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Updates in Staging and Reporting of Genitourinary Malignancies
Kristine M Cornejo1, Travis Rice-Stitt1, Chin-Lee Wu1
1From the Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Context.—:
The 8th edition of the American Joint Committee on Cancer (AJCC) staging manual changed the tumor, node, metastasis (TNM) classification systems of genitourinary malignancies in 2017. However, some of the changes appear not well appreciated or recognized by practicing pathologists.
Objective.—:
To review the major changes compared with the 7th edition in cancers of the prostate, penis, testis, bladder, urethra, renal pelvis/ureter, and kidney and discuss the challenges that pathologists may encounter.
Data Sources.—:
Peer-reviewed publications and the 8th and 7th editions of the AJCC Cancer Staging Manual.
Conclusions.—:
This article summarizes the updated staging of genitourinary malignancies, specifically highlighting changes from the 7th edition that are relevant to the pathologic staging system. Pathologists should be aware of the updates made in hopes of providing clarification and the remaining diagnostic challenges associated with these changes.
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