OrthoFracs Logo

Eneking Classification of Tumours

Grade: assessment of biological aggressiveness

  • G0
    • Histologically benign (well differentiated & low cell to matrix ratio)
    • May be latent , active or aggressive benign lesions
  • G1
    • Low grade malignant (few mitoses, moderate differentiation & local spread only)
  • G2
    • High grade malignancy (frequent mitoses, poorly differentiated & frequent mitoses)

Site: anatomic setting of lesion

  • T0
    • Confined within its capsule (does not extend beyond bounds of compartment of origin, may be distorted but remains intact)
  • T1
    • Extra capsular extension but contained within anatomic compartment (eg cortical bone, joint capsule or fascia)
  • T2
    • Extending beyond compartmental barriers (spreads beyond fascial plane without longitudinal containment)

Metastasis: nodal or blood borne tumour spread

  • M0
    • No evidence of regional or distant metastases
  • M1
    • Regional or distant metastases evident