TNM

UICC TNM E-Learning Modules

eCancer and UICC jointly produced a set of 7 modules on TNM staging for the purpose of educating and informing the global cancer community on the globally accepted classification of malignant tumours.

The following modules are now available to download:

Each module takes approximately 30 minutes to complete and includes a voice-over and interactive quiz.

By the end of each module, users should:

  • know the general principles of the UICC TNM Classification of Malignant Tumours,
  • understand the structure of the UICC TNM Classification 7th edition and
  • be able to apply the UICC TNM Classification to different cancer sites

Learn more about eCancer.

The TNM Classification of Malignant Tumours 7th edition

Leslie H. Sobin (Editor), Mary K. Gospodarowicz (Editor), Christian Wittekind (Editor)

The TNM Classification of Malignant Tumours, 7th Edition, published in 2009, provides the latest, internationally agreed-upon standards to describe and categorize cancer stages and progression. It contains important updated organ-specific classifications that oncologists and other professionals who manage patients with cancer need can use to accurately classify tumours for staging, prognosis and treatment.

The changes between the 6th and 7th editions have been updated with the corrections. Find out here: TNM Presentation.pdf

Download the Table of Contents for the TNM Classification 7th edition here

Since its publication in 2009, the TNM classification has undergone a number of updates and clarifications. Please download the corrections to the printed version here:

Order your copy now (UICC Members have a discount on Wiley Publications). TNM Online and smartphone application are also available on www.wileyanduicc.com

The TNM Classification is also available in many other languages. Published translations include:

  • Arabic
  • Chinese
  • Czech
  • French
  • German
  • Italian
  • Japanese
  • Latvian
  • Polish
  • Portuguese
  • Russian
  • Turkish

For any queries about the classification, please visit the FAQ's page or ask your questions at the TNM Helpdesk.

If you want to submit to the TNM Evaluation Committee a proposal for change in the classification, please consult this document and contact us at tnm@uicc.org

Ovary, Fallopian Tube and Primary Peritoneal Carcinoma

FIGO has published a new classification for ovarian cancer.* This classification incorporates cancers of the fallopian tube and primary peritoneal carcinomas. These new cancer staging rules will be incorporated into the 8th Edition of the UICC TNM Classification of Malignant Tumours, which is scheduled for release in the Autumn of 2016, but will not become effective until January 1, 2017.

For a comparison of the current TNM for ovary and the new FIGO classification and proposal for the 8th edition go to this presentation.

*Staging classification for cancer of the ovary, fallopian tube, and peritoneum. Jaime Prat; for the FIGO Committee on Gynecologic Oncology.  International Journal of Gynecology and Obstetrics 124 (2014) 1–5

 

The TNM Supplement, 4th Edition

The TNM Supplement: A Commentary on Uniform Use, now in its 4th edition, extends and clarifies The Union for International Cancer Control (UICC) TNM Classification of Malignant Tumours, providing additional data that unifies the principles and practice of cancer staging.

The TNM Supplement provides explanations and examples to answer many questions that might arise in the course of the daily use of TNM, particularly in unusual cases. It enumerates the recommended criteria for pathological classification (pT and pN) and contains proposed classifications for new tumour sites and types that are not part of the official UICC TNM system yet.

Also available in German

 

TNM Atlas, 6th Edition

The TNM Atlas 6th Edition, as a companion for the TNM Classification, is designed as an aid for the practical application of the TNM classification system by illustrating the T and N categories in clear and easily understandable graphics. The aim of such a presentation is twofold: to enable all disciplines involved to reach a more standardized understanding and documentation of the anatomic spread of tumours, and to further enhance the dissemination and use of the TNM classification. The 6th edition of the TNM Atlas was released in May 2014.

Manual of Clinical Oncology, 9th Edition (2015)

The 9th edition of the Manual of Clinical Oncology adopts a multidisciplinary perspective and gathers expertise in different fields of cancer management to be used by all health professionals working in oncology. It aims to strike a balance between delivery of a high quality services and realities of the day-to-day practice, including that of resource-limited settings. The 9th edition was released in September 201556 lead authors worked on various key cancer management and treatment issues and disease-specific approaches.

If you want to learn more about TNM or have any question about the publications, contact us at tnm@uicc.org

Other Wiley & UICC publications are available from the Wiley-Blackwell website.


Session at the World Cancer Congress in Melbourne 4 December 2014

Making Cancer Staging Globally Relevant

Chaired by: Dr Brian O'Sullivan (Canada)

Presentations:

  1. Recording stage of disease in cancer registries: Problems and solutions for Low and Middle Income Countries- Dr Max Parkin, African Network of Cancer Registries (United Kingdom)
  2. The need for simplified stage language for all  - Dr James Brierley, Princess Margaret Hospital (Canada)
  3. Developing a simple TNM stage tool - Giulio Napolitano, Northern Ireland Cancer Registry (United Kingdom)
  4. Promoting TNM stage use/ensuring stage is globally relevant -Dr Anne Lee, The Hong Kong Anti-Cancer Society (Hong Kong)

Workshop at the World Cancer Congress in Montreal – 28 August 2012

Meet the expert: Cancer stage: a neglected cornerstone of cancer control

Chaired by: Mary Gospodarowicz (Canada)

Proposed by: UICC TNM prognostic factors core group

 

The History of TNM

Download the document: TNM History, Evolution & Milestones