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Description

Enneking proposed a staging system for musculoskeletal sarcomas.


 

Grades of malignancy:

(1) G1: low grade

(2) G2: high grade

 

Local Growth

Intraosseous Tumor

Surface Tumor

T1 (intracompartmental)

confined to the intramedullary portion of the bone without breaching the cortex

confined to surface of bone

T2 (extracompartmental)

tumor extends beyond the cortex to invade into adjacent soft tissue or joint

inward invasion to involve the medullary cavity, OR outward extension to involve adjacent soft tissue

 

 

Tumor Grade

Tumor Involvement

Stage

G1

T1

IA

G1

T2

IB

G2

T1

IIA

G2

T2

IIB

G1 or G2

metastasis

III

 


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