The META Scholar Volume 7 | Page 17

in situ”. In stage I, cancer has formed in the mucosa of the colon wall and has spread to the sub-mucosa layer of tissue under the mucosa. Cancer may have spread to the muscle layer of the colon wall. Stage II colon cancer is divided into stage IIA, stage IIB, and stage IIC. During stage IIA cancer has spread through the muscle layer of the colon wall to the serosa outermost layer of the colon wall. In stage IIB the cancer has spread through the serosa of the colon wall but has not spread to nearby organs Stage IIC: Cancer has spread through the serosa of the colon wall to nearby organs. Stage III colorectal cancer is divided into stage IIIA, stage IIIB, and stage IIIC. In stage IIIA the cancer may have spread through the mucosa of the colon and rectal wall to the sub-mucosa and may have spread to the muscle layer of the colon or rectal wall. The cancer has spread to at least one but not more than three nearby lymph nodes, or cancer cells have formed in tissues near the lymph node or has spread through the mucosa of the colon wall to the sub-mucosa. Cancer has spread to at least four nearby lymph nodes. In stage IIIB cancer has spread through the muscle layer of the colon wall to the serosa. In stage IIIC cancer has spread through the serosa of the colon or rectal wall but has not spread to nearby organs. During stage IV colorectal cancer is divided into stage IVA and stage IVB. In stage IVA cancer may have spread through the colon or rectal wall and may have spread to nearby organs or lymph nodes. In stage IVB the cancer may have spread through the colon or rectal wall and may have spread to nearby organs or lymph nodes. Also, cancer has spread to more than one organ that is not near the colon and rectum or into the lining of the abdominal wall.