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Alberta Cancer Board
   
 


 
 

Breast Cancer Staging

It is important for your doctor to know the 'stage', or the extent of your breast cancer before talking with you about possible treatments.

Stage Description
 
T = tumor size
T1 tumor is less than or equal to 2 cm size
T2 tumor is greater than 2 cm and up to 5 cm in size
T3 tumor is larger than 5 cm
T4 tumor of any size fixed to the chest wall or skin
   T4a fixed to chest wall only
   T4b skin involvement only
   T4c both chest wall and skin affected
   T4d inflammatory changes (breast is reddened and swollen)
 
N = regional lymph node involvement (lymph nodes in the area around the affected breast)
N0 no cancerous cells found in lymph nodes
N1 armpit lymph nodes involved on the same side as affected breast, are moveable
N2 armpit lymph nodes involved, lymph nodes are fixed or stuck in place
N3 lymph nodes are involved, internal mammary
 
M = Metastases (cancer has spread to other parts of the body)
M0 no metastases
M1 distant metastases, including nonregional lymph nodes

The tumor size and the presence of any cancer in the lymph nodes are confirmed by the pathologist who examines the tissues under a microscope. A chest-x-ray, ultrasound of the abdomen, and a bone scan are routinely done to find out if there might be any tumors anywhere else in the body.

Once the results of the tests and the stage of your cancer ar, the cancer doctor will talk with you about possible treatments, or any clinical trials that you might be eligible to take part in. More details about treatment can be found in the Patient/Family MD section of the website: