The definition of these stages can be found in the AJCC Cancer Staging Manual (7th edition) or Union for International Cancer Control (UICC) staging manual. (23,24) This feature cannot be documented adequately using the Ann Arbor staging system. Also (optional, depending on previous findings) bone imaging, technetium scans, CT scans, chest tomography, upper GI series, lumbar puncture, ultrasound, gallium scans, liver/spleen scan. https://medical-dictionary.thefreedictionary.com/Ann+Arbor+staging+system. All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. A system for staging Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) and guiding therapy. Staging laparotomy (including splenectomy, wedge liver biopsy, and multiple lymph node biopsies) is not required but may be used for additional staging information if indicated. The Ann Arbor staging system is widely used for anatomic staging of lymphoma, both Hodgkin and non-Hodgkin lymphomas. The Ann Arbor staging system has a number of shortcomings, particularly when staging extranodal NHLs, such as OALs, which essentially show different dissemination patterns from nodal lymphomas. Segen's Medical Dictionary. Ann Arbor staging is the staging system for lymphomas, both in Hodgkin's lymphoma (formerly designated Hodgkin's disease) and non-Hodgkin lymphoma (abbreviated NHL). It has 4 stages, labeled I, II, III, and IV. For the Ann Arbor System, clinical staging includes all of the non-invasive procedures; pathologic staging is based on findings made as a result of invasive procedures such as laparotomy or mediastinotomy. T, N, and M elements are not applicable to this staging system. For more details on Collaborative Stage, see the Intro to Collaborative Staging module. Either of the following means the disease is stage I: 1. A staging system is a way for the cancer care team to sum up the extent of a cancer’s spread. https://www.cancer.gov/coronavirus-researchers, Cancer Registration & Surveillance Modules, Lymph Nodes of the Large Intestine and Lower Abdomen, Working Formulation for Non-Hodgkin Lymphoma, The Revised European American Lymphoma Classification (REAL), U.S. Department of Health and Human Services, Stage II also: single extranodal organ plus its, Involvement of a single lymph node region, Involvement of more than one lymphatic region on only one side of the diaphragm, Localized involvement of one extralymphatic organ or site and its regional lymph nodes with or without other nodes on the same side of the diaphragm, Involvement of more than one lymphatic region on only one side of the diaphragm plus involvement of the spleen, Involvement of lymph node regions on both sides of the diaphragm, Involvement of lymph node regions on both sides of the diaphragm plus localized involvement of an extralymphatic organ or site, Involvement of lymph node regions on both sides of the diaphragm plus involvement of the spleen, Isolated extralymphatic organ involvement with distant (non-regional) nodal involvement, Add a suffix X to designate bulky disease (defined as a mass of nodes with one diameter of > 10 cm or a mediastinal mass of > 1/3 of the transthoracic {mediastinal} width), The number of anatomic regions involved should be indicated by a subscript (e.g., II3), III1 with or without splenic, hilar, celiac, or portal nodes, III2 with para-aortic, iliac, or mesenteric nodes, Staging should be identified as clinical stage (CS) or pathologic stage (PS), A new category of response to therapy, unconfirmed/uncertain complete remission, should be introduced because of the persistent radiologic abnormalities of uncertain significance. A system used for classifying Hodgkin disease and non-Hodgkin lymphoma. Ann Arbor staging. It was initially developed for Hodgkin's, but has some use in NHL. For the Ann Arbor System, clinical staging includes all of the non- invasive procedures; pathologic staging is based on findings made as a result of invasive procedures such as laparotomy or mediastinotomy. What people with cancer should know: https://www.cancer.gov/coronavirus, Guidance for cancer researchers: https://www.cancer.gov/coronavirus-researchers, Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus. It updated and replaced the earlier Rye staging system 2 . The Ann Arbor staging system was the landmark lymphoma staging classification system for both Hodgkin lymphoma and non-Hodgkin lymphoma . This information should not be considered complete, up to date, and is not intended to be used in place of a visit, consultation, or advice of a legal, medical, or any other professional. Presently, both of these would be staged and recorded as IE, using the Ann Arbor staging system. It has roughly the same function as TNM staging in solid tumors. 2. Otherwise, liver biopsy, or other biopsies to determine distant metastases. Criteria for TNM Pathologic Staging: All of the clinical studies above, plus biopsy of accessible extranodal primary site(s). Definitions for TNM clinical staging and pathologic staging …