This site is targeted at medical and radiology professionals, contains
user contributed content, and material that may be confusing to a lay
audience. Use of this site implies acceptance of our
Renal cell carcinoma staging using the TNM staging system for renal cell carcinoma. Older but still widely used system in some practices is the Robson staging system. TNM staging T
T1a - limited to kidney <4 cm
T1b - limited to kidney >4 cm, < 7 cm
T2 - limited to kidney >7 cm
T3 - tumour / tumour thrombus extension into major veins or perinephric tissues, but not into ipsilateral adrenal gland or beyond Gerota's fascia
T3a - spread to renal vein
T3b - spread to infra diaphragmatic IVC
T3c - spread to supra diaphragmatic IVC or invades the wall of the IVC
T4 - involves ipsilateral adrenal gland or invades beyond Gerota's fascia
N0 - no nodal involvement
N1 - regional lymph node involved M
M0 - no distant metastases
M1 - distant metastases Stage groupings
stage I - T1 N0 M0
stage II - T2 N0 M0
stage III - everything between stage II and IV
stage IV - T4, any N, any M
1. Adam A, Dixon AK, Grainger RG et-al. Grainger and Allison's diagnostic radiology. Churchill Livingstone. (2008) ISBN:0443101639.
Read it at Google Books - Find it at Amazon 2. Greene FL, Cancer AJ, Society AC. AJCC cancer staging handbook, from the AJCC cancer staging manual. Springer Verlag. (2002) ISBN:0387952705.
Read it at Google Books - Find it at Amazon 3. Fein AB, Lee JK, Balfe DM et-al. Diagnosis and staging of renal cell carcinoma: a comparison of MR imaging and CT. AJR Am J Roentgenol. 1987;148 (4): 749-53.
AJR Am J Roentgenol (abstract) - Pubmed citation 4. Sheth S, Scatarige JC, Horton KM et-al. Current concepts in the diagnosis and management of renal cell carcinoma: role of multidetector ct and three-dimensional CT. Radiographics. 2001;21 Spec No : S237-54.
Radiographics (link) - Pubmed citation 5. Ng CS, Wood CG, Silverman PM et-al. Renal cell carcinoma: diagnosis, staging, and surveillance. AJR Am J Roentgenol. 2008;191 (4): 1220-32.
doi:10.2214/AJR.07.3568 - Pubmed citation 6. Kidney. In: Edge SB, Byrd DR, Compton CC, et al., eds.: AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer, 2010, pp 479-89.
Synonyms & Alternative Spellings
Synonyms or Alternative Spelling
Include in Listings?
Renal cell carcinoma (RCC) staging
Renal cell cancer staging
Renal cell carcinoma staging
version of Internet
Explorer you are using is not supported. Download links for more modern
web browsers are provided below.
If you do not have administrator rights to update your browser you may
want to use a portable browser, either from a USB flash drive or a