食道癌pT4NxM1，IV期。是什么意思？ 右肺腺癌T1N3M1-IV期是什么意思?
\u5de6\u80ba\u764cT4N3M1IV\u671f\uff0c\u662f\u4ec0\u4e48\u610f\u601d\uff1f\u8fd9\u662f\u80ba\u764cTNM\u5206\u671f\u3002
T\u5206\u671f:
TX:\u672a\u53d1\u73b0\u539f\u53d1\u80bf\u7624,\u6216\u8005\u901a\u8fc7\u75f0\u7ec6\u80de\u5b66\u6216\u652f\u6c14\u7ba1\u704c\u6d17\u53d1\u73b0\u764c\u7ec6\u80de,\u4f46\u5f71\u50cf\u5b66\u53ca\u652f\u6c14\u7ba1\u955c\u65e0\u6cd5\u53d1\u73b0\u3002
T0:\u65e0\u539f\u53d1\u80bf\u7624\u7684\u8bc1\u636e\u3002
Tis:\u539f\u4f4d\u764c\u3002
T1:\u80bf\u7624\u6700\u5927\u5f84\u22643cm,\u5468\u56f4\u5305\u7ed5\u80ba\u7ec4\u7ec7\u53ca\u810f\u5c42\u80f8\u819c,\u652f\u6c14\u7ba1\u955c\u89c1\u80bf\u7624\u4fb5\u53ca\u53f6\u652f\u6c14\u7ba1,\u672a\u4fb5\u53ca\u4e3b\u652f\u6c14\u7ba1\u3002
T1a:\u80bf\u7624\u6700\u5927\u5f84\u22642cm, T1b:\u80bf\u7624\u6700\u5927\u5f84>2cm, \u22643cm\u3002
T2:\u80bf\u7624\u6700\u5927\u5f84>3cm, \u22647cm;\u4fb5\u53ca\u4e3b\u652f\u6c14\u7ba1,\u4f46\u8ddd\u9686\u7a812cm\u4ee5\u5916;\u4fb5\u53ca\u810f\u80f8\u819c;\u6709\u963b\u585e\u6027\u80ba\u708e\u6216\u8005\u90e8\u5206\u80ba\u4e0d\u5f20,\u4e0d\u5305\u62ec\u5168\u80ba\u4e0d\u5f20\u3002\u7b26\u5408\u4ee5\u4e0a\u4efb\u4f55\u4e00\u4e2a\u6761\u4ef6\u5373\u5f52\u4e3aT2\u3002
T2a:\u80bf\u7624\u6700\u5927\u5f84>3cm, \u22645cm, T2b:\u80bf\u7624\u6700\u5927\u5f84>5cm,\u22647cm\u3002
T3:\u80bf\u7624\u6700\u5927\u5f84>7cm;\u76f4\u63a5\u4fb5\u72af\u4ee5\u4e0b\u4efb\u4f55\u4e00\u4e2a\u5668\u5b98,\u5305\u62ec:\u80f8\u58c1(\u5305\u542b\u80ba\u4e0a\u6c9f\u7624) \u3001\u8188\u808c\u3001\u8188\u795e\u7ecf\u3001\u7eb5\u9694\u80f8\u819c\u3001\u5fc3\u5305; \u8ddd\u9686\u7a81<2cm (\u4e0d\u5e38\u89c1\u7684\u8868\u6d45\u6269\u6563\u578b\u80bf\u7624,\u4e0d\u8bba\u4f53\u79ef\u5927\u5c0f,\u4fb5\u72af\u9650\u4e8e\u652f\u6c14\u7ba1\u58c1\u65f6,\u867d\u53ef\u80fd\u4fb5\u72af\u4e3b\u652f\u6c14\u7ba1,\u4ecd\u4e3aT1) ,\u4f46\u672a\u4fb5\u53ca\u9686\u7a81;\u5168\u80ba\u80ba\u4e0d\u5f20\u80ba\u708e;\u540c\u4e00\u80ba\u53f6\u51fa\u73b0\u5b64\u7acb\u6027\u764c\u7ed3\u8282\u3002\u7b26\u5408\u4ee5\u4e0a\u4efb\u4f55\u4e00\u4e2a\u6761\u4ef6\u5373\u5f52\u4e3aT3\u3002
