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TNM Classification of Malignant Tumours | UICC
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class="layout-content relative"> <div> <div id="block-volcano-content"> <article> <div class="page--top-wrapper relative bg-navy-dark pb-5 lg:pb-0 lg:min-h-[325px]"> <qz-section> <span class="flex flex-col lg:grid lg:grid-cols-12 pt-5 lg:pt-14 text-white"> <span class="page--text-preview lg:pb-12 lg:col-span-7 lg:pr-14"> <nav role="navigation" aria-labelledby="breadcrumbs"> <h2 id="breadcrumbs" class="visually-hidden">Breadcrumb</h2> <ol class="breadcrumbs--items font-semibold text-xs uppercase pb-11"> <li class="inline-block tracking-widest"> <a href="/" class="text-navy-dark"> <qz-icon name="breadcrumb-home" style="position: relative; top: 5px;"></qz-icon> </a> </li> <li class="inline-block tracking-widest"> <a href="/what-we-do/sharing-knowledge" class="text-navy-dark"> What we do | Sharing knowledge </a> </li> <li class="inline-block tracking-widest"> TNM Classification of Malignant Tumours </li> </ol> </nav> <h1 class="h1-small font-normal lg:font-semibold pb-3.5"><span>TNM Classification of Malignant Tumours</span> </h1> <p>Published by the Union for International Cancer Control, the <em>TNM Classification of Malignant Tumours</em> is a globally recognised standard for classifying the extent of spread of cancer.</p> </span> <span class="pt-9 lg:pt-0 lg:col-span-5 relative"> <span class="lg:absolute"><article> <img loading="lazy" width="483" height="322" src="data:image/webp;base64,UklGRmgAAABXRUJQVlA4IFwAAABQAwCdASoVAA4APm0qkkWkIqGYBABABsS0gAAt9JNe4cGtAAD+/jBetoHQrQ8XOsLVYWsNNdnVfsyrXkOXZzP+5VtMJDeYn1GZozKxPf/LqVzWLDRsA436AAAAAA==" alt="TNM explanatory graph" class="lazyload" data-src="/sites/default/files/styles/hero_extra_large/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=TdplTmxv" data-srcset="/sites/default/files/styles/hero_placeholder/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=ka1ALos4 21w, /sites/default/files/styles/hero_small/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=cD8Qyi4j 483w, /sites/default/files/styles/hero_medium/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=l-eZSg22 777w, /sites/default/files/styles/hero_large/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=gWq66m3R 1050w, /sites/default/files/styles/hero_extra_large/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=TdplTmxv 1470w, /sites/default/files/styles/hero_full/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=MXpRdDlP 1932w, /sites/default/files/styles/hero_4k/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=weSIfbDM 3840w" data-sizes="auto" /> </article> </span> </span> </span> </qz-section> </div> <div> <qz-section width="content" class="content-navbar-on-page bg-navy-light text-white sticky top-[78px] z-[15]"> <div class="content-navbar"> <div class="content-navbar__dropdown"> <span>Go to section</span> <qz-icon name="caret-down" width="8" height="4" class="ml-4"></qz-icon> <qz-icon name="caret-up" width="8" height="4" class="hidden ml-4"></qz-icon> </div> <ul class="content-navbar__menu"> <li> <a href="#49499" data-drupal-anchor-id="49499" class="content-navbar__anchor">What is the TNM cancer staging system?