Lung Cancer Canada

Types and Stages of Lung Cancer

The stage of lung cancer indicates how large the tumour is, its location within the lung, if it has invaded nearby tissues, and if it has spread to other parts of the body. Staging informs your treatment plan. It also provides valuable information about the likely progression and outcome of the disease (your prognosis).

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Lung Cancer Staging

The stage of lung cancer indicates how large the tumour is, its location within the lung, if it has invaded nearby tissues, and if it has spread to other parts of the body. Staging informs your treatment plan. It also provides valuable information about the likely progression and outcome of the disease (your prognosis).

Non-small cell lung cancer stages (NSCLC)

The most widely used system for staging non-small cell lung cancer is the TNM staging system. In this system:

  • T describes the size of the tumour (T)
  • N indicates whether the cancer has spread to the lymph nodes (N) and to what extent
  • M indicates whether the cancer has spread or metastasized (M) to other organs

Based on the tumour characteristics (size, spread to lymph nodes, and metastasis), each tumour is assigned a TNM score, which determines its stage.

Non-small cell lung cancer is categorized into five stages, from stage 0 to stage 4. Stages 1-4 are often written using Roman numerals: I, II, III, and IV. A higher stage number means the cancer is more advanced or has spread more extensively.

Small cell lung cancer stages (SCLC)

For treatment purposes, doctors categorize small cell lung cancer into two main stages:

  • Limited-stage small cell lung cancer: In this stage, the tumour is typically present in only one lung and may also be found in the lymph nodes in the chest and those near the collarbones. 
  • Extensive-stage small cell lung cancer: In this stage, the cancer has spread to both lungs, distant lymph nodes, and other organs.
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