© 1993

TNM Supplement 1993

A Commentary on Uniform Use

  • P. Hermanek
  • D. E. Henson
  • R. V. P. Hutter
  • L. H. Sobin

Table of contents

  1. Front Matter
    Pages I-XVII
  2. P. Hermanek, D. E. Henson, R. V. P. Hutter, L. H. Sobin
    Pages 1-18
  3. P. Hermanek, D. E. Henson, R. V. P. Hutter, L. H. Sobin
    Pages 19-47
  4. P. Hermanek, D. E. Henson, R. V. P. Hutter, L. H. Sobin
    Pages 49-71
  5. P. Hermanek, D. E. Henson, R. V. P. Hutter, L. H. Sobin
    Pages 73-99
  6. P. Hermanek, D. E. Henson, R. V. P. Hutter, L. H. Sobin
    Pages 101-141

About this book


The fourth edition of the TNM Classification was published in 1987,1 and a revision in 1992.2 It was the result of efforts by all national TNM Committees towards a worldwide uniform classification. The classifica­ tion criteria are identical with the fourth edition of the Manual for 3 Staging of Cancer of the American Joint Committee on Cancer (AJCC). Although the classification has found wide acceptance, some workers have pointed out that individual definitions and rules for staging are not sufficiently detailed. This can lead to inconsistent application of the clas­ sification. the antithesis of standardization. This source of differences in interpretation applies not only to the classification of individual organs but also to the general rules of the system, especially to the definitions of the requirements for the pathological classification (pT, pN). These are specified only for carcinoma of the breast; for other sites, reference must be made back to the general rules. which can lead to variable interpreta­ tions. The TNM Project Committee of the UICC has addressed this prob­ lem and collected and considered the criticisms and suggestions from the national TNM Committees as well as from cancer registries, oncolo­ gical associations and individual users. The result was the decision to complement the 4th edition of the TN M Classification 1.2. 3 with the publi­ cation of a TNM Supplement containing recommendations for the uni­ form use of TNM.


Cancer Grading Karzinom Krebs Oncology Onkologie Staging TNM TNM staging system Tumor Classifiction Tumorklassifikation carcinoma classification

Editors and affiliations

  • P. Hermanek
    • 1
  • D. E. Henson
    • 2
  • R. V. P. Hutter
    • 3
    • 4
  • L. H. Sobin
    • 5
    • 6
  1. 1.Chirurgische Universitätsklinik ErlangenErlangenGermany
  2. 2.Early Detection Branch, Division of Cancer Prevention and ControlNational Cancer InstituteBethesdaUSA
  3. 3.New Jersey Medical SchoolUniversity of Medicine and DentistryNewarkUSA
  4. 4.Department of PathologySaint Barnabas Medical CenterLivingstonUSA
  5. 5.Uniformed Services University of the Health SciencesBethesdaUSA
  6. 6.Division of Gastrointestinal PathologyArmed Forces Institute of PathologyUSA

Bibliographic information

  • Book Title TNM Supplement 1993
  • Book Subtitle A Commentary on Uniform Use
  • Editors P. Hermanek
    D.E. Henson
    R.V.P. Hutter
    Leslie H. Sobin
  • Series Title UICC International Union Against Cancer / Union Internationale Contre le Cancer
  • DOI
  • Copyright Information Springer-Verlag Berlin Heidelberg 1993
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Softcover ISBN 978-3-540-56556-7
  • eBook ISBN 978-3-642-46792-9
  • Edition Number 1
  • Number of Pages XVIII, 142
  • Number of Illustrations 0 b/w illustrations, 0 illustrations in colour
  • Topics Oncology
  • Buy this book on publisher's site