</a> </li> <li> <a href="#49500" data-drupal-anchor-id="49500" class="content-navbar__anchor">What does TNM stand for?</a> </li> <li> <a href="#49501" data-drupal-anchor-id="49501" class="content-navbar__anchor">Why adopt the TNM Classification?</a> </li> <li> <a href="#49544" data-drupal-anchor-id="49544" class="content-navbar__anchor">More about TNM</a> </li> <li> <a href="#49502" data-drupal-anchor-id="49502" class="content-navbar__anchor">Further reading</a> </li> </ul> </div> </qz-section> <div> <div> <a class="on-page-anchor" id="49499"></a> </div> <div> <div> <qz-section spacing="bottom-small top-small"> <div class="text"> <div><article class="media--view-mode-ckeditor--quarter align-right media--view-mode-ckeditor"> <img loading="lazy" width="480" height="748" src="data:image/webp;base64,UklGRn4AAABXRUJQVlA4IHIAAAAQAgCdASoKABAAAUAmJYgCdAELXncj7e6AAP7xpsOv5oBt6xxAMaVXUtM5ANwFaVlYsVZuuNn/BSqPDObU5o2zaYug/ovU39x5prHhMN/STA0FsV9XLyzqj0J/AmfsiJhcyUS6i+vXT3AYvpmmv38AAAA=" alt title="Cover 8th edition UICC TNM Classification of Malignant Tumors" class="lazyload" data-src="/sites/default/files/styles/original_small/public/thumbnails/image/Gospodarowicz_TNM_Classification_of_Malignant_Tumours_8e_9781119263579_9....png.webp?itok=q9BhT0Oh" data-srcset="/sites/default/files/styles/original_placeholder/public/thumbnails/image/Gospodarowicz_TNM_Classification_of_Malignant_Tumours_8e_9781119263579_9....png.webp?itok=R_ugBp2z 10w, /sites/default/files/styles/original_small/public/thumbnails/image/Gospodarowicz_TNM_Classification_of_Malignant_Tumours_8e_9781119263579_9....png.webp?itok=q9BhT0Oh 480w, /sites/default/files/styles/original_medium/public/thumbnails/image/Gospodarowicz_TNM_Classification_of_Malignant_Tumours_8e_9781119263579_9....png.webp?itok=7vBd12sO 750w" data-sizes="auto"> </article> <p>The classification of cancer by anatomic disease extent, i.e. stage, is the major determinant of appropriate treatment and prognosis. Stage is an increasingly important component of cancer surveillance and cancer control and an endpoint for the evaluation of the population-based screening and early detection efforts.</p> <p>UICC has maintained and published <a href="/node/27527">the UICC TNM Classification of Malignant Tumours</a> for over 70 years. <strong>The UICC TNM classification is the internationally accepted standard for cancer staging.</strong></p> <p>The TNM classification is an anatomically based system that records the primary and regional nodal extent of the tumour and the absence or presence of metastases.</p> <p> </p> <p> </p> <h2><span class="text-orange"><strong>UICC Podcast on TNM</strong></span></h2> <p><iframe frameborder="0" height="190px" src="https://embed.acast.com/$/6242e087c41ec300122f62df/a-global-language-cancer-stages-and-tnm-classification" width="100%"></iframe></p></div> </div> </qz-section> </div> </div> <div> <a class="on-page-anchor" id="49500"></a> </div> <div> <div> <qz-section theme="dark_blue" spacing="bottom-small top-small"> <qz-two-column ratio="6_6"> <div slot="col1"> <div> <div> <div> <qz-section spacing="bottom-none top-none" content-padding="none"> <div class="text"> <div><h2><span class="text-orange">What does TNM stand for?