stage IVb bladder cancer https://www.malacards.org/card/jewett_marshall_bladder_cancer Editor note: consider obsoleting or moving to stage Jewett-Marshall stage D2 urinary bladder cancer Jewett-Marshall stage D2 bladder cancer stage IVB urinary bladder carcinoma Jewett-Marshall stage D2 urinary bladder carcinoma NCIT:C9368 UMLS:C1336362 MONDO:0004182 DOID:7315 stage IVB bladder cancer MEDGEN:277737 stage IVB urinary bladder cancer Stage IV includes T4b, NO,MO/any T NI, MO/ any T N2 MO,/ any T N3 MO/ any T any N M1 : T4b: Tumor invades the pelvic wall, abdominal wall. N1: Metastasis in a single lymph node, 2 cm or less in greatest dimension. N2: Metastasis in a single lymph node, more than 2 cm but not more than 5 cm in greatest dimension; or multiple lymph nodes, none more than 5 cm in greatest dimension. N3: Metastasis in a lymph node more than 5 cm in greatest dimension. M1: Distant metastasis. urinary bladder carcinoma