The nurse is caring for a client with T1N0MX cancer. What is the nurse's understanding of the client's cancer staging? Select all that apply.

A) The client has no regional lymph node spread.
B) The client has carcinoma in situ.
C) The client's primary tumor cannot be evaluated.
D) The client has innumerable distant metastases.
E) The client has not been evaluated for distant metastases.


A) The client has no regional lymph node spread.
E) The client has not been evaluated for distant metastases.

Explanation: A) N0 indicates no regional lymph node involvement.
B) Carcinoma in situ is designated as Tis.
C) According to the AJCC Cancer Staging Manual, T1-4 determines the size and/or extent of the primary tumor. A primary tumor that cannot be evaluated is designated as TX.
D) MX indicates that evaluation for distant metastasis has not occurred.
E) MX indicates that evaluation for distant metastasis has not occurred.

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