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Transitional cell carcinoma of the bladder (staging)

Last revised by Daniel J Bell ◉ on 13 Dec 2022

Citation, DOI, disclosures and article data

Citation:

Ryu Y, Bell D, Yap J, et al. Transitional cell carcinoma of the bladder (staging). Reference article, Radiopaedia.org (Accessed on 13 Dec 2024) https://doi.org/10.53347/rID-7125

DOI:

https://doi.org/10.53347/rID-7125

Permalink:

https://radiopaedia.org/articles/7125

rID:

7125

Article created:

8 Sep 2009, Yoshiharu Ryu

Disclosures:

At the time the article was created Yoshiharu Ryu had no recorded disclosures.

View Yoshiharu Ryu's current disclosures

Last revised:

13 Dec 2022, Daniel J Bell ◉

Disclosures:

At the time the article was last revised Daniel J Bell had no financial relationships to ineligible companies to disclose.

View Daniel J Bell's current disclosures

Revisions:

10 times, by 10 contributors - see full revision history and disclosures

Systems:

Urogenital, Oncology

Sections:

Staging

Tags:

bladder, tcc

Synonyms:

Bladder cancer staging
Transitional cell carcinoma of the bladder staging
TCC of the bladder staging
Staging of bladder cancer

Transitional cell carcinoma of the bladder staging uses the TNM system which has replaced the previously widely used Jewett-Strong-Marshall tumor staging system. It is very similar to the staging of TCC of the renal pelvis and staging of TCC of the ureter.

TNM staging (8^th edition)

T

Ta: non-invasive papillary tumor
Tis: in situ (non-invasive flat)
T1: through lamina propria into sub-epithelial connective tissues
T2: into muscularis propria
- T2a: only invades inner half of the muscle
- T2b: invades into outer half of the muscle
T3: invasion into perivesical tissues
- T3a: microscopic extravesical invasion
- T3b: macroscopic extravesical invasion
T4: direct invasion into adjacent structures
- T4a: prostate, seminal vesicles, uterus, vaginal vault
- T4b: pelvic side wall and/or abdominal wall

N

N0: no nodal involvement
N1: single node in the true pelvis (hypogastric, obturator, external iliac or presacral nodes)
N2: multiple nodes in the true pelvis
N3: metastasis in a common iliac node

M

M0: no metastases
M1a: non-regional lymph node involvement
M1b: other distant metastasis

Staging groups

Individual TNM stages can then be grouped ^3,4:

stage 0: Ta or Tis, N0, M0
stage I: T1, N0, M0
stage II: T2 (a or b), N0, M0
stage III: T3 (a or b) or T4a, N0, M0
stage IV
- T4b, any N, any M
- Any T, N1-3, any M

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Transitional cell carcinoma of the bladder (staging)

Citation, DOI, disclosures and article data

TNM staging (8^th edition)

T

N

M

Staging groups

Quiz questions

References

Incoming Links

Promoted articles (advertising)

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Radiopaedia.org

Transitional cell carcinoma of the bladder (staging)

Citation, DOI, disclosures and article data

TNM staging (8th edition)

T

N

M

Staging groups

Quiz questions

References

Incoming Links

Promoted articles (advertising)

Articles

By Section:

By System:

Cases

Radiopaedia.org

TNM staging (8^th edition)