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Ewing's sarcoma staging

Introduction

Overview

Overview

AJCC staging system is used for staging of Ewing’s sarcoma.

Ewing’s sarcoma staging

Ewing’s sarcoma staging

  • Ewing sarcoma is classified accordig to AJCC staging system shown in table below.[1]
Primary tumor (T)
Stage Finding
Spine Pelvis Appendicular skeleton, trunk, skull, and facial bones
Tx
  • Cannot be assessed
  • Cannot be assessed
  • Cannot be assessed
T0
  • No evidence of primary tumor
  • No evidence of primary tumor
  • No evidence of primary tumor
T1
  • Confined to one pelvic segment with no extraosseous extension
  • Tumor ≤8 cm in greatest dimension
T2
  • Confined to three adjacent vertebral segments
  • Confined to one pelvic segment with extraosseous extension or two segments without extraosseous extension
  • Tumor >8 cm in greatest dimension
      T3
      • Confined to four or more adjacent vertebral segments, or any nonadjacent vertebral segments
      • Spanning two pelvic segments with extraosseous extension
          T4 _
          Regional lymph nodes (N)
          Stage Finding
          Nx
          • cannot be assessed
            N0
              N1
              Distant metastasis (M)
              Stage Finding
              M0
              M1
              M1a
              M1b
                  Histologic grade (G)
                  Stage Finding
                  Gx
                  • cannot be assessed
                    G1
                    • Low grade
                    G2
                    • High grade (moderately differentiated)
                      G3
                      • High grade (poorly differentiated)
                      G4
                      • Undifferentiated
                      Anatomic Stage/Prognostic Groups
                      Stage T N M G
                      Ewing’s Sarcoma
                      IA T1 N0 M0 G1,2, GX
                      IB T2 N0 M0 G1,2, GX
                      T3 N0 M0 G1,2, Gx
                      IIA T1 N0 M0 G3,4
                      IIB T2 N0 M0 G3, 4
                      III T3 N0 M0 G3,4
                      IVA Any T N0 M1a Any G
                      IVB Any T Any N Any M Any G
                      N1 M1b Any G
                      References

                      References

                      1. ↑ Edge, Stephen (2010). AJCC cancer staging manual. New York: Springer. ISBN 978-0-387-88440-0.


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                      Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Suveenkrishna Pothuru, M.B,B.S. [2];Assistant Editor(s)-In-Chief: Michael Maddaleni, B.S.