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Staging of penile cancer

TNM classification of primary penile cancer

  • TX: Primary tumor cannot be assessed
  • T0: No evidence of primary tumor
  • Tis: Carcinoma in situ
  • Ta: Noninvasive verrucous carcinoma
  • T1: Tumor invades subepithelial connective tissue

 

 

  • T2: Tumor invades the corpus spongiosum or cavernosum
  • T3: Tumor invades the urethra or prostate

 

 

  • T4: Tumor invades other adjacent structures

 

 

Regional lymph nodes

  • NX: Metastasis to regional lymph nodes is not assessed or cannot be assessed 
  • N0: No regional lymph node metastasis
  • N1: Metastasis to a single superficial inguinal lymph node
  • N2: Metastasis in multiple or bilateral superficial inguinal lymph nodes 
  • N3: Metastasis to deep inguinal and/or pelvic lymph nodes 

Metastasis

  • MX: Metastasis cannot be assessed
  • M0: No suspicion or detection of metastasis
  • M1: Metastasis

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