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  • Payudara Tiroid NMM (BCC & SCC) Parotis MM: A Ulkus +, B Ulkus

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    Aryo Wibisono
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    1. The document provides staging information for various types of cancers including breast, thyroid, non-melanoma skin cancer, parotid, melanoma, colorectal, cholangiocarcinoma, gallbladder, pancreatic, stomach, and esophageal cancer. 2. The staging systems classify cancers based on tumor size (T stage), lymph node involvement (N stage), and presence of distant metastasis (M stage). Higher T, N, and M classifications indicate more advanced disease. 3. Stage groupings (1-4) are assigned based on combinations of T, N, and M stages, with stage 4 generally indicating the most advanced disease including presence of distant metastases.

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    staging TNM

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    1. The document provides staging information for various types of cancers including breast, thyroid, non-melanoma skin cancer, parotid, melanoma, colorectal, cholangiocarcinoma, gallbladder, pancreatic, stomach, and esophageal cancer. 2. The staging systems classify cancers based on tumor size (T stage), lymph node involvement (N stage), and presence of distant metastasis (M stage). Higher T, N, and M classifications indicate more advanced disease. 3. Stage groupings (1-4) are assigned based on combinations of T, N, and M stages, with stage 4 generally indicating the most advanced disease including presence of distant metastases.

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    © All Rights Reserved
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    6 views2 pages

    Payudara Tiroid NMM (BCC & SCC) Parotis MM: A Ulkus +, B Ulkus

    Uploaded by

    Aryo Wibisono
    1. The document provides staging information for various types of cancers including breast, thyroid, non-melanoma skin cancer, parotid, melanoma, colorectal, cholangiocarcinoma, gallbladder, pancreatic, stomach, and esophageal cancer. 2. The staging systems classify cancers based on tumor size (T stage), lymph node involvement (N stage), and presence of distant metastasis (M stage). Higher T, N, and M classifications indicate more advanced disease. 3. Stage groupings (1-4) are assigned based on combinations of T, N, and M stages, with stage 4 generally indicating the most advanced disease including presence of distant metastases.

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    © All Rights Reserved
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    of 2

    PAYUDARA TIROID NMM ( BCC & SCC) PAROTIS MM

    T A ulkus +, B ulkus -
    T1 ≤2cm ≤ 2cm ≤ 2cm < 2cm ≤ 1 mm
    T2 >2 - ≤ 5 >2-≤4 >2-≤4 2 - ≤4 1-≤2
    T3 >5 > 4 cm >4, erosi tulang minor >4 >2 - ≤ 4
    T4 4a: Dinding dada 4a : Keluar kapsul, jaringan lunak ( laring, trakea, 4a Erosi Tulang 4a : Kulit, mandibula, N Fascialis >4
    4b: Kulit esofagus, NLR kortikal/sutul 4b : Tulang tengkorak, pteroid
    4c : dinding dada + kulit 4b: Mediastinum, A carotis 4b: Basis kranii plate, A.carotis
    4d : inflammatory Ca
    N
    N1 KGB axila, Mobile, Ipsilateral 1a: Paratrakeal (level VI-VII) ≤ 3 cm < 3 cm 1 KGB
    1b: Cervical bilateral, retrofaringeal, mediastinum
    Superior (Level I-V)
    N2 2a: Kgb Axila terfiksir >3 - ≤ 6 cm 3 - ≤ 6 cm 2-3 KGB
    2b : KGB mamaria interna
    Ipsilateral
    N3 3a : infraklavikula ipsilateral > 6cm > 6cm ≥ 4 KGB
    3b : mamaria interna dan axila
    3c : Supraclavikula
    M
    M1 Meta jauh Meta jauh Meta jauh Meta jauh Meta jauh

    STADIUM
    Papilare & folikuler Papilare & folikuler
    < 55 thn ≥ 55 thn
    1 T1 T0-4 N0-4 M0 T1N0 T1 T1 1A: T1a
    1B: T1b
    2 2a : T0N1 M1 T2 N0 T2 T2 2A : T2b -T3a
    T1N1 2B : T3b – T4a
    T2N0 2C : T4b
    2B: T2N1
    T3N0
    3 3a : T3N1 T3N0 T3 T3 N1-3
    T1-3N2 N1a T1-3 N1 T1-3 N1
    3b : T4N0-2
    3c : N3
    4 M1 4A : N1b N2-3 4A : T4a N0-1 M1
    T4a T4 T1-4 N2
    4B : T4b M1 4B : T4b N0-3
    4C : M1 T1-4 N3
    4C : M1

    Anaplastik semua kasus  Std 4


    Ca colorectal Cholangio Ca Tu gallbladder Tu. Pankreas Ca Gaster Tu Esofagus
    T
    T1 Submukosa Histologi 1a : Lamina propia Mukosa ≤ 2cm Lamina Propia Lamina propia
    1b: Muskularis submukosa
    T2 Muscularis Propia Dinding ductus Perimuscular >2 - ≤4 2A : Muskularis propia Muscularis propia
    2B : Subserosa
    T3 Subserosa, Organ berdekatan Serosa > 4cm Serosa Lamina adventitia
    Pericolorectal (liver, GB, pancreas) 1 organ (liver) <2 cm
    T4 4a : Viseral Peritoneal Organ jauh ≥2 cm (liver) dan organ lain Infiltrasi organ lain Jaringan sekitar 4A : Resectable (pleura, pericardium, diafragma)
    4b : Organ lain Vena porta 4B : Unresectable ( Trakea, aorta)
    N
    N1 1-3 buah KGB regional Duktus sistikus, pericholedocal 1-3 buah 1-2 buah 1-2 buah
    N2 ≥4 Peripancreatic (hanya caput), >3 3-6 3-6
    Periduodenal
    Periportal , celiac
    N3 3A : 7-15 >7
    3B : > 15
    M
    M1 1a : 1 organ Meta jauh Meta jauh Meta jauh Meta jauh
    1b : >1 organ

    STADIUM
    1 T1-2 1a : T1 T1 1A: T1 T1
    1b : T2 1B : T2
    2 2a : T3 2a : T3 T2 2A : T3 2A : T2-3
    2b : T4 2B : N1 2B : N1 2 B : T1-2 N1
    3 3a : T1-2N1 T4 T3N1 T4 T3N1
    3b: T3-4N1 T1-2N1 N2 T4
    3b: N2
    4 M1 M1 4a : T4 M1 M1 M1
    4b: N2
    M1

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