Mesothelioma stages and staging system : Part – 2

An important aspect is that as pleural mesothelioma is the most common among all types of cancer and occurs frequently, these staging systems are devised to mark its stages.

The three established and recognized clinical staging systems for mesothelioma are:

  • The Butchart System
  • TNM Staging
  • The Brigham System

The Butchart Staging System:

Butchart is the oldest system and is still the most commonly used.  Its four stages are based on the extent of primary tumor mass.

Stage

Location

I

Tumor confined to the ipsilateral pleura, lung, or pericardium

II

Tumor invading the chest wall or mediastinal structures or metastases to thoracic lymph nodes

III

Tumor penetrating the diaphragm to involve the peritoneum or metastases to extrathoracic lymph nodes

IV

Distant blood-borne metastases
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