</span></h2> <p><span class="text-size-lg">Each individual aspect of TNM is termed as a category:</span></p> <ul> <li><span class="text-size-lg"><strong>T</strong> category describes the primary <strong>tumour site and size</strong></span></li> <li><span class="text-size-lg"><strong>N</strong> category describes the regional <strong>lymph node</strong> involvement</span></li> <li><span class="text-size-lg"><strong>M </strong>category describes the presence or otherwise of distant <strong>metastatic spread</strong></span></li> </ul></div> </div> </qz-section> </div> </div> </div> </div> <div slot="col2"> <div> <div> <div> <qz-section spacing="bottom-none top-none" content-padding="none"> <qz-media > <div class="erd-list--original lightbox"> <article> <img loading="lazy" width="480" height="320" src="data:image/webp;base64,UklGRjwAAABXRUJQVlA4IDAAAADQAQCdASoKAAcAAUAmJaQAAxZdmJGWAAD+/t1JCy87nj1f2IO9RiP4prdTTAjwAAA=" alt="TNM explanatory graph" class="lazyload" data-src="/sites/default/files/styles/original_small/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=eOzn-jji" data-srcset="/sites/default/files/styles/original_placeholder/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=a9Mk2mHW 10w, /sites/default/files/styles/original_small/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=eOzn-jji 480w, /sites/default/files/styles/original_medium/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=2w-0mU1- 768w, /sites/default/files/styles/original_large/public/2023-08/tnm-body-outline-465x310-newbrand-2023_white2x.png.webp?itok=TF6eMQkP 931w" data-sizes="auto" /> </article> </div> <span slot="text"></span> <span slot="caption"></span> </qz-media> </qz-section> </div> </div> </div> </div> </qz-two-column> </qz-section> </div> </div> <div> <div> <qz-section spacing="bottom-none top-small"> <div class="text"> <div><p><span class="text-size-xl"><a href="http://eu.wiley.com/WileyCDA/WileyTitle/productCd-1119263573.html">The TNM Classification of Malignant Tumours, 8th Edition</a>, published in 2016 provides the latest, internationally agreed-upon standards to describe and categorize cancer stages and progression.</span></p> <div class="link-btn-styles-full rtecenter text-align-center"><a class="link-button--primary" href="/sites/default/files/atoms/files/266902_Brierley%20UICC%20flyer%20print%20ready.pdf">Order your copy now</a></div> <div class="link-btn-styles-full rtecenter text-align-center"><br> <em>(UICC members have a discount on UICC's publications published by Wiley). </em></div></div> </div> </qz-section> </div> </div> <div> <a class="on-page-anchor" id="49501"></a> </div> <div> <div> <qz-section spacing="bottom-small top-small"> <div class="text"> <div><h2><span class="text-orange">Why adopt the TNM cancer staging system?</span></h2> <p>The UICC TNM staging system is the common language in which oncology health professionals can communicate on the cancer extent for individual patients as a basis for decision making on treatment management and individual prognosis but can also be used, to inform and evaluate treatment guidelines, national cancer planning and research.