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 Stage 0: Tis N o M o
 Tis = carcinoma in situ
 N o= no reginal lymph
node metastasis

 M o= no distant metastasis
 Stage 1: T1 N o M o
 T 1 = tumor 2cm or less
in greatest dimension
 Stage 2a:
 To N1 Mo N1= metastasis
to ipsilateral
ax. Nodes
 T1 N1 Mo mobile
 T2 N o Mo T2= tumor>2cm
 but <5cm in
 greatest
 dimention
 Stage 2b:
 T2 N1 Mo
 T3 N o Mo T3= tumor size
> 5cm in
greatest
dimention
Stage 3a N2a =met to ipsilat axillary
node , fixed or matted
N2b= met to ipsilat int mammary
node in absence of ax. node
T o N2 M o
T1 N2 Mo
T2 N2 Mo
T3 N1 Mo
T3 N2 Mo
Stage 3b T4a= extension
to chest wall
T4b=
edema(Peaud
Orange),
T4c= both T4a
& T4b
T4d=
inflammatory
carcinoma
T4 No Mo
T4 N1 Mo
T4 N2 Mo
T4 N2 Mo
Stage 3 c N3a= met to
ipsilat
infraclavicular LN
N3b= ipsilat
Internal mammary
& axillary LN
N3c= ipsilat
supraclavicular
LN
Any T
N3
Mo
 Stage 4 : Any T any N + M1
 M1= distant metastasis
 C M F regimen
 C  cyclophosphamide
 M  methotrexate
 F  5 flurouracil
 FAC regimen
 F  5 flurouracil
 A  adriamycin(doxorubicin)
 C  cyclophosphamide
 AC regimen
 A  adriamycin
 C - cyclophosphamide
 Trastuzumab : is a humanized murine
(Herceptin) monoclonal antibody raised
against erb B2, HER 2
surface receptor
 Laptinib : a dual inhibitor of both
- EGFR
- HER 2

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BREAST CANCER STAGING.ppt

  • 1. Stage 0: Tis N o M o Tis = carcinoma in situ N o= no reginal lymph node metastasis M o= no distant metastasis
  • 2. Stage 1: T1 N o M o T 1 = tumor 2cm or less in greatest dimension
  • 3. Stage 2a: To N1 Mo N1= metastasis to ipsilateral ax. Nodes T1 N1 Mo mobile T2 N o Mo T2= tumor>2cm but <5cm in greatest dimention
  • 4. Stage 2b: T2 N1 Mo T3 N o Mo T3= tumor size > 5cm in greatest dimention
  • 5. Stage 3a N2a =met to ipsilat axillary node , fixed or matted N2b= met to ipsilat int mammary node in absence of ax. node T o N2 M o T1 N2 Mo T2 N2 Mo T3 N1 Mo T3 N2 Mo
  • 6. Stage 3b T4a= extension to chest wall T4b= edema(Peaud Orange), T4c= both T4a & T4b T4d= inflammatory carcinoma T4 No Mo T4 N1 Mo T4 N2 Mo T4 N2 Mo
  • 7. Stage 3 c N3a= met to ipsilat infraclavicular LN N3b= ipsilat Internal mammary & axillary LN N3c= ipsilat supraclavicular LN Any T N3 Mo
  • 8. Stage 4 : Any T any N + M1 M1= distant metastasis
  • 9. C M F regimen C cyclophosphamide M methotrexate F 5 flurouracil FAC regimen F 5 flurouracil A adriamycin(doxorubicin) C cyclophosphamide AC regimen A adriamycin C - cyclophosphamide
  • 10. Trastuzumab : is a humanized murine (Herceptin) monoclonal antibody raised against erb B2, HER 2 surface receptor Laptinib : a dual inhibitor of both - EGFR - HER 2