T

What is the maximum diameter of the tumour? (cm)

Are there nodules in the same lobe or is there chest wall, diaphragmatic, phrenic, mediastinal pleural or parietal pericardial invasion, lung collapse or main bronchial involvement <2 cm from the carina?

Is there mediastinal, great vessel, carinal, vertebral body, oesophageal or recurrent laryngeal nerve invasion? Or are there tumour nodules in the same lung, but different lobe(s)?

N

Is there ipsilateral hilar lymphadenopathy?

Is there subcarinal lymphadenopathy or ipsilateral mediastinal lymphadenopathy?

Is there supraclavicular, scalene, distant or contralateral hilar or mediastinal lymphadenopathy?

M

Are there contralateral lung nodules (metastases), is there a malignant pleural or pericardial effusion, or are there pleural or pericardial metastases on either side?

Are there distant metastases?

TNM staging =

Overall staging =