Hepatocellular Carcinoma HCC Staging
HCC

Hepatocellular Carcinoma and Intrahepatic Cholangiocarcinoma Staging: 2002

American Joint Committee on Cancer

Go to   Primary Tumor (T),    Regional Lymph nodes (N),    Distant Metastasis (M),   Stage Grouping

Number of Tumors Size "Microscopic" Angiolymphatic Invasion Tumor Extent T Category
0 ---- ---- ---- T0
1 Any No Intrahepatic T1
Major portal or hepatic involvement T3
Extension through visceral peritoneum and/or invasion of adjacent organs (except gallbladder) T4
Yes Intrahepatic T2
Major portal or hepatic involvement T3
Extension through visceral peritoneum and/or invasion of adjacent organs (except gallbladder) T4
>1 5 cm or less Any Intrahepatic T2
Major portal or hepatic involvement T3
Extension through visceral peritoneum and/or invasion of adjacent organs (except gallbladder) T4
Greater than 5 cm Any Intrahepatic T3
Major portal or hepatic involvement T3
Extension through visceral peritoneum and/or invasion of adjacent organs (except gallbladder) T4
LYMPH NODE AND DISTANT METASTASIS STATUS
Stage Grouping
Regional nodes unable to be assessed NX
T
N
M
Stage
No regional lymph node metastasis N0
1
0
0
I
Regional lymph node metastasis N1
2
0
0
II
   
3
0
0
IIIA
Distant metastasis cannot be assessed MX
4
0
0
IIIB
No distant metastasis M0
Any
1
0
IIIC
Distant metastasis M1
Any
Any
1
IV

A protocol for the handling of hepatocellular carcinomas and intrahepatic cholangiocarcinomas is available from the College of American Pathologists

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Last Modified: Thu Jun 18 10:14:08 EDT 2009