</p> <p>More specifically, the objectives of the TNM classification are the following:</p> <ul> <li>Aid treatment planning,</li> <li>Provide an indication of prognosis,</li> <li>Assist in the evaluation of treatment results,</li> <li>Facilitate the exchange of information between treatment centres,</li> <li>Contribute to continuing investigations of human malignancies,</li> <li>Support cancer control activities, including through cancer registries.</li> </ul> <p>The TNM classification is a unified standard and is a prerequisite for ensuring the quality of care in all resource-settings. It goes beyond clinician practice and constitutes vital information for policy-makers developing or implementing cancer control and prevention plans and it is therefore important to include the TNM classification as part of cancer registration.</p> <h2><span class="text-orange">Any questions?</span></h2> <p>Please download the <strong><a href="/sites/default/files/atoms/files/E_TNM_FAQs_12_16.pdf">FAQ's page</a></strong> for answers to your questions on cancer staging. If you do not find the answer to your question, you can contact the TNM helpdesk:</p> <div class="link-btn-styles-full rtecenter text-align-center"><a class="link-button--primary" href="/node/5584">Contact the helpdesk</a></div> <p></p></div> </div> </qz-section> </div> </div> <div> <a class="on-page-anchor" id="49544"></a> </div> <div> <div> <qz-section theme="orange" color="none" spacing="bottom-none top-small"> <strong class="text-center"></strong> <h2 class="text-center"> <a name="-explore-more">Explore more</a> </h2> <i class="text-center"></i> </qz-section> </div> </div> <div> <div> <qz-section theme="orange" spacing="bottom-small top-none"> <qz-grid cols="3" justify="center"> <qz-card label="TNM Project Structure" has-action orientation="vertical" card-link="/what-we-do/sharing-knowledge/tnm/tnm-project-structure"> <div slot="media"> <div><article> <img loading="lazy" width="483" height="322" src="data:image/webp;base64,UklGRvoAAABXRUJQVlA4IO4AAAAQBgCdASoVAA4APm0skkWkIqGYBABABsS2AE6ZQjs9YD4AN4BemFcA9wGPaNT42gO03aEWFOIP/IAA/vZLajuLtgA7l1pLbrr3OgXx/9QW6PjQPkhEfQWfJECX13MmwaBXOc7axU7o8YrNZNOwXmE0tdIPyu90jwyo6fBpnx1gNaj62sTYNmGNtPkKYYMY6L+c8l0wZEcg6krKzhffqYOvoDCwQysPu8HvqLAjYmP90SD154Dch+VbMvcLsU467MTTjQWJ/+OBV/mj+ARrA3MrOuV/sxeMu6jVhlYg+OP/5l/SP4EgYrfn3KdXNIAA" alt="TNM national and regional committees map" class="lazyload" data-src="/sites/default/files/styles/hero_extra_large/public/2024-02/NM_National_and_Regional_Committees_MapOnly_NB2023_grey%405x.png.webp?itok=UXJVBvRp" data-srcset="/sites/default/files/styles/hero_placeholder/public/2024-02/NM_National_and_Regional_Committees_MapOnly_NB2023_grey%405x.png.webp?itok=MgMw1Fp6 21w, /sites/default/files/styles/hero_small/public/2024-02/NM_National_and_Regional_Committees_MapOnly_NB2023_grey%405x.png.webp?itok=4yZLrRsh 483w, /sites/default/files/styles/hero_medium/public/2024-02/NM_National_and_Regional_Committees_MapOnly_NB2023_grey%405x.png.webp?itok=FQ1t_T4Q 777w, /sites/default/files/styles/hero_large/public/2024-02/NM_National_and_Regional_Committees_MapOnly_NB2023_grey%405x.png.webp?itok=IsW6jQML 1050w, /sites/default/files/styles/hero_extra_large/public/2024-02/NM_National_and_Regional_Committees_MapOnly_NB2023_grey%405x.png.webp?itok=UXJVBvRp 