By Frederick L. Greene M.D., Carolyn C. Compton M.D., PH.D., April G. Fritz C.T.R., R.H.I.T., Jatin P. Shah M.D., David P. Winchester M.D. (eds.)
The AJCC melanoma Staging Atlas includes black-and-white illustrations, created solely for the booklet, depicting the anatomic volume of illness for tumor (T), neighborhood lymph node (N), and far away metastasis (M). the photographs supply thorough anatomic depictions to explain severe constructions and make allowance the reader to right away visualize the revolutionary volume of malignant affliction. various labels establish very important anatomic structures.
NOTE: The AJCC melanoma Staging Atlas is predicated at the sixth version staging schemas and lots of pictures won't replicate the present seventh version staging system.
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Additional info for AJCC Cancer Staging Atlas
The poorer outcome associated with superoposterior cancers reﬂects early extension of these tumors to critical structures, including the eye, skull base, pterygoids, and infratemporal fossa. For the purpose of staging, the nasoethmoidal complex is divided into two sites: nasal cavity and ethmoid sinuses. The ethmoids are further subdivided into two sites: left and right, separated by the nasal septum. The nasal cavity is divided into four subsites: the septum, ﬂoor, lateral wall, and vestibule.
B. T1 is deﬁned as tumor limited to one subsite of supraglottis (shown here in the ventricular bands) with normal vocal cord mobility. 4. A. , mucosa of base of tongue, vallecula, medial wall of pyriform sinus) without ﬁxation of the larynx (shown here with tumor involvement in the suprahyoid and mucosa of the infrahyoid epiglottis). B. T2 with invasion of ventricular bands (false cords) and the epiglottis. 5. A. , inner cortex), here with invasion of the supraglottis and vocal cord with vocal cord ﬁxation.
T4a showing tumor invasion of anterior orbital contents. B. T4a showing tumor invasion of sphenoid sinus and cribriform plate. 6. Coronal view of T4b shows tumor invades orbital apex and or dura, brain or middle cranical fossa. 7. In the nasal cavity and ethmoid sinus, T1 is deﬁned as tumor restricted to any one subsite, with or without bony invasion. 8. T2 is deﬁned as invading two subsites in a single region or extending to involve an adjacent region within the nasoethmoidal complex, here the nasal cavity, and ethmoid with or without bony invasion.