Staging Tumours

Purpose

  • Allow prognosis
  • Guide surgical management
  • Guide adjunctive therapies

General

Enneking

Benign
 Latent
Active
Aggressive
Malignant
1ALow Grade Intracompartmental
1BLow Grade Extracompartmental
2AHigh Grade Intracompartmental
2BHigh Grade Extracompartmental
3Any Grade with Metastasis
Enneking Staging of Tumours

Compartments

  • A compartment is an anatomically confining space which will resist tumour spread beyond its boundaries
  • Intracompartmental
    • Intraosseous
    • Intra-fascial compartments
    • Superficial to deep fascia
    • Parosseous
  • Extracompartmental
    • Extension beyond above
    • Pelvis
    • Popliteal fossa
    • Cubital fossa
    • Axilla

GTM

  • Grade
    • Surgical grade
  • Site
    • Intracompartmental or Extracompartmental
    • Compartment
      • An anatomic structure or space
    • Bounded by natural barriers of tumour extension
  • Spread
    • Lymph nodes & metastases
  • 1A G1, T1, M0
  • 1B G1, T2, M0
  • 2A G2, T1, M0
  • 2B G2, T2, M0
  • 3A G1or 2, T1, M1
  • 3B G1or 2, T2, M1