiple modalities.


Suffixes:
The suffix (m)(in parentheses) indicates the presence of multiple primary tumors in a single site.


Other suffixes may be used, such as the following in the nasopharynx:

T2a nasopharyngeal tumor extending to soft tissues of oropharynx and/or nasal fossa without parapharyngeal extension.


T2b nasopharyngeal tumor extending to soft tissues of oropharynx and/or nasal fossa with parapharyngeal extension.


Staging
Subject: Staging

THANKS A BUNCH.....this is a great reference. I've already saved it in a file. Thanks again.
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Subject: typing the staging

T1c-T2a NX MX

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TNM staging system per BOS: sm
Subject: TNM staging system per BOS: sm

Arabic numerals on the line and a space after each number. T1 N0 M0


Here is a link regarding staging. sm
Subject: Here is a link regarding staging. sm

http://imaginis.com/breasthealth/staging.asp
Cancer staging - does this look right?
Subject: Cancer staging - does this look right?

I am fairly new to a radiation oncology clinic and the doctor is saying "pathologic stage y2a." Am I doing the y2a part right? I can't seem to find this in my reference books. Thanks!
Cancer staging
Subject: Cancer staging

Never had this one, dictator states, "T1cp, NO, I+, MO." Not sure about the I+. Any help is appreciated.