Dukes classification

(dldbomacks) a system of staging colorectal tumors based on evaluation of the depth of invasion of the carcinoma and the presence or absence of metastasis. The four stages are: A, confined to the mucosa and submucosa; B, invasion through the muscularis without lymph node involvement; C, invasion through the muscularis with regional node metastasis; and D, tumor metastasis to distant sites.

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