1470w, /sites/default/files/styles/hero_full/public/2024-02/NM_National_and_Regional_Committees_MapOnly_NB2023_grey%405x.png.webp?itok=Q5xpeKbq 1932w, /sites/default/files/styles/hero_4k/public/2024-02/NM_National_and_Regional_Committees_MapOnly_NB2023_grey%405x.png.webp?itok=tfIeahcQ 3840w" data-sizes="auto" /> </article> </div> </div> <div class="text"> <div><p>Find out more how the TNM classification is defined and updated</p></div> </div> <qz-link title="TNM Project Structure" slot="action" class="text-theme-focus" href="/what-we-do/sharing-knowledge/tnm/tnm-project-structure"> <qz-icon slot="start" name="arrow-right"></qz-icon> Read more </qz-link> </qz-card> <qz-card label="Publications and resources" has-action orientation="vertical" card-link="/what-we-do/sharing-knowledge/tnm/publications-and-resources"> <div slot="media"> <div><article> <img loading="lazy" width="483" height="322" src="data:image/webp;base64,UklGRtgAAABXRUJQVlA4IMwAAACQBACdASoVAA4APm0qkUWkIqGYBABABsSxgE6ZQBLNC9iuZpAUe2q6klZ6dSAA/usl6EO/sdFKt0Y+GTYY9qbuxnQi329/nT4VlZaT8nOAohi/P1KF3NnytZnLHHNGBR8EuoznzGrpRvyt35CL3ydZtjwRYOmW7E7iw9PDJ+nYqTUfM+aoF3rxf76uW9EH/l2UG2uLJJIowd3v9em0L+cFPP5UNVLNtAhaI/nQfcNZfjy1cg/up9ydbzisbnxdMMRVVdLScTnOrEvAAAA=" alt="TNM Supplement 5th edition" title="TNM Supplement 5th edition" class="lazyload" data-src="/sites/default/files/styles/hero_extra_large/public/thumbnails/image/TNM_supplement_1200px.jpg.webp?itok=_56qbuzp" data-srcset="/sites/default/files/styles/hero_placeholder/public/thumbnails/image/TNM_supplement_1200px.jpg.webp?itok=TSdpe0_F 21w, /sites/default/files/styles/hero_small/public/thumbnails/image/TNM_supplement_1200px.jpg.webp?itok=31rsUgOs 483w, /sites/default/files/styles/hero_medium/public/thumbnails/image/TNM_supplement_1200px.jpg.webp?itok=RS_AWBT4 777w, /sites/default/files/styles/hero_large/public/thumbnails/image/TNM_supplement_1200px.jpg.webp?itok=ERAcDmlo 1050w, /sites/default/files/styles/hero_extra_large/public/thumbnails/image/TNM_supplement_1200px.jpg.webp?itok=_56qbuzp 1470w, /sites/default/files/styles/hero_full/public/thumbnails/image/TNM_supplement_1200px.jpg.webp?itok=2jP94Jd6 1932w, /sites/default/files/styles/hero_4k/public/thumbnails/image/TNM_supplement_1200px.jpg.webp?itok=JZRfP2lL 3840w" data-sizes="auto" /> </article> </div> </div> <div class="text"> <div><p>Editions of the TNM Classification of Malignant Tumours</p></div> </div> <qz-link title="Publications and resources" slot="action" class="text-theme-focus" href="/what-we-do/sharing-knowledge/tnm/publications-and-resources"> <qz-icon slot="start" name="arrow-right"></qz-icon> Read more </qz-link> </qz-card> <qz-card label="UICC TNM E-Learning Modules" has-action orientation="vertical" card-link="/what-we-do/sharing-knowledge/tnm/e-learning"> <div slot="media"> <div><article> <img loading="lazy" width="483" height="322" src="data:image/webp;base64,UklGRtQAAABXRUJQVlA4IMgAAAAQBQCdASoVAA4APm0skUWkIqGYBABABsSxgE6ZQDdAWmk3KpF8o0pmuB/o8cx3xH9gAP23LT6lRnHmN5YzZMb2EO+VIX7+PS0+t34h9+oBvp4tOIHCY2jIaksb3io0reVR1AWiUQ9wVzWifP3mhT8ayPxSbQZ7PlVjjWYXiCwl37B2kiBjwwlOlkfMvL3WX9kdcStjsdi/H/t44bDVRHX3Z2wD83xYLCz36ALekqMe+z+XHBWxq6WU0fIrU6qQbhVGZp0IPMOGAA==" alt="Man with turban consulting his laptop and