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1. Acute pancreatitis (9/10 小組 張玉川)
2. Hepatoma(9/10 核心 張玉川)
3. Colorectal cancer (9/11 門診 李政昌)
4. Thyroid cancer (9/11 門診 黃士銘)
5. Abdominal pain (9/11 小組 羅崇傑)
6. Breast cancer (9/11 核心 張財旺)
7. Thyroid (9/12 小組 洪崇傑)
6. Breast :
TNM system
Table 32-6 -- American Joint Committee on Cancer Staging System for Breast Cancer, 2002
| (p)T (Primary Tumor) | |
| Tis | Carcinoma in situ (lobular or ductal) |
| T1 | Tumor ≤2 cm |
| T1a | Tumor ≥0.1 cm; ≤0.5 cm |
| T1b | Tumor >0.5 cm; ≤1 cm |
| T1c | Tumor >1 cm; ≤2 cm |
| T2 | Tumor >2 cm; ≤5 cm |
| T3 | Tumor >5 cm |
| T4 | Tumor any size with extension to chest wall or skin |
| T4a | Tumor extending to chest wall (excluding pectoralis) |
| T4b | Tumor extending to skin with ulceration, edema, satellite nodules |
| T4c | Both T4a and T4b |
| T4d | Inflammatory carcinoma |
| (p)N (Nodes) | |
| N0 | No regional node involvement, no special studies |
| N0(i-) | No regional node involvement, negative IHC |
| N0(i+) | Negative node(s) histologically, positive IHC |
| N0(mol-) | Negative node(s) histologically, negative PCR |
| N0(mol+) | Negative node(s) histologically, positive PCR |
| N1 | Metastasis to 1–3 axillary nodes and/or int. mammary positive by biopsy |
| N1(mic) | Micrometastasis (>0.2 mm, none >2.0 mm) |
| N1a | Metastasis to 1–3 axillary nodes |
| N1b | Metastasis in int. mammary by sentinel biopsy |
| N1c | Metastasis to 1–3 axillary nodes and int. mammary by biopsy |
| N2 | Metastasis to 4–9 axillary nodes or int. mammary clinically positive, without axillary metastasis |
| N2a | Metastasis to 4–9 axillary nodes, at least 1 >2.0 mm |
| N2b | Int. mammary clinically apparent, negative axillary nodes |
| N3 | Metastasis to ≥10 axillary nodes or combination of axillary and int. mammary metastasis |
| N3a | ≥10 axillary nodes (>2.0 mm), or infraclavicular nodes |
| N3b | Positive int. mammary clinically with ≥1 axillary node or >3 positive axillary nodes with int. mammary positive by biopsy |
| N3c | Metastasis to ipsilateral supraclavicular nodes |
| M (Metastasis) | |
| M0 | No distant metastasis |
| M1 | Distant metastasis |
| (p), pathologic staging of the tumor or axillary nodes; IHC, immunohistochemistry; PCR, polymerase chain reaction; int. mammary, internal mammary lymph nodes. | |
| Stage | TNM |
|---|---|
| 0 | Tis, N0, M0 |
| I | T1, N0, M0 |
| IIA | T0, N1, M0 |
| T1, N1, M0 | |
| T2, N0, M0 | |
| IIB | T2, N1, M0 |
| T3, N0, M0 | |
| IIIA | T0, N2, M0 |
| T1, N2, M0 | |
| T2, N2, M0 | |
| T3, N1, M0 | |
| T3, N2, M0 | |
| IIIB | T4, N0, M0 |
| T4, N1, M0 | |
| T4, N2, M0 | |
| IIIC | Any T, N3, M0 |
| IV | Any T, any N, M1 |
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