Review
Copyright ©The Author(s) 2020.
World J Clin Cases. Apr 26, 2020; 8(8): 1350-1360
Published online Apr 26, 2020. doi: 10.12998/wjcc.v8.i8.1350
Table 1 The definition of T-stage for papillary thyroid carcinoma
T categoryT criteria
TxPrimary tumor cannot be assessed
T0No evidence of primary tumor
T1Tumor ≤ 2 cm in greatest dimension limited to the thyroid
T1aTumor ≤ 1 cm in greatest dimension limited to the thyroid
T1bTumor > 1 cm but ≤ 2 cm in greatest dimension limited to the thyroid
T2Tumor > 2 cm but ≤ 4 cm in greatest dimension limited to the thyroid
T3Tumor > 4 cm limited to the thyroid, or gross extrathyroidal extension invading only strap muscles
T3aTumor > 4 cm limited to the thyroid
T3bGross extrathyroidal extension invading only strap muscles (sternohyoid, sternothyroid, thyrohyoid, or omohyoid muscles) from a tumor of any size
T4Includes gross extrathyroidal extension
T4aGross extrathyroidal extension invading subcutaneous soft tissues, larynx, trachea, esophagus, or recurrent laryngeal nerve from a tumor of any size
T4bGross extrathyroidal extension invading prevertebral fascia or encasing the carotid artery or mediastinal vessels from a tumor of any size
Table 2 The definition of N-stage for papillary thyroid carcinoma
N categoryN criteria
NxRegional lymph nodes cannot be assessed
N0No evidence of locoregional lymph node metastasis
N0aOne or more cytologically or histologically confirmed benign lymph nodes
N0bNo radiologic or clinical evidence of locoregional lymph node metastasis
N1Metastasis to regional nodes
N1aMetastasis to level VI or VII (pretracheal, paratracheal, or prelaryngeal/Delphian, or upper mediastinal) lymph nodes. This can be unilateral or bilateral disease
N1bMetastasis to unilateral, bilateral, or contralateral lateral neck lymph nodes (level I, II, III, IV, or V) or retropharyngeal lymph nodes