NCCN Guidelines for Patients® | Melanoma - page 31

NCCN Guidelines for Patients
®
Melanoma, Version 1.2014
29
3
Melanoma staging
Stages of melanoma
Chart 1. Melanoma stages
Anatomic Stage/Prognostic Groups
Clinical staging*
Pathologic staging**
Stage 0
Tis
N0
M0
Stage 0
Tis
N0
M0
Stage IA
T1a
N0
M0
Stage IA
T1a
N0
M0
Stage IB
T1b
N0
M0
Stage IB
T1b
N0
M0
T2a
N0
M0
T2a
N0
M0
Stage IIA
T2b
N0
M0
Stage IIA
T2b
N0
M0
T3a
N0
M0
T3a
N0
M0
Stage IIB
T3b
N0
M0
Stage IIB
T3b
N0
M0
T4a
N0
M0
T4a
N0
M0
Stage IIC
T4b
N0
M0
Stage IIC
T4b
N0
M0
Stage III
Any T ≥N1
M0
Stage IIIA
T1–4a N1a M0
T1–4a N2a M0
Stage IIIB
T1–4b N1a M0
T1–4b N2a M0
T1–4a N1b M0
T1–4a N2b M0
T1–4a N2c
M0w
Stage IIIC
T1–4b N1b M0
T1–4b N2b M0
T1–4b N2c
M0
Any T N3
M0
Stage IV
Any T Any N M1
Stage IV
Any T Any N M1
* Clinical staging includes microstaging of the primary melanoma and clinical/radiologic evaluation for metastases. By convention, it
should be used after complete excision of the primary melanoma with clinical assessment for regional and distant metastases.
** Pathologic staging includes microstaging of the primary melanoma and pathologic information about the regional lymph nodes after
partial or complete lymphadenectomy. Pathologic Stage 0 or Stage IA patients are the exception; they do not require pathologic
evaluation of their lymph nodes.
Used with the permission of the American Joint Committee on Cancer (AJCC), Chicago, Illinois. The original source for this material is
the
AJCC Cancer Staging Manual,
Seventh Edition (2010) published by Springer Science+Business Media, LLC,
1...,21,22,23,24,25,26,27,28,29,30 32,33,34,35,36,37,38,39,40,41,...108
Powered by FlippingBook