Pancreatitis Mnemonic : Causes, Severity

Most commen causes are Gallstones and alcohol.Severity may range from mild to very sever form of disease.

medicine OSPE

52 year old patient presented with cough and several bouts of haemoptysis of four month duration. 1. Describe two abnormalities on chest Xray 2. Give a likely diagnosis

Chest x-ray - mnemonic - Pulmonary oedema

Pulmonary oedema is a medical emergency. It is important to know how to identify it......

Snake Bite.....Prevention and First Aid

Prevention is better than cure.

Constipation - How to relieve - Easy Tips

Constipation is not an uncommon condition in population. It is two time common in female than male.

Showing posts with label Surgery. Show all posts
Showing posts with label Surgery. Show all posts

Sunday, June 1, 2014

TNM Classification for Breast Carcinoma

TNM Classification for Breast Carcinoma

TNM Classification is developed and maintain by UICC ( Union for International Cancer Control ) and it used to classify tumors by anatomical stage. This classification help to determine in management and prognosis.

Tumor

  • T1       Up to              2 cm Greatest dimension
  • T2       Between         2-5 cm Greatest dimension
  • T3       More than      5 cm Greatest dimension
  • T4       Any size tumor
    • T4 a        attached to the chest wall
    • T4 b        attached to the skin
    • T4 c        attached to the chest wall and skin
    • T4 d        mastitis carcinomatosis / inflammatory carcinoma

Nodes

  • N 0      No palpable axillary lymph nodes
  • N 1      Mobile axillary nodes
  • N 2      Fixed axillary nodes
  • N 3      Internal mammary chain nodes are palpable

Metastases

  • M 0     No radiological or clinical evidence of distant metastasis
  • M 1     Distant metastasis are present
  • M x     Distant metastasis can not be assessed 
          Breast carcinoma is a systemic disease. It has metastasis from the beginning. But it can not assess due to small size (<0.2mm )