TNM 6 Exercise
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TX N1 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.) (CT scan shows two 2 cm retroperitoneal LNs involved) (No distant mets seen on imaging studies)
T3 NX MX S0 Stage Group UNK
T3(Tumor invades spermatic cord) NX (No lymph node dissection done) MX(Imaging done, but according to TNM 6th edition, clinical information can be used for the M category if sufficient tissue was removed to evaluate the highest T and highest N categories) S0 (Tumor markers within normal limits. Per page 317 of TNM 6th edition, for staging, measure tumor markers immediately after orchiectomy, and continue serial measurements if elevated.)