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Renal Pelvis and Ureter Anatomy of the renal pelvis and ureter. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter The regional lymph nodes of the renal pelvis. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter The regional lymph nodes of the ureter. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter Ta is defined as papillary non-invasive carcinoma; T1 is defined as tumor that invades subepithelial connective tissue; T2 is defined as tumor that invades the muscularis. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter T3 for renal pelvis only (top of diagram) is defined as tumor that invades beyond muscularis into peripelvic fat or the renal parenchyma. T3 for ureter only (bottom of diagram) is defined as tumor that invades beyond muscularis into periureteric fat. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter (A) T4 is defined as tumor that invades adjacent organs, or through the kidney into the perinephric fat. Here, the tumor invades the vertebral body. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter T4 for the ureter is defined as tumor that invades adjacent organs. On the left, the tumor invades the iliac vessels. On the right, the tumor invades the bladder. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter T4 is defined as tumor that invades through the renal parenchyma into the perirenal fat. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter N1 is defined as metastasis in a single lymph node, 2 cm or less in greatest dimension. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter N2 is defined as nodal metastasis in a single lymph node, more than 2 cm but not more than 5 cm in greatest dimension, as illustrated. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter N2 is also defined as multiple lymph nodes involved none more than 5 cm in greatest dimension. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter N3 is defined as metastasis in a lymph node, more than 5 cm in greatest dimension. As illustrated here, a single nodal mass exceeding 5 cm. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer Renal Pelvis and Ureter N3 is also defined as multiple lymph nodes involved with at least one nodal mass exceeding 5 cm in greatest dimension. Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. ©American Joint Committee on Cancer
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