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Mererid Evans
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Aug 23, 2026
Episode 25: Ymyl Dwfn TNM9 with Professor Mererid Evans
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7:16
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B
6:54BenHOST
And so was there a particular precipitant for that?

Mererid EvansGUEST
But I think clearly, and I have a vested interest, that the Remix TNM9 is even better.

Mererid EvansGUEST
So the issues that have come to light over time, you know, since 2017, when we began to implement TNM8, are that there's stage imbalance in So most patients, you know, pre-TNM8 had stage four disease, and then the vast majority of them jumped up to stage one disease.

Mererid EvansGUEST
And so when we see patients in our clinic, most of them have stage one disease, you know, over 60% clinical stage one, over 80% pathological stage one.

Mererid EvansGUEST
And when everybody is grouped in together, then that staging system is not very discriminatory.
22 MINS LATER
W
30:16WillHOST
Actually, we think depth of invasion in tongue cancer is worth changing the T stage for as we, and I know we're getting stepping aside from the oropharynx, but I suppose it's where that comes from.