Radiation Oncology/Carcinoid/Appendix

Appendiceal Carcinoid

For other carcinoid tumors, see Carcinoids

Staging

Was added as a separate classification starting with the 7th edition of the AJCC Staging Manual. Carcinoids were not previously classified by the AJCC.

There is a separate staging system for carcinomas arising within the appendix. Carcinoid tumors arising in other segments of the gastrointestinal tract are staged separately.

AJCC 7th Edition (2009)
Primary Tumor

• T1 - 2 cm or less
  • T1a - 1 cm or less
  • T1b - >1 cm and 2cm or less
• T2 - >2 cm and 4 cm or less, or with extension to the cecum
• T3 - >4 cm, or with extension to the ileum
• T4 - directly invades other adjacent organs or structures (e.g., abdominal wall, skeletal muscle; penetration of the mesoappendix is not included)

Regional Lymph Nodes

• N0 - none
• N1 - yes

Distant Metastasis

• M0 - none
• M1 - yes

Stage Grouping

• I - T1 N0
• II - T2-3 N0
• III - T4 or N1
• IV - M1