207_Combined course Presentations

TNM Staging of anal canal cancer

• Tx cannot assess primary • T0 no evidence of tumour • Tis Carcinoma in situ

• Nx cannot be assessed • N1 perirectal nodes • N2 unilateral internal iliac/inguinal nodes

• T1 <2cm • T2 2-5cm • T3 >5cm

• N3 perirectal and inguinal or bilateral internal iliac and/or inguinal nodes

• T4 adjacent organ invasion • M0 no distant metastases • M1 distant metastases