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In a cancer report, the doctor gave a diagnosis of Stage IIIC T4aN2M0 cancer - gksc

Posted: Jun 14, 2013

In a cancer report, the doctor gave a diagnosis of Stage IIIC T4aN2M0 cancer. Then she later said, He was staged as a pathological T4aN2a. She added the a and dropped the M0. I listened very carefully for the diagnosis and later in the problem list. She does not add the a after the N2 in either place. Does anyone know why it is N2a in one place but just N2 in the DX?

TNM Staging - Rose

[ In Reply To ..]
There is a TNM staging for pre-surgery (clinical) and then samples go to pathology where slides are made and microscopically evaluated with more precision on whether there is metastasis
and to what degree. The N is for lymph nodes and the alpha subclassification signifies degree of metastases. I think N2c means the cancer has been identified in more than 2 lymph nodes. So post surgery and after the pathology you can have two different TNM ratings.

Thank you - gksc

[ In Reply To ..]
I appreciate you taking the time to explain this.

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