T4:\u65e0\u8bba\u5927\u5c0f,\u4fb5\u53ca\u4ee5\u4e0b\u4efb\u4f55\u4e00\u4e2a\u5668\u5b98,\u5305\u62ec:\u7eb5\u9694\u3001\u5fc3\u810f\u3001\u5927\u8840\u7ba1\u3001\u9686\u7a81\u3001\u5589\u8fd4\u795e\u7ecf\u3001\u4e3b\u6c14\u7ba1\u3001\u98df\u7ba1\u3001\u690e\u4f53;\u540c\u4fa7\u4e0d\u540c\u80ba\u53f6\u5185\u5b64\u7acb\u764c\u7ed3\u8282\u3002
N\u5206\u671f:
NX:\u533a\u57df\u6dcb\u5df4\u7ed3\u65e0\u6cd5\u8bc4\u4f30\u3002
N0:\u65e0\u533a\u57df\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
N1:\u540c\u4fa7\u652f\u6c14\u7ba1\u5468\u56f4\u53ca(\u6216)\u540c\u4fa7\u80ba\u95e8\u6dcb\u5df4\u7ed3\u4ee5\u53ca\u80ba\u5185\u6dcb\u5df4\u7ed3\u6709\u8f6c\u79fb,\u5305\u62ec\u76f4\u63a5\u4fb5\u72af\u800c\u7d2f\u53ca\u7684\u3002
N2:\u540c\u4fa7\u7eb5\u9694\u5185\u53ca(\u6216)\u9686\u7a81\u4e0b\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
N3:\u5bf9\u4fa7\u7eb5\u9694\u3001\u5bf9\u4fa7\u80ba\u95e8\u3001\u540c\u4fa7\u6216\u5bf9\u4fa7\u524d\u659c\u89d2\u808c\u53ca\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
M\u5206\u671f:
MX:\u8fdc\u5904\u8f6c\u79fb\u4e0d\u80fd\u88ab\u5224\u5b9a\u3002
M0:\u6ca1\u6709\u8fdc\u5904\u8f6c\u79fb\u3002
M1:\u8fdc\u5904\u8f6c\u79fb\u3002
M1a:\u80f8\u819c\u64ad\u6563(\u6076\u6027\u80f8\u8154\u79ef\u6db2\u3001\u5fc3\u5305\u79ef\u6db2\u6216\u80f8\u819c\u7ed3\u8282)\u4ee5\u53ca\u5bf9\u4fa7\u80ba\u53f6\u51fa\u73b0\u764c\u7ed3\u8282(\u8bb8\u591a\u80ba\u764c\u80f8\u8154\u79ef\u6db2\u662f\u7531\u80bf\u7624\u5f15\u8d77\u7684,\u5c11\u6570\u60a3\u8005\u80f8\u6db2\u591a\u6b21\u7ec6\u80de\u5b66\u68c0\u67e5\u9634\u6027,\u65e2\u4e0d\u662f\u8840\u6027\u4e5f\u4e0d\u662f\u6e17\u6db2,\u5982\u679c\u5404\u79cd\u56e0\u7d20\u548c\u4e34\u5e8a\u5224\u65ad\u8ba4\u4e3a\u6e17\u6db2\u548c\u80bf\u7624\u65e0\u5173,\u90a3\u4e48\u4e0d\u5e94\u8be5\u628a\u80f8\u8154\u79ef\u6db2\u8003\u8651\u5165\u5206\u671f\u7684\u56e0\u7d20\u5185,\u75c5\u4eba\u4ecd\u5e94\u5206\u4e3aT1-3)\u3002
