Urological Tumours

TNM 7 classification

TNM 6 classification

1. Introductory Notes

The following sites are included:

• Penis
• Prostate
• Testis
• Kidney
• Renal pelvis and ureter
• Urinary bladder
• Urethra
• Adrenal cortex tumours (new in TNM 7)

Each site is described under the following headings:

• Rules for classification with the procedures for assessing T, N, and M categories; additional methods may be used when they enhance the accuracy of appraisal before treatment
• Anatomical sites and subsites where appropriate
• Definition of the regional lymph nodes
• Distant metastasis
• TNM Clinical classification
• pTNM Pathological classification
• G Histopathological grading where applicable
• Stage grouping
• Summary

2. Distant Metastasis

The categories M1 and pM1 may be further specified according to the following notation:

Pulmonary PUL Bone marrow MAR Osseous OSS Pleura PLE Hepatic HEP Peritoneum PER Brain BRA Adrenals ADR Lymph nodes LYM Skin SKI Others OTH

3. R Classification

The absence or presence of residual tumour after treatment is described by the symbol R. The definitions of the R classification are:

RX. Presence of residual tumour cannot be assessed
R0. No residual tumour
R1. Microscopic residual tumour
R2. Macroscopic residual tumour

4. pTNM Pathological Classification

See also: Additional site-specific recommendations for pT and pN

5. Summary

See also: Additional site-specific explanatory notes