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BREAST DISEASE
Case #5 -
A 48 year old woman with a L breast lump

DISCUSSION QUESTIONS:
7.) What is the TNM staging classification for breast cancer?

TNM staging classification for breast cancer:



T1 < 2 cm in diameter

T2 2-5 cm in diameter

T3 > 5 cm in diameter

T4 any size with direct extension to chest wall or skin

N0 no nodes

N1 ipsilateral movable axillary nodes

N2 ipsilateral axillary nodes fixed to each other or other structures

N3 ipsilateral internal mammary nodes with + axillary nodes, ipsilateral

infraclavicular or supraclavicular nodes

M0 no distant metastases

M1 distant metastases



Stage I         T1, N0, M0

Stage IIA      T1, N1, M0

                      T2, N0, M0

Stage IIB      T2, N1, M0

                      T3, N0, M0

Stage IIIA      T1 or 2, N2, M0

                      T3, N1 or 2, M0

Stage IIIB      T4, any N, M0

                      Any T, N3, M0

Stage IV       Any T, any N, M1  
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