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)
TisCarcinoma in situ (lobular or ductal)
T1Tumor ≤2 cm
T1aTumor ≥0.1 cm; ≤0.5 cm
T1bTumor >0.5 cm; ≤1 cm
T1cTumor >1 cm; ≤2 cm
T2Tumor >2 cm; ≤5 cm
T3Tumor >5 cm
T4Tumor any size with extension to chest wall or skin
T4aTumor extending to chest wall (excluding pectoralis)
T4bTumor extending to skin with ulceration, edema, satellite nodules
T4cBoth T4a and T4b
T4dInflammatory carcinoma
(p)N (Nodes)
N0No 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
N1Metastasis to 1–3 axillary nodes and/or int. mammary positive by biopsy
N1(mic)Micrometastasis (>0.2 mm, none >2.0 mm)
N1aMetastasis to 1–3 axillary nodes
N1bMetastasis in int. mammary by sentinel biopsy
N1cMetastasis to 1–3 axillary nodes and int. mammary by biopsy
N2Metastasis to 4–9 axillary nodes or int. mammary clinically positive, without axillary metastasis
N2aMetastasis to 4–9 axillary nodes, at least 1 >2.0 mm
N2bInt. mammary clinically apparent, negative axillary nodes
N3Metastasis to ≥10 axillary nodes or combination of axillary and int. mammary metastasis
N3a≥10 axillary nodes (>2.0 mm), or infraclavicular nodes
N3bPositive int. mammary clinically with ≥1 axillary node or >3 positive axillary nodes with int. mammary positive by biopsy
N3cMetastasis to ipsilateral supraclavicular nodes
M (Metastasis)
M0No distant metastasis
M1Distant metastasis
(p), pathologic staging of the tumor or axillary nodes; IHC, immunohistochemistry; PCR, polymerase chain reaction; int. mammary, internal mammary lymph nodes.


Table 32-7   -- American Joint Committee on Cancer Stage Grouping
StageTNM
0Tis, N0, M0
IT1, N0, M0
IIAT0, N1, M0
T1, N1, M0
T2, N0, M0
IIBT2, N1, M0
T3, N0, M0
IIIAT0, N2, M0
T1, N2, M0
T2, N2, M0
T3, N1, M0
T3, N2, M0
IIIBT4, N0, M0
T4, N1, M0
T4, N2, M0
IIICAny T, N3, M0
IVAny T, any N, M1
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