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Dictated: Stage IIc PT4 BPN0PMX
Transcribed: Stage IIC (pT4b pN0 pMX)
* The cancer is a stage IIC cancer - The letter after the Roman numerals is always capitalized.
* The staging is pathologic staging as per the letter 'p' (as opposed to clinical staging, which would be indicated by a 'c'
* The TNM staging indicates info with regard to the tumor (T), the nodes (N), and whether or not there is metastatic disease (M).
* pT4b pN0 pMX = Pathologic staging, tumor is quite large (1, 2, 3, or 4), the nearby lymph nodes contain no cancer (N0, 1, 2, etc), and there has been no metastatic disease determined.