Table 5. Definition of Distant Metastasis (M)a

M CategoryM Criteria
M0No clinical or radiographic evidence of distant metastases.b
cM0(i+)No clinical or radiographic evidence of distant metastases in the presence of tumor cells or deposits ≤0.2 mm detected microscopically or by molecular techniques in circulating blood, bone marrow, or other nonregional nodal tissue in a patient without symptoms or signs of metastases.
cM1Distant metastases detected by clinical and radiographic means.
pM1Any histologically proven metastases in distant organs; or if in nonregional nodes, metastases >0.2 mm.

aReprinted with permission from AJCC: Breast, revised version. In: Amin MB, Edge SB, Greene FL, et al., eds.: AJCC Cancer Staging Manual. 8th ed. New York, NY: Springer, 2017, pp. 4–96.

bNote that imaging studies are not required to assign the cM0 category.

From: Breast Cancer Treatment (Adult) (PDQ®)

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PDQ Cancer Information Summaries [Internet].
Bethesda (MD): National Cancer Institute (US); 2002-.

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