|
The most common current staging system is the TNM (for tumors/nodes/metastases) system, though many doctors still use the older Dukes system. The TNM system assigns a number[31]:
- T - The degree of invasion of the intestinal wall
- T0 - no evidence of tumor
- Tis- cancer in situ (tumor present, but no invasion)
- T1 - invasion through muscularis mucosa into submucosa
- T2 - invasion through submucosa into the muscularis propria (i.e. proper muscle of the bowel wall)
- T3 - invasion through the muscularis propria into subserosa but not to any neighbouring organs or tissues
- T4 - invasion of surrounding structures (e.g. bladder) or with tumour cells on the free external surface of the bowel
- N - the degree of lymphatic node involvement
- N0 - no lymph nodes involved
- N1 - one to three nodes involved
- N2 - four or more nodes involved
- M - the degree of metastasis
- M0 - no metastasis
- M1 - metastasis present
|