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martin-benson - Royal Marsden Hospital

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The <strong>Royal</strong> <strong>Marsden</strong>Oesophageal cancer - TNM stagingPrimary Tumour (T)TX Unable to assess primaryT0 No evidence primaryTis Carcinoma in situT1 Invasion lamina propria/submucosaT2 Invasion muscularis propriaT3 Invasion adventitiaT4 Invasion of adjacent structuresRegional Lymph Nodes (N)NX Unable to assessN0 No metastasisN1 Nodal metastasisDistant metastasis (M)MX Unable to assessM0 No metastasisLower oesophagusM1a Metastasis in coeliac nodesM1b Other distant metastasisMid oesophagusM1a Not applicableM1b Non-regional lymph node orother distant metastasisUpper oesophagusM1a Metastasis to cervical nodesM1b Other distant metastasisAmerican Joint Commission on Cancer 2002

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