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什么是鼻咽癌临床分期

来源:华人健康网 | 发布时间:2011-10-01 15:47:41 | www.chinesejk.com
1.1979年全国第5届NPC长沙会议推荐的NPC临床分期
T——原发肿瘤
T0未见原发癌
T1肿瘤局限于鼻咽一个壁或两个壁交界处的局限性病灶
T2肿瘤侵犯两个壁以上,但未超过腔
T3原发癌超过腔、有脑神经损害或颅底骨破坏之一者
T4有T3的两项以上者
N——淋巴结转移
N0未摸到颈淋巴结
N1颈深上级有活动的肿大淋巴结,小于3cmX3cm
N2自颈深上部向下到下颈部有淋巴结肿大,或淋巴结活动受限制或固定
N3颈淋巴结转移大于8cmX8cm,或锁骨上窝有转移
M——远处转移
M0没有远处转移
M1有客观指标证实远处转移

临床分期
I期T1N0M0
II期T2N0M0,T0~2N1M0
III期T3N0M0,T3N1M0,T0~3N2MO
IV期T4N0M0,T4N1MO,T4N2M0,T0~4N3M0,M1
2.TNM分期(UICC,1989)
T——原发肿瘤
T1肿瘤局限于一个部位
T2肿瘤侵犯超过一个部位
T3肿瘤侵犯鼻腔和/或口咽
T4肿瘤侵犯颅底和/或脑神经
N——颈部淋巴结
NO无颈淋巴结转移
N2a同侧单个颈淋巴结转移,最大直径超过3cm,但不超过6cm
N2b同侧多个预淋巴结转移,最大不超过6cm
N2c两侧或对侧颈淋巴结转移,直径小于6cm
N3淋巴结转移大干6cm
M——远处转移
MO无远处转移
M1有远处转移
临床分期
I期T1N0MO
II期T2N0M0
III期T3N0M0,T1N1M0,T2N1MO,T3N1M0
IV期T4N0~1M0,T1~4N2~3M0,T1~4N1~3M1

(编辑:阳阳 )

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