mobile phone" class="lazyload" data-src="/sites/default/files/styles/hero_extra_large/public/2022-12/rs27870_2020-virtual-online-photos10-scr.jpg.webp?itok=vruvGOaR" data-srcset="/sites/default/files/styles/hero_placeholder/public/2022-12/rs27870_2020-virtual-online-photos10-scr.jpg.webp?itok=ioAX3teB 21w, /sites/default/files/styles/hero_small/public/2022-12/rs27870_2020-virtual-online-photos10-scr.jpg.webp?itok=4WHBmrhP 483w, /sites/default/files/styles/hero_medium/public/2022-12/rs27870_2020-virtual-online-photos10-scr.jpg.webp?itok=yML7jCU3 777w, /sites/default/files/styles/hero_large/public/2022-12/rs27870_2020-virtual-online-photos10-scr.jpg.webp?itok=e4zQmXzC 1050w, /sites/default/files/styles/hero_extra_large/public/2022-12/rs27870_2020-virtual-online-photos10-scr.jpg.webp?itok=vruvGOaR 1470w, /sites/default/files/styles/hero_full/public/2022-12/rs27870_2020-virtual-online-photos10-scr.jpg.webp?itok=a7pTuriS 1932w, /sites/default/files/styles/hero_4k/public/2022-12/rs27870_2020-virtual-online-photos10-scr.jpg.webp?itok=5V2RLdyA 3840w" data-sizes="auto" /> </article> </div> </div> <div class="text"> <div><p>eCancer and UICC jointly produced a set of 7 modules on TNM staging</p></div> </div> <qz-link title="UICC TNM E-Learning Modules" slot="action" class="text-theme-focus" href="/what-we-do/sharing-knowledge/tnm/e-learning"> <qz-icon slot="start" name="arrow-right"></qz-icon> Read more </qz-link> </qz-card> <qz-card label="TNM Help desk" has-action orientation="vertical" card-link="/what-we-do/sharing-knowledge/tnm/tnm-help-desk-webform"> <div slot="media"> <div><article> <img loading="lazy" width="483" height="322" src="data:image/webp;base64,UklGRuYAAABXRUJQVlA4INoAAACwBACdASoVAA4APm0qkUWkIqGYBABABsSygE6ZQBRlvIUg3lVNhKbu3F88z1cAAP75UPVnfGWe0yQhmbvORSVq4SylbnBb0kQnOf/SH9jFFEzfwsfSLoex7VbP6wt1yy3qB38P4wabHnOHzTL6uwXd0UulpN8x6ZFCf4RdRPgn5B6JEVlIHhOS2+y/FVbGX0f52YN4stGAjIRk9SOEMd85U8tCP/8FrK4F/NnQDRSdamz1x2BayY38Zc0brNYOpVbC5+Is2Sb+zQ08Y3WupMx5IyiArJ/RhjwAAA==" alt="Doctor reading in library" title="Doctor reading in library" class="lazyload" data-src="/sites/default/files/styles/hero_extra_large/public/thumbnails/image/TNM-shutterstock_614895548-web-webready.jpeg.webp?itok=iJuwRSrl" data-srcset="/sites/default/files/styles/hero_placeholder/public/thumbnails/image/TNM-shutterstock_614895548-web-webready.jpeg.webp?itok=y9eUo3Ii 21w, /sites/default/files/styles/hero_small/public/thumbnails/image/TNM-shutterstock_614895548-web-webready.jpeg.webp?itok=RghxSWZb 483w, /sites/default/files/styles/hero_medium/public/thumbnails/image/TNM-shutterstock_614895548-web-webready.jpeg.webp?itok=_B87YuLq 777w, /sites/default/files/styles/hero_large/public/thumbnails/image/TNM-shutterstock_614895548-web-webready.jpeg.webp?itok=xDniGBDK 1050w, /sites/default/files/styles/hero_extra_large/public/thumbnails/image/TNM-shutterstock_614895548-web-webready.jpeg.webp?itok=iJuwRSrl 1470w, /sites/default/files/styles/hero_full/public/thumbnails/image/TNM-shutterstock_614895548-web-webready.jpeg.webp?itok=xJfl2M64 1932w, /sites/default/files/styles/hero_4k/public/thumbnails/image/TNM-shutterstock_614895548-web-webready.jpeg.webp?itok=J3OBYcNb 3840w" data-sizes="auto" /> </article> </div> </div> <div class="text"> <div><p>Do you have questions on cancer staging?