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Table 1 PNM system for classification of human alveolar echinococcosis [3]

From: Computed tomography angiography of liver alveococcosis: a case report

P

Hepatic localization of the primary lesion

 

PX

Primary lesion cannot be assessed

 

P0

No detectable liver lesion

 

P1

Peripheral lesions without proximal vascular and/or biliary involvement

 

P2

Central lesions with proximal vascular and/or biliary involvement of one lobea

 

P3

Central lesions with hilar vascular and biliary involvement of both lobes and/or with involvement of two hepatic veins

 

P4

Any lesion with extension along the portal vein, inferior vena cava, or hepatic arteries and the biliary tree

N

Extra hepatic involvement of neighboring organs or tissuesb

 

NX

Cannot be evaluated

 

N0

No regional involvement

 

N1

Regional involvement of contiguous organs or tissues

M

Absence or presence of distant metastasesc

 

MX

Not completely evaluated

 

M0

No metastasis

 

M1

Metastasis present

  1. aFor PNM classification, the plane projecting between the bed of the gallbladder and the inferior vena cava divides the liver in two lobes
  2. bNeighboring organs and tissues include the diaphragm, lungs, pleura, pericardium, heart, gastric and duodenal wall, adrenal glands, peritoneum, retroperitoneum, parietal wall (muscles, skin, bone), pancreas, regional lymph nodes, hepatic ligaments, and kidney
  3. cDistant metastasis locations include the lungs, distant lymph nodes, spleen, kidney, central nervous system, orbits, bone, skin, muscle, distant peritoneum, and retroperitoneum