CD Home Page
surgery Cases
Case List History Objectives Radiology Images Questions
COLORECTAL DISEASE
Case #8 -
A 55 year old male with 3 months rectal bleeding

DISCUSSION QUESTIONS:
7.) How do you stage clinically and pathologically adenocarcinoma of the rectum?

TNM staging classification of carcinoma of the rectum:

T1 - involving mucosa and submucosa

T2 - invading muscularis propria

T3 - invading the perirectal fat

T4 - invading other organs or tissues

N1 - 3 or less nodes in perirectal area

N2 - 4 or more nodes in perirectal area

N3 - nodes along named vessels

M0 - no distant metastases

M1 - distant metastases



Stage I - T1-2, N0, M0

Stage II - T3-4, N0, M0

Stage III - any T, N1-3, M0

Stage IV - any T, any N, M1

 
   The Virtual Patient > Case List > COLORECTAL DISEASE: Questions