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5/30/16

2

Subglottis

T1 Tumor limited to the subglottis

T2 Tumor extends to vocal cord(s) with normal or impaired mobility

T3 Tumor limited to larynx with vocal cord fixation

T4a Tumor invades cricoid or thyroid cartilage and/or invades tissues beyond

larynx (e.g., trachea, soft tissues of neck including deep extrinsic muscles

of the tongue, strap muscles, thyroid, or esophagus)

T4b Tumor invades prevertebral space, encases carotid artery, or invades

mediastinal structures

Staging of laryngeal tumors

(TNM-UICC 2010)

EHNS-ESTRO H&N course

Florence, June 2016

Staging of hypoparyngeal tumors

(TNM-UICC 2010)

TX Primary tumor cannot be assessed

T0 No evidence of primary tumor

T1 Tumor limited to one subsite of hypopharynx and ≤ 2 cm in greatest

dimension

T2 Tumor invades more than one subsite of hypopharynx or an adjacent

site, or measures > 2 cm but not > 4 cm in greatest dimension without

fixation of hemilarynx

T3 Tumor > 4 cm in greatest dimension or with fixation of hemilarynx

T4a Tumor invades thyroid/cricoid cartilage, hyoid bone, thyroid gland,

esophagus, or central compartment soft tissue (including prelaryngeal

strap muscles and subcutaneous fat)

T4b Tumor invades prevertebral fascia, encases carotid artery, or involves

mediastinal structures

EHNS-ESTRO H&N course

Florence, June 2016