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|IVb | |IVb | ||
|lymphatic or hematogenous spread | |lymphatic or hematogenous spread ‡ | ||
|} | |} | ||
Note: | |||
*‡ The International Thymic Malignancy Interest Group (ITMIG) notes that is ''must'' have spread to distant organs.<ref name=itmig>URL: [https://www.itmig.org/node/9 https://www.itmig.org/node/9]. Accessed on: May 13, 2016.</ref> This implies that lymphovascular invasion within the tumour itself is ''not'' sufficient for calling stage IVb. | |||
===Modified Masaoka as per Masaoka ''et al.'' (1999)=== | ===Modified Masaoka as per Masaoka ''et al.'' (1999)=== |
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