Table 1

Conjunctival melanoma: the eighth edition of the American Joint Committee on Cancer (AJCC) staging manual

Definition of primary tumour (T)
Clinical tumour (cT)Pathological tumour (pT)
cT categorycT criteriapT categorypT criteria
TXPrimary tumour cannot be assessedTXPrimary tumour cannot be assessed
T0No evidence of primary tumourT0No evidence of primary tumour
TisMelanoma confined to conjunctival epithelium
T1Tumour of the bulbar conjunctiva
T1a<1 quadrantT1aTumour of the bulbar conjunctiva with invasion of the substantia propria, not more than 2.0 mm in thickness
T1b≥1 to <2 quadrants
T1c≥2 to <3 quadrantsT1bTumour of the bulbar conjunctiva with invasion of the substantia propria, more than 2.0 mm in thickness
T1d≥3 quadrants
T2Tumour of the non-bulbar (forniceal, palpebral, tarsal) conjunctiva and tumour involving the caruncle
T2aNoncaruncular, and ≤1 quadrant of the non-bulbar conjunctiva involvedT2aTumour of the non-bulbar conjunctiva involved with invasion of the substantia propria, not more than 2.0 mm in thickness
T2bNoncaruncular, and >1 quadrant of the non-bulbar conjunctiva involved
T2cCaruncular, and ≤1 quadrant of the non-bulbar conjunctiva involvedT2bTumour of the non-bulbar conjunctiva with invasion of the substantia propria, more than 2.0 mm in thickness
T2dCaruncular, and >1 quadrant of the non-bulbar conjunctiva involved
T3Tumour of any size with local invasion
T3aGlobeT3aGlobe
T3bEyelidT3bEyelid
T3cOrbitT3cOrbit
T3dNasolacrimal duct and/or lacrimal sac and/or paranasal sinusesT3dNasolacrimal duct and/or lacrimal sac and/or paranasal sinuses
T4Tumour of any size with invasion of the central nervous systemT4Tumour of any size with invasion of the central nervous system
  • em dash, not calculable.