Cancer staging

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Metastasis (M)

The letter "M" indicates whether the cancer has metastasized, or spread, to other parts of the body. If the cancer has not spread, it is labeled M0. If the cancer has spread, it is considered M1.

Node (N)

The letter "N" plus a number (0 to 3) describes whether cancer has been found in the lymph nodes. It may also describe how many of the lymph nodes contain cancer. Lymph nodes are tiny, bean-shaped organs that help fight infection. Regional lymph nodes are located closest to where the cancer began. Distant lymph nodes are located in other parts of the body. Most often, the more lymph nodes with cancer, the larger the number assigned. However, for some tumors, the location of the lymph nodes with cancer may determine the "N" stage category.

Tumor (T)

The letter "T" plus a number (0 to 4) describes the size and location of the tumor, including how much the tumor has grown into nearby tissues. A larger tumor or one that has grown more deeply into the surrounding tissue receives a higher number. For some types of cancer, lowercase letters, such as "a," "b," or "m" (for multiple), are added to the "T" stage category to provide more detail.

Stage II and III

These stages indicate larger cancers or tumors that have grown more deeply into nearby tissue. They may have also spread to lymph nodes but not to other parts of the body

Stage 0

This stage describes cancer in situ, which means "in place." Stage 0 cancers are still located in the place they started and have not spread to nearby tissues. This stage of cancer is often highly curable, usually by removing the entire tumor with surgery.

Stage I

This stage is usually a small cancer or tumor that has not grown deeply into nearby tissues. It also has not spread to the lymph nodes or other parts of the body. It is often called early-stage cancer.

Stage IV

This stage means that the cancer has spread to other organs or parts of the body. It may also be called advanced or metastatic cancer


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