Breast Cancer

STAGING OF BREAST CANCERS

TNM classification of breast tumours

Tis
T1
T2

T3
T4a
T4b

T4c
T4d
N0
N1
N2
N3
M0
M1

Cancer in situ
=<2 cm (T1a =<0.5cm, T1b >0.5cm-1cm, T1c >1cm-2cm)
>2cm - 5cm
>5cm
Involvement of chest wall
Involvement of skin (includes ulceration, direct infiltration, peau d'orange, and satellite nodules)
T4a and T4b together
Inflammatory cancer
No regional node metastases
Palpable mobile involved ipsilateral axillary nodes
Fixed involved ipsilateral axillary nodes
Ipsilateral internal mammary node involvement (rarely clinically detectable)
No evidence of metastasis
Distant metastasis (includes ipsilateral supraclavicular nodes)

Correlation of UICC (1987) and TNM classifications of tumours
UICC stage TNM classification

I
II
III
IV

T1, N0, M0
T1, N1, M0, T2, N0-1, M0
any T, N2-3, M0, T3, any N, M0, T4, any N, M0
any T, any N, M1

If you require further advice or information please contact the
Macmillan Breast Care Nurses, Hazel Ricard and Hilary Rickwood on 020 8565 5885

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