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Tumor Size

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The size of a tumor is directly related to prognosis. In general, the larger the tumor, the lower the chances are for effective treatment and long-term survival [6].

In the TNM staging system, a "T" followed by a number shows the size of the tumor. In some cases, the size of the tumor cannot be determined (TX) or a tumor cannot be found (TO). If the diagnosis is carcinoma in situ, this is written as Tis.  

Tumor size categories

TX: Tumor size cannot be assessed

T0: No tumor can be found

Tis: Carcinoma in situ

 

Subcategories of Tis:

 

Tis (DCIS): Only ductal carcinoma in situ

 

Tis (LCIS): Only lobular carcinoma in situ

 

Tis (Paget’s): Paget’s disease of the nipple with no tumor

T1: Tumor is 2 cm or smaller

 

Subcategories of T1:

 

T1mic: Very small tumor (0.1 cm or smaller)

 

T1a: Tumor is larger than 0.1 cm, but no larger than 0.5 cm

 

T1b: Tumor is larger than 0.5 cm, but no larger than 1 cm

 

T1c: Tumor is larger than 1 cm, but no larger than 2 cm

T2: Tumor is larger than 2 cm, but no larger than 5 cm

T3: Tumor is larger than 5 cm

T4: Tumor is any size but has spread beyond the breast tissue to the chest wall or skin

 

Subcategories of T4:

 

T4a: Tumor has spread to chest wall

 

T4b: Tumor has spread to skin

 

T4c: Tumor has spread to both chest wall and skin

 

T4d: Presence of inflammatory carcinoma

Updated 10/26/09

 

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