Summary of the TNM Staging Protocol2
| T: Primary Tumor | X | Primary tumor cannot be assessed |
| 0 | No evidence of primary tumor | |
| is | Carcinoma in situ | |
| 1,2,3,4 | Increasing size and/or local extent of the primary tumor | |
| N: Regional Lymph Nodes | X | Regional lymph nodes cannot be assessed |
| 0 | No regional lymph node metastasis | |
| 1,2,3 | Increasing involvement of regional lymph nodes | |
| M: Distant Metastasis | X | Distant metastasis cannot be assessed |
| 0 | No distant metastasis | |
| 1 | Distant metastasis |









