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  • Stage IV includes: (T4, Any N, M0); (Any T, N3, M0); (Any T, Any N, M1). T4: Tumor invades other adjacent structures. cN3: Palpable fixed inguinal nodal mass or pelvic lymphadenopathy unilateral or bilateral. pN3: Extranodal extension of lymph node metastasis or pelvic lymph node(s) unilateral or bilateral. M0: No distant metastasis. M1: Distant metastasis (lymph node metastasis outside of the true pelvis in addition to visceral or bone sites). (AJCC 7th ed.)
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