An ulcero-proliferative lesion in the antrum of the stomach 6 cm is diameter, invading the serosa, with 10 enlarged lymph nodes around the pylorus with no distant metastasis, the TNM staging is
T2 N1 M0
T3 N2 M0
T4 N1 M0
T1 N3 M0
TNM Staging of Carcinoma Stomach T: A primary tumour *T0: No evidence of a primary tumour *Tis: Carcinoma in situ *T1: Invasion of lamina propria or submucosa T2: Invasion of muscularis propria or subserosa *T3: Penetration of serosa *T4: Invasion of adjacent structures N: Lymph Nodes N0: No regional lymph nodes *N1: Involvement of perigastric nodes within 3 cm of a tumour (1-6 nodes) *N2: Involvement of perigastric nodes more than 3 cm or involvement of left gastric, splenic, coeliac or hepatic nodes (7-15 nodes) *N3: > 15 nodes M: Metastasis M0: No distant metastasis M1: Distant metastasis present Ref: SRB&;s manual of surgery,3 rd ed, pg no 783
G.I.T