Part of Cancer staging guidance sheets
Urinary bladder tumours (ICD10 C67)
Introduction
This is the data sheet for TNM 9th edition staging of urinary bladder tumours (ICD10 C67).
For more detailed information regarding TNM staging, please see pages 198-200 of the UICC TNM 9 book.
Stage groupings
|
Stage Group |
T stage |
N stage |
M stage |
|---|---|---|---|
|
Stage 0a |
Ta |
N0 |
M0 |
|
Stage 0is |
Tis |
N0 |
M0 |
|
Stage I |
T1 |
N0 |
M0 |
|
Stage II |
T2a, T2b |
N0 |
M0 |
|
Stage IIIA |
T3a, T3b, T4a |
N0 |
M0 |
|
|
T1, T2, T3, T4a |
N1 |
M0 |
|
Stage IIIB |
T1, T2, T3, T4a |
N2, N3 |
M0 |
|
Stage IVA |
T4b |
Any N |
M0 |
|
|
Any T |
Any N |
M1a |
|
Stage IVB |
Any T |
Any N |
M1b |
T - primary tumour
The suffix (m) should be added to the appropriate T category to indicate multiple tumours. The suffix (is) may be added to any T to indicate the presence of associated carcinoma in situ.
|
T value |
Description |
|---|---|
|
cTX |
Primary tumour cannot be assessed |
|
cT0 |
No evidence of primary tumour |
|
cTa |
Non‐invasive papillary carcinoma |
|
cTis |
Carcinoma in situ: ‘flat tumour’ |
|
cT1 |
Tumour invades subepithelial connective tissue |
|
cT2 |
Tumour invades muscularis propria cT2a - Tumour invades superficial muscularis propria (inner half) cT2b - Tumour invades deep muscularis propria (outer half) |
|
cT3 |
Tumour invades perivesical tissue: cT3a – microscopically cT3b - macroscopically (extravesical mass) |
|
cT4 |
Tumour invades any of the following: prostate stroma, seminal vesicles, uterus, vagina, pelvic wall or abdominal wall cT4a - Tumour invades prostate stroma, seminal vesicles, uterus or vagina cT4b - Tumour invades pelvic wall or abdominal wall |
N - regional lymph nodes
|
N value |
Description |
|---|---|
|
cNX |
Regional lymph nodes cannot be assessed |
|
cN0 |
No regional lymph node metastasis |
|
cN1 |
Metastasis in a single lymph node in the true pelvis (hypogastric, obturator, external iliac, or presacral) |
|
cN2 |
Metastasis in multiple regional lymph nodes in the true pelvis (hypogastric, obturator, external iliac, or presacral) |
|
cN3 |
Metastasis in a common iliac lymph node(s) |
M - distant metastasis
|
M value |
Description |
|---|---|
|
M0 |
No distant metastasis |
|
M1a |
Non‐regional lymph nodes |
|
M1b |
Other distant metastasis |
pTNM pathological classification
pT - primary tumour
The pT and pN categories correspond to the cT and cN categories.
Last edited: 16 January 2026 3:54 pm
