Bhattacharyya proposed a Tumor-Node-Metastasis (TNM) classification for tracheal carcinomas. This was based on analysis of the Surveillance, Epidemiology, and End Results database. The author is from Harvard Medical School.
Group |
Designation |
Code |
T |
in-situ |
Tis |
|
confined to trachea and < 2 cm in size |
T1 |
|
confined to trachea and >= 2 cm in size |
T2 |
|
spread outside of trachea but does not involve significant adjacent organs or structures |
T3 |
|
spread outside of trachea into significant adjacent organs or structures |
T4 |
N |
no metastases to regional lymph nodes |
N0 |
|
metastases to regional lymph nodes |
N1 |
M |
no distant metastases |
M0 |
|
distant metastases present |
M1 |
from Table 1, page 640
where:
• If a parameter is unknown, then the code is TX, NX, or MX.
The patient's prognosis is also determined by the histologic type of cancer. Adenoid cystic carcinomas had a better prognosis, especially at higher Stages.
Histologic Type |
5 Year Survival Rate |
adenoid cystic |
78% |
squamous cell |
34% |
other |
29% |
Specialty: Hematology Oncology, Surgery, general, Otolaryngology