A gastric MALT (mucosa-associated lymphoid tissue) lymphoma can be described using the TNM staging system.
TNM Group |
Designation |
Description |
T |
T1 |
normal appearing, erythema, erosions, nodules < 0.3 cm, ulcers < 1.0 cm, tumor limited to mucosa and submucosa |
|
T2 |
induration, nodules >= 0.3 cm and < 5 cm, ulcers >= 1.0 cm, tumor extending to muscularis propria |
|
T3 |
mass >= 5 cm, with tumor extending to serosa |
|
T4 |
mass >= 5 cm, with direct invasion into adjacent organs |
N |
N0 |
no lymph node involvement |
|
N1 |
perigastric lymph node involvement |
|
N2 |
regional lymph node involvement |
|
N3 |
lymph nodes on both sides of the diaphragm |
M |
M0 |
no distant metastases |
|
M1 |
bone marrow involvement, other visceral involvement, second extranodal site |
where:
• Measurements indicate maximum dimension out of three dimensions.
• Regional lymph node involvement includes retroperitoneum, mesenteric and para-aortic groups.
TNM Stage |
Ann Arbor Stage |
any T, N0M0 |
I |
any T, N1M0 any T, N2M0 |
II |
any T, N3M0 |
III |
any T, any N, M1 |
IV |
Specialty: Hematology Oncology, Otolaryngology, Gastroenterology