Clasificarea TNM a cancerului bronho-pulmonar
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Gg mediastinali sau hilari controlaterali, supraclaviculari
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N3 |
IIIB |
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M0 |
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Gg mediastinali ipsilaterali sau subcarinari
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N2 |
IIIA |
|
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Gg peribronsici sau hilari ipsilaterali
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N1 |
IIA |
IIB |
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Fara gg locali
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N0 |
IA |
IB |
IIB |
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T1 |
T2 |
T3 |
T4 |
T |
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a+b+c
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a/b/c/d
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a+c/b/d
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a+c/d
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Criterii
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<3cm
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>3cm
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oricare
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oricare
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a.Marime
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fara/distal de br. lobara
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br. primitva > 2 cm de carina
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br. primitva < 2 cm de carina (dar nu carina)
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---
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b.Expresie endobronsica
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|
---
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pleura viscerala
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perete toracic/ diafragm/ pleura mediastinala/ pericard parietal
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trahee/carina/ mediastin/ cord/vase mari/ esofag/ corpi vertebrali
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c.Invazie locala
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|
---
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atelectazie/pneumonita obstructiva<un plaman
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atelectazie/pneumonita obstructiva a intregului plaman
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Pleurezie mlg/ efuziune pericard/ noduli tumorali sateliti (acelasi lob)
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d.Altele
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M1: metastaze la distanta sau noduli tumorali in alt lob
decat cel tumoral
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STADIUL IV: M1, oricare T sau N |