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Adrenal Cortex (ICD‐O‐3 C74.0)
This classification applies only to carcinomas of the adrenal cortex. It does not apply to tumours of the adrenal medulla or sarcomas. The following are the procedures for assessing T, N, and M categories: T categories Physical examination and imaging N categories Physical examination and imaging M categories Physical examination and imaging
Regional Lymph Nodes The regional lymph nodes are the hilar, abdominal para‐aortic, and paracaval nodes. Laterality does not affect the N categories.
TNM Clinical Classification T – Primary Tumour TX Primary tumour cannot be assessed T0 No evidence of primary tumour T1 Tumour 5 cm or less in greatest dimension, no extra‐adrenal invasion T2 Tumour greater than 5 cm, no extra‐adrenal invasion T3 Tumour of any size with local invasion, but not invading adjacent organs* T4 Tumour of any size with invasion of adjacent organs* Note * Adjacent organs include kidney, diaphragm, great vessels (renal vein or vena cava), pancreas, and liver.
TNM Classification of Malignant Tumours, Eighth Edition. Edited by James D. Brierley, Mary K. Gospodarowicz and Christian Wittekind. © 2017 UICC. Published 2017 by John Wiley & Sons, Ltd.
Adrenal Cortex
Rules for Classification