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TNM Staging of Renal Pelvis and Ureter Tumors

Primary Tumor
Tx Primary tumor cannot be assessed
T0 No evidence of primary tumor
Ta Non-invasive papillary urothelial carcinoma
Tis Carcinoma in situ
T1 Tumor invades subepithelial connective tissue
T2 Tumor invades muscularis
T3 Renal pelvis: Tumor invades beyond muscularis into peripelvic fat or renal parenchyma; Ureter: Tumor invades beyond muscularis into periureteric fat
T4 Tumor invades adjacent organs or through the kidney into perinephric fat
Regional Lymph Nodes
Nx Regional lymph nodes cannot be assessed
N0 No regional lymph node metastasis
N1 Metastasis in a single lymph node, 2 cm or less in greatest dimension
N2 Metastasis in a single lymph node, more than 2 cm in greatest dimension; or in multiple lymph nodes
Distant Metastasis
M0 No distant metastasis
M1 Distant metastasis
Anatomic Stage/Prognostic Groups
Stage T N M
0a Ta N0 M0
0is Tis N0 M0
I T1 N0 M0
II T2 N1 M0
III T3 N0 M0
IV T4 N0 M0
any T N1 M0
any T N2 M0
any T any N M1

Explanation

Applicable to urothelial carcinoma

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