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Breast Cancer TNM AJCC 8th, §: at least one metastasis larger than 2.0 mm…
Breast Cancer
TNM AJCC 8th
T
T1 :straight_ruler:
≤ 2 cm :V::skin-tone-5:
1/1-5/5-1/1
T2 :straight_ruler:
+ 2 cm, ≤ 5 cm
T3 :straight_ruler:
+ 5 cm :raised_hand_with_fingers_splayed::skin-tone-5:
T4
invasion :alien:
A: chest wall ext. :electric_plug:
B:
• skin ulceration :volcano:
• ipsi
satellite nodules
:satellite_antenna:
• edema (peau d'orange) :tangerine: if not inflammatory
C: A
and
B
:oncoming_taxi: :taxi:
D: inflammatory ca. :fire:
Must be 1/3 of breast
Must not be just untreated. <6m presentation
Aggressive bolus and treat all nodes
T1mi: ≤ 1 mm
A: +1 mm, ≤ 5 mm :round_pushpin:
B: + 5 mm, ≤ 1 cm :pushpin:
C: + 1cm
Tis
• Ductal (DCIS)
• Paget
N
clinical
cN0
: nothing by imaging or PEx
cN1 :dancer::skin-tone-2:
moveable
ipsi levels I, II
cN2 :anchor: :melon: :melon:
cN3 :izakaya_lantern:
A: ipsi level III
B: ipsi IMN :melon::melon:
AND
levels I, II
C: ipsi Supraclav :meat_on_bone:
A: ipsi level I, II :anchor:
B
: ipsi IMN :melon::melon:
only
cN1mi
: micromets †
pathological :hocho:
pN0 : nothing
pN0
(i+)
: ITCs only
pN0
(mol+)
: PCR only
pN1
pN2
A: 4-9 LNs §
B: ipsi IMN only :camera_with_flash::melon::melon:
pN3
A
+10 LNs §
-OR-
III (infraclav)
B
one of these combos
if they are connected in graph, then its pN3b
pN2a
4-9 LNs §
#
pN1b
ipsi IMN :melon::melon: SLN :rotating_light:
#
cN2b
: ipsi IMN :melon::melon:
#
1 more item...
C
• ipsi Supraclav :meat_on_bone:
B: ipsi IMN :melon::melon: SLN :rotating_light:
C: A
and
B
:taxi: :oncoming_taxi:
pN1
mi
: micromets †
A: 1-3 LNs §
M
M0
cM1: distant mets on clinical/radiograph
pM1: histo proven disease in distant organs
• + 2mm
M0(i+) : Mets ≤ 2mmmircoscopically or in circulating blood/tissue
clinically negative
no radiographic evidence
§: at least one metastasis larger than 2.0 mm
†: 200 cells, + 0.2 mm, ≤ 2mm