Table 3

Paris staging system (TNMB) for primary gastrointestinal tract lymphomas (80)

Stage of diseaseTraits of stage
TxLymphoma extent unspecified
 T0No evidence of lymphoma
 T1Lymphoma confined to the mucosa/submucosa
  T1mLymphoma confined to the mucosa
  T1smLymphoma confined to the submucosa
 T2Lymphoma infiltrates muscularis propria or subserosa
 T3Lymphoma penetrates serosa without invading adjacent structures
 T4Lymphoma infiltrates adjacent structures or organs
NxNodal involvement not assessed
 N0No evidence of lymph node involvement
 N1Involvement of regional lymph nodes (for GL: perigastric nodes, as well as those located along the splenic, the common hepatic and the left gastric arteries)
 N2Involvement of intra-abdominal lymph nodes beyond the regional area
 N3Involvement of extra-abdominal nodes
MxDissemination not assessed
 M0No evidence of extranodal dissemination
 M1Noncontinuous involvement of separate sites in the GI tract (i.e., stomach and rectum)
 M2Noncontinuous involvement of other tissues or organs
BxInvolvement of bone marrow not assessed
 B0No evidence of bone marrow involvement
 B1Lymphomatous infiltration of the bone marrow
  • GI = gastrointestinal; GL = gastric lymphoma.