Tumor Classification, grading and staging
T1,2,3,4
ascending degrees of tumor size and involvement
tumor Grading evaluates:
-cell differentiation -estimates rate of growth
M 1, M 2, M 3
-increasing degrees of metastatic involvement of the host -including distant nodes
staging refers to:
-relative size of the tumor -extent of disease
classification system commonly used to staged tumors
TNM
TNM system: M denotes:
distant metastasis
T IS
in situ
nurses can provide valuable help drink this very difficult time of cancer diagnosis by:
keeping clients actively involved in magian their life and disease
TNM system: N indicates:
lymph node involvement -presence and extent
N 0
no abnormal regional nodes
M 0
no evidence of distant metastasis
T 0
no evidence of primary tumor
N 1b, N 2b, N 3b
regional nodes *metastasis expected*
N 1 a, N 2 a
regional nodes *no metastasis*
N x
regional nodes cannot be assessed clinically
tumors are classified and named by the:
tissue or cell origin
TNM system: T stands for
tumors size and invasiveness