OrthoFracs Logo

Staging Tumours

Purpose

  • Allow prognosis
  • Guide surgical management
  • Guide adjunctive therapies

General

Enneking

Enneking Staging of Tumours
Benign

 
  • Latent
  • Active
  • Aggressive
Malignant
1A Low Grade Intracompartmental
1B Low Grade Extracompartmental
2A High Grade Intracompartmental
2B High Grade Extracompartmental
3 Any Grade with Metastasis

Compartments

  • A compartment is an anatomically confining space which will resist tumour spread beyond its boundaries
  • Intracompartmental
    • Intraosseous
    • Intra-fascial compartments
    • Superficial to deep fascia
    • Parosseous
  • Extracompartmental
    • Extension beyond above
    • Pelvis
    • Popliteal fossa
    • Cubital fossa
    • Axilla

GTM

  • Grade
    • Surgical grade
  • Site
    • Intracompartmental or Extracompartmental
    • Compartment
      • An anatomic structure or space
    • Bounded by natural barriers of tumour extension
  • Spread
    • Lymph nodes & metastases
  • 1A G1, T1, M0
  • 1B G1, T2, M0
  • 2A G2, T1, M0
  • 2B G2, T2, M0
  • 3A G1or 2, T1, M1
  • 3B G1or 2, T2, M1
Bookmark and Share