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  • Stage IV includes: IVA: (T4, Any N, M0) and IVB: (Any T, Any N, M1). T4: Tumor invades mucosa of the bladder or rectum and/or extends beyond the true pelvis (bullous edema is not sufficient evidence to classify tumor as T4). M0: No distant metastasis. M1: Distant metastasis. (AJCC 6th and 7th eds.)
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