By Frederick L. Greene M.D., Carolyn C. Compton M.D., PH.D., April G. Fritz C.T.R., R.H.I.T., Jatin P. Shah M.D., David P. Winchester M.D. (eds.)
The AJCC melanoma Staging Atlas includes black-and-white illustrations, created completely for the ebook, depicting the anatomic volume of illness for tumor (T), local lymph node (N), and far away metastasis (M). the pictures offer thorough anatomic depictions to elucidate serious constructions and make allowance the reader to immediately visualize the revolutionary volume of malignant affliction. a number of labels determine very important anatomic structures.
NOTE: The AJCC melanoma Staging Atlas is predicated at the sixth variation staging schemas and lots of photos would possibly not mirror the present seventh variation staging system.
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Extra info for AJCC Cancer Staging Atlas
Tumor invades any of the following: bone of the posterior wall of maxillary sinus, subcutaneous tissues, ﬂoor or medial wall of orbit, pterygoid fossa, ethmoid sinuses. 5. A. T4a showing tumor invasion of anterior orbital contents. B. T4a showing tumor invasion of sphenoid sinus and cribriform plate. 6. Coronal view of T4b shows tumor invades orbital apex and or dura, brain or middle cranical fossa. 7. In the nasal cavity and ethmoid sinus, T1 is deﬁned as tumor restricted to any one subsite, with or without bony invasion.
18. T4b tumor the hypopharynx with invasion of the carotid artery and prevertebral fascia. 19. N1 for nasopharynx cancer is deﬁned as unilateral metastasis in lymph node(s), 6 cm or less in greatest dimension, above the supraclavicular fossa. 20. N2 for nasopharynx cancer is deﬁned as bilateral metastasis in lymph node(s), 6 cm or less in greatest dimension, above the supraclavicular fossa. 21. N3 for nasopharynx cancer may be categorized as N3a (left) for metastasis in a lymph node(s) greater than 6 cm in dimension and/or N3b (right) metastatic to the supraclavicular fossa.
B. T3 is deﬁned as tumor more than 4 cm in greatest dimension. C. T3 is deﬁned as tumor more than 4 cm in greatest dimension. 8. 9. T4a (Oral Cavity) is deﬁned as tumor invading through cortical bone, into deep [extrinsic] muscle of tongue (genioglossus, hyoglossus, palatoglossus, and styloglossus), maxillary sinus, or skin of face. 10. T4b is deﬁned as tumor involves masticator space, pterygoid plates (as shown), or skull base and/or encases internal carotid artery. American Joint Committee on Cancer • 2006 25 STAGE GROUPING 0 I II III IVA IVB IVC Tis T1 T2 T3 T1 T2 T3 T4a T4a T1 T2 T3 T4a Any T T4b Any T N0 N0 N0 N0 N1 N1 N1 N0 N1 N2 N2 N2 N2 N3 Any N Any N M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M0 M1 NOTE 1.