Type, Grade & Stage

Grade

A doctor will rely on final pathology of the tumor to determine the grade and stage of the cancer.  The grade is usually only determined after the tumor has been biopsied and/or removed. The grade of cancer relates to how healthy or unhealthy cells look under a microscope. In other words, a pathologist will determine the grade of cancer by comparing the amount of the healthy-looking tissue to the amount of cancerous tissue.  If most of the tumor cells look like normal tissue then the cancer is “well differentiated” or “low-grade.”  However, if the tumor cells look very different from normal tissue then the cancer is “poorly differentiated” or “high-grade.” The grade of cancer may help to determine how likely and perhaps how quickly the cancer is likely to spread.

Supraglottic cancer grading is described as the following:  

GradeDefinition
GX The grade cannot be evaluated. 
G1 The cells look more like normal tissue and are well differentiated. 
G2 The cells are only moderately differentiated. 
G3 The cells don’t look like normal tissue and are poorly differentiated. 

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Learn about the staging of salivary gland cancers on the next page.

TNM Staging Tool

Enter your TNM numbers to see staging information.

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What is ENE?

ENE (+)

No evidence of distant spread. Evidence of distant spread.

Extranodal extension is present, meaning that there is evidence that the tumor has spread outside of the lymph node on imaging.

ENE (-)

Extranodal extension is absent, meaning that there is no evidence that the tumor has spread outside of the lymph node on imaging.

 

The information in the TNM Staging Tool represents the AJCC 8th Edition Cancer Staging Form.

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