Stage IVA: Cancer has spread to the bladder and/or bowel wall.

Stage IVA: Cancer may have spread through the colon wall and may have spread to nearby organs or lymph nodes.

Stage IVA: tumor invasion of bladder and/or bowel mucosa Stage IVB: distant metastases, including intra-abdominal and/or inguinal lymph nodes.

T4 (Stage IVA).

Stage IVA: Cancer has spread to nearby or distant lymph nodes.

Stage IVA: Spread of the tumor onto adjacent pelvic organs.

Stage IVA (moderately advanced with or without lymph node metastases [for T4a] but without distant metastases).

Stage IVA: Cancer has spread to the bladder or rectal wall and may have spread to lymph nodes in the pelvis.

Stage IVA: Most of the skin is reddened and any amount of the skin surface is covered with patches, plaques, or tumors.

Stage IVA: tumor invasion of bladder and/or bowel mucosa.