</p></div> </div> <qz-link title="TNM Help desk" slot="action" class="text-theme-focus" href="/what-we-do/sharing-knowledge/tnm/tnm-help-desk-webform"> <qz-icon slot="start" name="arrow-right"></qz-icon> Read more </qz-link> </qz-card> <qz-card label="Essential TNM" has-action orientation="vertical" card-link="/what-we-do/sharing-knowledge/tnm/essential-tnm"> <div slot="media"> <div><article> <img loading="lazy" width="483" height="322" src="data:image/webp;base64,UklGRuAAAABXRUJQVlA4INQAAADQBACdASoVAA4APm0skkWkIqGYBABABsSgCdMoRwIsALoA5kpkBDh7ZVnvLi47+AD++xfnX5KgTyqMaThlbp/3iZviH6cr7fR4F8w/2paHKvoBTaufCpo8jk802hjvq02BKEVcc2Sz1gr93UCCJxMnPAWZ+7gsqvEvzrKxlEFxLhANdKhFBJ8nuJxaYO8x+0hceVf/6Gu1//DWZN7M7hwus9+HYl8uMOcZw28uDphC1L6zjaZ/Rc5h5laTe+bi3EsF+jYdasH6F3ip4vi16vcLjIAAAA==" alt="Essential TNM on mahogany desk with coffee cup" class="lazyload" data-src="/sites/default/files/styles/hero_extra_large/public/2022-12/tnm-essential-on-mahogany-desk-web-webready.jpg.webp?itok=Jyz3K4Ob" data-srcset="/sites/default/files/styles/hero_placeholder/public/2022-12/tnm-essential-on-mahogany-desk-web-webready.jpg.webp?itok=akpFYEQc 21w, /sites/default/files/styles/hero_small/public/2022-12/tnm-essential-on-mahogany-desk-web-webready.jpg.webp?itok=uD7I1O61 483w, /sites/default/files/styles/hero_medium/public/2022-12/tnm-essential-on-mahogany-desk-web-webready.jpg.webp?itok=msMVfJlC 777w, /sites/default/files/styles/hero_large/public/2022-12/tnm-essential-on-mahogany-desk-web-webready.jpg.webp?itok=FXDZIyld 1050w, /sites/default/files/styles/hero_extra_large/public/2022-12/tnm-essential-on-mahogany-desk-web-webready.jpg.webp?itok=Jyz3K4Ob 1470w, /sites/default/files/styles/hero_full/public/2022-12/tnm-essential-on-mahogany-desk-web-webready.jpg.webp?itok=Tw-3Por8 1932w, /sites/default/files/styles/hero_4k/public/2022-12/tnm-essential-on-mahogany-desk-web-webready.jpg.webp?itok=ZFpqqhEx 3840w" data-sizes="auto" /> </article> </div> </div> <div class="text"> <div><p>Information on anatomical extent of disease at presentation or stage is central to cancer surveillance</p></div> </div> <qz-link title="Essential TNM" slot="action" class="text-theme-focus" href="/what-we-do/sharing-knowledge/tnm/essential-tnm"> <qz-icon slot="start" name="arrow-right"></qz-icon> Read more </qz-link> </qz-card> </qz-grid> </qz-section> </div> </div> <div> <a class="on-page-anchor" id="49502"></a> </div> <div> <div> <qz-section theme="dark_blue" color="none" spacing="bottom-none top-small"> <strong class="text-left"></strong> <h2 class="text-left"> <a name="-you-can-also-read-the-documents">You can also read the documents</a> </h2> <i class="text-left"></i> </qz-section> </div> </div> <div> <div> <qz-section theme="dark_blue" spacing="bottom-small top-none"> <qz-grid cols="3" justify="center"> <qz-card label="How to use TNM" has-action orientation="vertical" card-link="/sites/default/files/atoms/files/How_to_use_TNM.pdf"> <div slot="media"> <div><article> <img loading="lazy" width="483" height="322" src="data:image/webp;base64,UklGRlAAAABXRUJQVlA4IEQAAABQAwCdASoVAA4APm0skkWkIqGYBABABsS0gAAt9miVEc9RwAD+/jBSz+T/lZjnFaWCbaRUPiOa+o4UQf6fpbbXMAAAAA==" alt="How