Masaoka-Koga staging

Oncology, staging and radiology

Also known as: Masaoka-Koga-Klassifikation (Thymom) · Masaoka-Koga evrelemesi · Masaoka-Koga staging of thymoma and thymic carcinoma

What it is for

Surgical-pathological staging of thymic epithelial tumours (thymoma and thymic carcinoma) based on invasion through the tumour capsule into surrounding structures and on metastasis.

Classification

CategoryDescription
Stage Igrossly and microscopically completely encapsulated tumour.
Stage IIamicroscopic transcapsular invasion.
Stage IIbmacroscopic invasion into thymic or surrounding fatty tissue, or grossly adherent to but not breaking through the mediastinal pleura or pericardium.
Stage IIImacroscopic invasion into a neighbouring organ (pericardium, great vessels or lung).
Stage IVapleural or pericardial metastases (dissemination).
Stage IVblymphogenous or haematogenous metastasis.

Source

The Masaoka-Koga stage classification for thymic malignancies: clarification and definition of terms

ITMIG · J Thorac Oncol 2011;6(7 Suppl 3):S1710–S1716 (Detterbeck FC et al.)

DOI: 10.1097/JTO.0b013e31821e8cff

PMID: 21847052

Edition
Masaoka 1981, Koga modification 1994, terms defined by ITMIG 2011; the formal TNM classification for thymic tumours (UICC/AJCC 8th and 9th edition) now exists alongside it
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