Staging

Question 1

What is T1?

Answer 1

<=3cm surrounded by lung/visc pleura not involving main bronchus

T1a <=1cm
T1b >1cm to <=2cm
T1c >2cm to <=3cm

Question 2

What is T2?

Answer 2

> 3cm to <= 5cm
T2a >3 to <= 4cm
T2b >4cm to <=5cm

Or

Involvement of bronchus without carina
Invading visceral pleura
Atelactasis or post obstructive pneumonia is extending to hilum

Question 3

Describe T3

Answer 3

> 5cm to <=7cm

Or

Involvement of chest wall, pericardium, phrenic nerve , or 2 tumours in the same lobe

Question 4

Describe T4

Answer 4

> 7cm or

Invasion of mediastinum, heart, diaphragm, great vessels, recurrent laryngeal nerve, carina, trachea, oesophagus, spine

Or

Separate tumour in a different lobe of ipsilateral lung

Question 5

Describe N1

Answer 5

Ipsilateral peribronchial and/or hilar nodes and intrapulmonary nodes

Levels 10-14

Question 6

Describe N2

Answer 6

Ipsilateral mediastinal or subcarinal

Question 7

Describe N3

Answer 7

Contra lateral mediastinal or hilar, ipsilateral/contralateral scalene/SCF

Question 8

Describe M staging

Answer 8

M1a. Tumour in contralateral lung or pleural/pericardial nodule or malignant effusion

M1b. Single extrathoracic met including single non-regional LN

M1c. Multiple extrathoracic mets in one or more organs