Primary tumor (T) | |||
T category | T criteria | ||
T0 | No primary identified | ||
T1 | Tumor 2 cm or smaller in greatest dimension | ||
T2 | Tumor larger than 2 cm but not larger than 4 cm in greatest dimension | ||
T3 | Tumor larger than 4 cm in greatest dimension or extension to lingual surface of epiglottis | ||
T4 | Moderately advanced local disease. Tumor invades the larynx, extrinsic muscle of tongue, medial pterygoid, hard palate, or mandible or beyond.* | ||
* Mucosal extension to lingual surface of epiglottis from primary tumors of the base of the tongue and vallecula does not constitute invasion of the larynx. | |||
Regional lymph nodes (N) - Clinical N (cN) | |||
N category | N criteria | ||
NX | Regional lymph nodes cannot be assessed | ||
N0 | No regional lymph node metastasis | ||
N1 | One or more ipsilateral lymph nodes, none larger than 6 cm | ||
N2 | Contralateral or bilateral lymph nodes, none larger than 6 cm | ||
N3 | Lymph node(s) larger than 6 cm | ||
Distant metastasis (M) | |||
M category | M criteria | ||
M0 | No distant metastasis | ||
M1 | Distant metastasis | ||
Prognostic stage groups - Clinical | |||
When T is... | And N is... | And M is... | Then the stage group is... |
T0, T1, or T2 | N0 or N1 | M0 | I |
T0, T1, or T2 | N2 | M0 | II |
T3 | N0, N1, or N2 | M0 | II |
T0, T1, T2, T3, or T4 | N3 | M0 | III |
T4 | N0, N1, N2, or N3 | M0 | III |
Any T | Any N | M1 | IV |
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