M1b:\u80ba\u53ca\u80f8\u819c\u5916\u7684\u8fdc\u5904\u8f6c\u79fb\u3002
0\u671fTis N0 M0\u3002
\u2160A T1a,b N0 M0\u3002
\u2160B T2a N0 M0\u3002
\u2161A T1a,b N1 M0\uff1bT2a N1 M0\uff1bT2b N0 M0\u3002
\u2161B T2b N1 M0\uff1bT3 N0 M0\u3002
\u2162A T1-2 N2 M0\uff1bT3 N1-2 M0\uff1bT4 N0-1 M0\u3002
\u2162B T4 N2 M0\uff1b\u4efb\u4f55T\u5206\u671fN3 M0\u3002
\u2163 \u4efb\u4f55T\u5206\u671f\u4efb\u4f55N\u5206\u671fM1a,M1b\u3002
\u4f60\u95ee\u7684T4N3M1 IV\u671f\uff0c\u5373\u662f\uff1a\u80ba\u764c\u4fb5\u53ca\u4ee5\u4e0b\u4efb\u4f55\u4e00\u4e2a\u5668\u5b98,\u5305\u62ec:\u7eb5\u9694\u3001\u5fc3\u810f\u3001\u5927\u8840\u7ba1\u3001\u9686\u7a81\u3001\u5589\u8fd4\u795e\u7ecf\u3001\u4e3b\u6c14\u7ba1\u3001\u98df\u7ba1\u3001\u690e\u4f53;\u540c\u4fa7\u4e0d\u540c\u80ba\u53f6\u5185\u5b64\u7acb\u764c\u7ed3\u8282\u3002\u6709\u5bf9\u4fa7\u7eb5\u9694\u3001\u5bf9\u4fa7\u80ba\u95e8\u3001\u540c\u4fa7\u6216\u5bf9\u4fa7\u524d\u659c\u89d2\u808c\u53ca\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u53ca\u8fdc\u5904\u8f6c\u79fb\u3002\u662f\u2163\u671f\uff08\u665a\u671f\uff09\u80ba\u764c\u3002
\u80ba\u764cTNM\u662f\u4e00\u79cd\u4e34\u5e8a\u5206\u671f\u7cfb\u7edf\uff0cT\u3001N\u3001M\u3001\u5206\u522b\u4ee3\u8868\u539f\u53d1\u80bf\u7624\u5927\u5c0f\u72b6\u6001\u3001\u533a\u57df\u6dcb\u5df4\u8f6c\u79fb\u72b6\u6001\u3001\u6709\u65e0\u8fdc\u5904\u8f6c\u79fb\u3002\u6839\u636e\u8fd9\u4e09\u8981\u7d20\u7684\u5177\u4f53\u60c5\u51b5\u6765\u7ed9\u4e34\u5e8a\u80bf\u7624\u5206\u671f\uff0c\u4ee5\u786e\u5b9a\u5408\u7406\u7684\u6cbb\u7597\u624b\u6bb5\u3002\u5177\u4f53\u5982\u4e0b\uff1a
\u539f\u53d1\u80bf\u7624\uff08T\uff09\u5206\u671f