to use TNM" title="How to use TNM" class="lazyload" data-src="/sites/default/files/styles/hero_extra_large/public/thumbnails/image/How%20to%20use%20TNM_0.png.webp?itok=lHW6rHkt" 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href="/sites/default/files/atoms/files/How_to_use_TNM.pdf"> <qz-icon slot="start" name="arrow-right"></qz-icon> Read or download </qz-link> </qz-card> <qz-card label="Patients and their families" has-action orientation="vertical" card-link="/sites/default/files/atoms/files/Patients_and_their_families.pdf"> <div slot="media"> <div><article> <img loading="lazy" width="483" height="322" src="data:image/webp;base64,UklGRmQAAABXRUJQVlA4IFgAAACwAwCdASoVAA4APm0uk0YkIqGhMAgAgA2JaQAAXExjqgyuft/OgAD+/g3q0nzNfrxlsTC08+AsKrMYyEb31iLMNplgZQv1IWyG0NVuku9ydnK91IlgAAAA" alt="TNM for patients and their families" title="TNM for patients and their families" class="lazyload" data-src="/sites/default/files/styles/hero_extra_large/public/thumbnails/image/TNM%20for%20patients%20and%20families.png.webp?itok=oXk4-IWL" data-srcset="/sites/default/files/styles/hero_placeholder/public/thumbnails/image/TNM%20for%20patients%20and%20families.png.webp?itok=LPScjEhl 21w, /sites/default/files/styles/hero_small/public/thumbnails/image/TNM%20for%20patients%20and%20families.png.webp?itok=GgXP4omE 483w, /sites/default/files/styles/hero_medium/public/thumbnails/image/TNM%20for%20patients%20and%20families.png.webp?itok=ilO2B-tz 777w, /sites/default/files/styles/hero_large/public/thumbnails/image/TNM%20for%20patients%20and%20families.png.webp?itok=19vljDXV 1050w, /sites/default/files/styles/hero_extra_large/public/thumbnails/image/TNM%20for%20patients%20and%20families.png.webp?itok=oXk4-IWL 1470w, /sites/default/files/styles/hero_full/public/thumbnails/image/TNM%20for%20patients%20and%20families.png.webp?itok=VCiu0H3x 1932w, /sites/default/files/styles/hero_4k/public/thumbnails/image/TNM%20for%20patients%20and%20families.png.webp?itok=oX3JQSId 3840w" data-sizes="auto" /> </article> </div> </div> <div class="text"> </div> <qz-link title="Patients and their families" slot="action" class="text-theme-focus" 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/sites/default/files/styles/hero_small/public/thumbnails/image/Healthcare%20professionals.png.webp?itok=gS4DwfKJ 483w, /sites/default/files/styles/hero_medium/public/thumbnails/image/Healthcare%20professionals.png.webp?itok=qTdP7cyA 777w, /sites/default/files/styles/hero_large/public/thumbnails/image/Healthcare%20professionals.png.webp?itok=VgaxJKeL 1050w, /sites/default/files/styles/hero_extra_large/public/thumbnails/image/Healthcare%20professionals.png.webp?itok=538ovpyO 1470w, /sites/default/files/styles/hero_full/public/thumbnails/image/Healthcare%20professionals.png.webp?itok=6-1800m4 1932w, /sites/default/files/styles/hero_4k/public/thumbnails/image/Healthcare%20professionals.png.webp?itok=bHjk32H7 3840w" data-sizes="auto" /> </article> </div> </div> <div class="text"> </div> <qz-link title="Healthcare professionals" slot="action" class="text-theme-focus" href="/sites/default/files/atoms/files/TNM_Healthcare_Professionals.pdf"> <qz-icon slot="start" name="arrow-right"></qz-icon> 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