Part of Cancer staging guidance sheets
Penis tumours (ICD10 C60)
Introduction
This is the data sheet for TNM 8th edition staging of penis tumours (ICD10 C60).
For more detailed information regarding TNM staging, please see pages 188-190 of the UICC TNM 8 book or visit the Wiley and UICC website.
Stage groupings
|
Stage Group |
T stage |
N stage |
M stage |
|---|---|---|---|
|
Stage 0 |
Tis |
N0 |
M0 |
|
Ta |
N0 |
M0 |
|
|
Stage I |
T1a |
N0 |
M0 |
|
Stage IIA |
T1b, T2 |
N0 |
M0 |
|
Stage IIB |
T3 |
N0 |
M0 |
|
Stage IIIA |
T1, T2, T3 |
N1 |
M0 |
|
Stage IIIB |
T1, T2, T3 |
N2 |
M0 |
|
Stage IV |
T4 |
Any N |
M0 |
|
|
Any T |
N3 |
M0 |
|
|
Any T |
Any N |
M1 |
TNM clinical classification
T - primary tumour
| T value | Description |
|---|---|
|
TX |
Primary tumour cannot be assessed |
|
T0 |
No evidence of primary tumour |
|
Tis |
Carcinoma in situ (Penile intraepithelial neoplasia – PeIN) |
|
Ta |
Non-invasive localized squamous cell carcinoma1 |
|
T1 |
Tumour invades subepithelial connective tissue2 |
|
T1a |
Tumour invades subepithelial connective tissue without lymphovascular invasion or perineural invasion and is not poorly differentiated |
|
T1b |
Tumour invades subepithelial connective tissue with lymphovascular invasion or perineural invasion or is poorly differentiated |
|
T2 |
Tumour invades corpus spongiosum with or without invasion of the urethra |
|
T3 |
Tumour invades corpus cavernosum with or without invasion of the urethra |
|
T4 |
Tumour invades other adjacent structures |
Notes:
1 Including verrucous carcinoma.
2 Glans: Tumour invades lamina propria, Foreskin: Tumour invades dermis, lamina propria or dartos fascia, Shaft: Tumour invades connective tissue between epidermis and corpora and regardless of location
N - regional lymph nodes
| N value | Description |
|---|---|
|
NX |
Regional lymph nodes cannot be assessed |
|
N0 |
No palpable or visibly enlarged inguinal lymph nodes |
|
N1 |
Palpable mobile unilateral inguinal lymph node |
|
N2 |
Palpable mobile multiple or bilateral inguinal lymph nodes |
|
N3 |
Fixed inguinal nodal mass or pelvic lymphadenopathy unilateral or bilateral |
M - distant metastasis
| M value | Description |
|---|---|
|
M0 |
No distant metastasis |
|
M1 |
Distant Metastasis |
TNM pathological classification
pT - primary tumour
The pT categories correspond to the T category.
pN - regional lymph nodes
The pN categories are based upon biopsy, or surgical excision.
| pN value | Description |
|---|---|
|
pNX |
Regional lymph nodes cannot be assessed |
|
pN0 |
No regional lymph node metastasis |
|
pN1 |
Metastasis in one or two inguinal lymph nodes |
|
pN2 |
Metastasis in more than two unilateral inguinal nodes or bilateral inguinal lymph nodes |
|
pN3 |
Metastasis in pelvic lymph node(s), unilateral or bilateral or extranodal extension of regional lymph node metastasis |
Last edited: 29 December 2022 1:48 pm