Tx \u539f\u53d1\u80bf\u7624\u5927\u5c0f\u65e0\u6cd5\u6d4b\u91cf\uff1b\u6216\u75f0\u8131\u843d\u7ec6\u80de\u3001\u6216\u652f\u6c14\u7ba1\u51b2\u6d17\u6db2\u4e2d\u627e\u5230\u764c\u7ec6\u80de\uff0c\u4f46\u5f71\u50cf\u5b66\u68c0\u67e5\u548c\u652f\u6c14\u7ba1\u955c\u68c0\u67e5\u672a\u53d1\u73b0\u539f\u53d1\u80bf\u7624
T0 \u6ca1\u6709\u539f\u53d1\u80bf\u7624\u7684\u8bc1\u636e Tis\u539f\u4f4d\u764c
T1a \u539f\u53d1\u80bf\u7624\u6700\u5927\u5f84\u22642cm\uff0c\u5c40\u9650\u4e8e\u80ba\u548c\u810f\u5c42\u80f8\u819c\u5185\uff0c\u672a\u7d2f\u53ca\u4e3b\u652f\u6c14\u7ba1\uff1b\u6216\u5c40\u9650\u4e8e\u6c14\u7ba1\u58c1\u7684\u80bf\u7624\uff0c\u4e0d\u8bba\u5927\u5c0f\uff0c\u4e0d\u8bba\u662f\u5426\u7d2f\u53ca\u4e3b\u652f\u6c14\u7ba1\uff0c\u4e00\u5f8b\u5206\u4e3aT1a
T1b\u539f\u53d1\u80bf\u7624\u6700\u5927\u5f84>2cm, \u22643cm
T2a \u80bf\u7624\u6709\u4ee5\u4e0b\u4efb\u4f55\u60c5\u51b5\u8005\uff1a\u6700\u5927\u76f4\u5f84\uff1e3cm, \u22645cm\uff1b\u7d2f\u53ca\u4e3b\u652f\u6c14\u7ba1\uff0c\u4f46\u80bf\u7624\u8ddd\u79bb\u9686\u7a81\u22652cm\uff1b\u7d2f\u53ca\u810f\u5c42\u80f8\u819c\uff1b\u4ea7\u751f\u80ba\u6bb5\u6216\u80ba\u53f6\u4e0d\u5f20\u6216\u963b\u585e\u6027\u80ba\u708e
T2b \u80bf\u7624\u6709\u4ee5\u4e0b\u4efb\u4f55\u60c5\u51b5\u8005\uff1a\u6700\u5927\u76f4\u5f845cm, \u22647cm
T3 \u4efb\u4f55\u5927\u5c0f\u80bf\u7624\u6709\u4ee5\u4e0b\u60c5\u51b5\u4e4b\u4e00\u8005\uff1a\u539f\u53d1\u80bf\u7624\u6700\u5927\u5f84>7cm,\u7d2f\u53ca\u80f8\u58c1\u6216\u6a2a\u8188\u6216\u7eb5\u9694\u80f8\u819c\uff0c\u6216\u652f\u6c14\u7ba1\uff08\u8ddd\u9686\u7a81\uff1c2cm\uff0c\u4f46\u672a\u53ca\u9686\u7a81\uff09\uff0c\u6216\u5fc3\u5305\uff1b\u4ea7\u751f\u5168\u80ba\u4e0d\u5f20\u6216\u963b\u585e\u6027\u80ba\u708e;\u539f\u53d1\u80bf\u7624\u540c\u4e00\u80ba\u53f6\u51fa\u73b0\u536b\u661f\u7ed3\u8282\u3002
T4 \u4efb\u4f55\u5927\u5c0f\u7684\u80bf\u7624\uff0c\u4fb5\u53ca\u4ee5\u4e0b\u4e4b\u4e00\u8005\uff1a\u5fc3\u810f\uff0c\u5927\u6c14\u7ba1\uff0c\u98df\u7ba1\uff0c\u6c14\u7ba1\uff0c\u7eb5\u9694\uff0c\u9686\u7a81\uff0c\u6216\u690e\u4f53\uff1b\u539f\u53d1\u80bf\u7624\u540c\u4fa7\u4e0d\u540c\u80ba\u53f6\u51fa\u73b0\u536b\u661f\u7ed3\u8282
