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Cancer Staging Systems

Staging of Malignant Mesothelioma

Staging

• Stage I: Disease confined within the capsule of the parietal pleura: ipsilateral pleura, lung, pericardium, and diaphragm.
• Stage II: All of stage I with positive intrathoracic (N1 or N2) lymph nodes.
• Stage III: Local extension of disease into the following: chest wall or mediastinum; heart or through the diaphragm, peritoneum; with or without extrathoracic or contralateral (N3) lymph node involvement.
• Stage IV: Distant metastatic disease.

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References

1. Rusch VW: A proposed new international TNM staging system for malignant pleural mesothelioma. From the International Mesothelioma Interest Group. Chest 108 (4): 1122-8, 1995.

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