Gallbladder Cancer: Classification

TNM classification of gallbladder carcinoma.

T N M
X Primary tumor not assessable Lymph nodes not assessable Distant metastases not assessable
0 No evidence of tumor Lymph nodes not affected No distant metastases
Tis Tumor in situ (carcinoma in situ)
1 Infiltration (penetration) of lamina propria/thin layer of connective tissue located just below an epithelium (T1a) Infiltration of muscle (T1b) Regional lymph nodes affected Distant metastases present
2 Infiltration of perimuscular connective tissue
3 Perforation (breakthrough) of serosa and/or a neighboring organ
4 Infiltration of portal vein, hepatic artery, and/or two or more adjacent organs

UICC stage (“Union internationale contre le cancer“, UICC).

Stage T N M
0 Tis 0 0
I 1 0 0
II 2 0 0
III 3 1-3 0 1 0 0
IV 4 each each each 0 1

The following histological forms of gallbladder carcinoma can be distinguished:

  • Adenomatous (glandular epithelium-like) carcinoma.
  • Anaplastic (dedifferentiated) carcinoma
  • Squamous cell carcinoma
  • Cirrhotic (connective tissue hardened) carcinoma.