TNM Supplement 1993

1. Front Matter

   Pages I-XVII

   PDF

2. Explanatory Notes General

   • P. Hermanek, D. E. Henson, R. V. P. Hutter, L. H. Sobin

   Pages 1-18

3. Explanatory Notes Specific Anatomical Sites

   • P. Hermanek, D. E. Henson, R. V. P. Hutter, L. H. Sobin

   Pages 19-47

4. Site-Specific Recommendations for pT and pN

   • P. Hermanek, D. E. Henson, R. V. P. Hutter, L. H. Sobin

   Pages 49-71

5. New Classifications Recommended for Testing

   • P. Hermanek, D. E. Henson, R. V. P. Hutter, L. H. Sobin

   Pages 73-99

6. Optional Proposals for Testing New Telescopic Ramifications of TNM

   • P. Hermanek, D. E. Henson, R. V. P. Hutter, L. H. Sobin

   Pages 101-141

The fourth edition of the TNM Classification was published in 1987,1 and a revision in 1992.2 It was the result of efforts by all national TNM Committees towards a worldwide uniform classification. The classifica­ tion criteria are identical with the fourth edition of the Manual for 3 Staging of Cancer of the American Joint Committee on Cancer (AJCC). Although the classification has found wide acceptance, some workers have pointed out that individual definitions and rules for staging are not sufficiently detailed. This can lead to inconsistent application of the clas­ sification. the antithesis of standardization. This source of differences in interpretation applies not only to the classification of individual organs but also to the general rules of the system, especially to the definitions of the requirements for the pathological classification (pT, pN). These are specified only for carcinoma of the breast; for other sites, reference must be made back to the general rules. which can lead to variable interpreta­ tions. The TNM Project Committee of the UICC has addressed this prob­ lem and collected and considered the criticisms and suggestions from the national TNM Committees as well as from cancer registries, oncolo­ gical associations and individual users. The result was the decision to complement the 4th edition of the TN M Classification 1.2. 3 with the publi­ cation of a TNM Supplement containing recommendations for the uni­ form use of TNM.

• Cancer
• Grading
• Karzinom
• Krebs
• Oncology
• Onkologie
• Staging
• TNM
• TNM staging system
• Tumor Classifiction
• Tumorklassifikation
• carcinoma
• classification
• Radiaton Oncology

• Chirurgische Universitätsklinik Erlangen, Erlangen, Germany

  P. Hermanek

• Early Detection Branch, Division of Cancer Prevention and Control, National Cancer Institute, Bethesda, USA

  D. E. Henson

• New Jersey Medical School, University of Medicine and Dentistry, Newark, USA

  R. V. P. Hutter

• Department of Pathology, Saint Barnabas Medical Center, Livingston, USA

  R. V. P. Hutter

• Uniformed Services University of the Health Sciences, Bethesda, USA

  L. H. Sobin

• Division of Gastrointestinal Pathology, Armed Forces Institute of Pathology, USA

  L. H. Sobin

Policies and ethics