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 completely for the booklet, depicting the anatomic quantity of illness for tumor (T), nearby lymph node (N), and far-off metastasis (M). the pictures supply thorough anatomic depictions to elucidate serious buildings and make allowance the reader to immediately visualize the revolutionary volume of malignant ailment. various labels determine very important anatomic structures.
NOTE: The AJCC melanoma Staging Atlas is predicated at the sixth variation staging schemas and lots of pictures won't replicate the present seventh variation staging system.
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Extra info for AJCC Cancer Staging Atlas
The supraglottis is composed of the epiglottis (both its lingual and laryngeal aspects), aryepglottic folds (laryngeal aspects), arytenoids, and the ventricular bands (false cords). The epiglottis is divided for staging purposes into suprahyoid and infrahyoid portions by a plane at the level of the hyoid bone. The inferior boundary of the supraglottis is a horizontal plane passing through the lateral margin of the ventricle at its junction with the superior surface of the vocal cord. The glottis is composed of the superior and inferior surfaces of the true vocal cords, including the anterior and posterior commissures.
2. Central compartment soft tissue includes prelaryngeal strap muscles and subcutaneous fat. 3. Midline nodes are considered ipsilateral nodes. 9 Overlapping lesion of larynx Larynx, NOS SUMMARY OF CHANGES • T4 lesions have been divided into T4a (resectable) and T4b (unresectable), leading to the division of Stage IV into Stage IVA, Stage IVB, and Stage IVC. 5 ANATOMY Primary Site. The following anatomic deﬁnition of the larynx allows classiﬁcation of carcinomas arising in the encompassed mucous membranes but excludes cancers arising on the lateral or posterior pharyngeal wall, pyriform fossa, postcricoid area, or base of tongue.
Hypopharyngeal cancers spread to adjacent parapharyngeal, paratracheal, and mid- and lower jugular nodes. Bilateral lymphatic drainage is common. In clinical evaluation, the maximum size of the nodal mass should be measured. Most masses over 3 cm in diameter are not single nodes but, rather, are conﬂuent nodes or tumor in soft tissues of the neck. There are three categories of clinically involved nodes for the nasopharynx, oropharynx, and hypopharynx: N1, N2, and N3. The use of subgroups a, b, and c is not required but is recommended.