TNM 6 Exercise
Please type your answers in the text fields below and click Show Answer to see the correct answer and explanation.
TX NX M0 Stage Group UNK
TX (According to page 319 of TNM 6th edition, extent of primary tumor is usually classified by radical orchiectomy and a pathologic stage is assigned.) NX (Physical exam shows palpable abdominal node/CT scan shows enlarged paraortic nodes, no size is given, and there are no diagnostic terms of involvement in the text) M0 (No distant metastasis noted on CT/CXR)
T3 N2 M0 S1 Stage Group IIB
T3 (Tumor invades spermatic cord) N2 (Multiple positive LNs, largest dimension 5cm) M0 (No distant metastasis seen on CT/CXR, per TNM 6th edition can use clinical information for the M category if sufficient tissue was removed to evaluate the highest T and highest N categories.) S1 (LDH < 1.5 X upper limit normal and hCG (mIu/ml) < 5000 and AFP (ng/ml) < 1000). Per page 317 of TNM 6th edition, for staging, measure tumor markers immediately after orchiectomy and continue serial measurements if elevated.)