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In tumours of the breast, how do we classify invasion of lymphatic vessels in paranodal fatty tissue of the axilla with and without involvement of the axillary lymph nodes?

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In tumours of the breast, how do we classify invasion of lymphatic vessels in paranodal fatty tissue of the axilla with and without involvement of the axillary lymph nodes?

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Invasion of lymphatic vessels in the axilla is not considered in the TNM classification of breast tumours. The optional L (lymphatic) classification (TNM 6th ed., p. 14) can be used to describe lymphatic vessel involvement.

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