\u6dcb\u5df4\u7ed3\u8f6c\u79fb\uff08N\uff09\u5206\u671f
Nx \u6dcb\u5df4\u7ed3\u8f6c\u79fb\u60c5\u51b5\u65e0\u6cd5\u5224\u65ad\u3002
N0 \u65e0\u533a\u57df\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
N1 \u540c\u4fa7\u652f\u6c14\u7ba1\u6216\u80ba\u95e8\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
N2 \u540c\u4fa7\u7eb5\u9694\u548c/\u9686\u7a81\u4e0b\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
N3 \u5bf9\u4fa7\u7eb5\u9694\u548c/\u6216\u5bf9\u4fa7\u80ba\u95e8\uff0c\u548c/\u6216\u540c\u4fa7\u6216\u5bf9\u4fa7\u524d\u659c\u89d2\u808c\u6216\u9501\u9aa8\u4e0a\u533a\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002
\u8fdc\u5904\u8f6c\u79fb\uff08M\uff09\u5206\u671f
Mx \u65e0\u6cd5\u8bc4\u4ef7\u6709\u65e0\u8fdc\u5904\u8f6c\u79fb\u3002
M0 \u65e0\u8fdc\u5904\u8f6c\u79fb\u3002
M1a\u80f8\u819c\u64ad\u6563\uff08\u6076\u6027\u80f8\u8154\u79ef\u6db2\u3001\u5fc3\u5305\u79ef\u6db2\u6216\u80f8\u819c\u7ed3\u8282\uff09
M1b\u539f\u53d1\u80bf\u7624\u5bf9\u4fa7\u80ba\u53f6\u51fa\u73b0\u536b\u661f\u7ed3\u8282\uff1b\u6709\u8fdc\u5904\u8f6c\u79fb\uff08\u80ba/\u80f8\u819c\u5916\uff09
\u80ba\u764cTNM\u5206\u671f \uff08UICC 2009\u7248\uff09
\u9690\u533f\u671f TxN0M0
0\u671f TisN0M0 T4N0-1M0
\u2160a\u671f T1N0M0
\u2160b\u671f T2aN0M0
\u2161a\u671f T1N1M0\uff0cT2bN0M0
\u2161b\u671f T2bN1M0 T3N0M0 T2aN1M0
\u2162a\u671f T1-3N0M0 T3N1-2M0
\u2162b\u671f T1-4N3M0 T4N2-3M0
\u2163\u671f T1-4N0-3M1
Nx指的是淋巴结无法评估
M1指的是有远处转移
IV期指的是4期，已经属于晚期了
绛旓細M1鎸囩殑鏄湁杩滃杞Щ IV鏈鎸囩殑鏄4鏈燂紝宸茬粡灞炰簬鏅氭湡浜
绛旓細鎮ㄥソ锛岃繖涓簲璇ユ槸璇寸殑鐥呮儏鍙戝睍绋嬪害鍚э紝鍥涙湡鏄睘浜庢瘮杈冮噸鐨勭幇璞★紝寤鸿鏍规嵁鐥呮儏缁撳悎涓タ鍖绘柟娉曠患鍚堟不鐤楃湅銆傘愬洖绛斻戞垜闂竴涓嬶紝涓婅竟閭ｆ潯锛屾湁澶氫弗閲嶃愭彁闂戞偍鍏蜂綋鏄摢鏂归潰鐨勭柧鐥呭憿锛熶笉鍚岀殑鐥呭洓鏈熺殑涓ラ噸绋嬪害涔熶笉澶竴鏍枫傘愬洖绛斻鐧銆愭彁闂戠檶鐨勮瘽鍒颁簡鍥涙湡锛岃鏄庡凡缁忓嚭鐜颁簡杈冨ぇ鑼冨洿鍐呯殑杞Щ銆愬洖绛斻
绛旓細鍥炵瓟锛氭剰瑙佸缓璁:浣犲ソ,搴旇鏄鐨勭梾鎯呭彂灞曠▼搴﹀惂,鑰冭檻鏄瘮杈冮噸鐨勭幇璞,寤鸿鏍规嵁鐥呮儏缁撳悎涓タ鍖绘柟娉曠患鍚堟不鐤楃湅銆
