Difference Between Staging and Grading

The size of a tumor and how far it has migrated from its origin are described by the cancer stage. The malignant cells’ appearance is described by the grade.

Staging vs Grading 

The main difference between staging and grading is that staging is the process by which doctors assess cancer depending on the size of tumors and whether the cancer has migrated to other places of the body. Grading is a categorization system based on how much differentiation cancer cells have gone through. 

Staging vs Grading

Staging is the procedure by which doctors analyze cancer to identify the size of a tumor as well as the location of cancer in the body.

Grading is a system for describing the degree of abnormalities in malignant tumor cells. It can be used to predict the rate at which cancer will spread.

Comparison Table Between Staging and Grading 

Parameters of comparison Staging Grading 
Definition Staging is a classification method used by doctors to assess the size of a malignant tumor and the extent of cancer spread in the body. Grading is a grading method that assesses the number of abnormalities present in malignant cells. 
Name of the categories TNM system is used where T stand for Tumor, N for lymph nodes and M for metastasis. Categories have the letter G and a letter or x. 
Meanings of the categories T denotes the primary tumor. N indicates whether or not the malignancy has spread to neighboring lymph nodes. M indicates whether or not the cancer has metastasized to other regions of the body. G1 tumors are the most differentiated and normal-looking, while G4 tumors are undifferentiated and abnormal-looking. 
Main focus Focuses on the tumors. Focuses on the cells. 
Microscopic features It doesn’t focus on the microscopic features. Deals with the appearance of cells at the microscopic level. 

What is Staging? 

The term “stage” refers to the degree of your cancer, such as the size of the tumor and whether or not it has spread. Even if a cancer worsens or spreads, it is always referred to by the stage it was assigned at diagnosis.   

There are numerous staging systems available. Some, like the TNM staging method, are used for a variety of cancers.

TNM is the most often utilized cancer staging system. 

  •  This indicates that the cancer has gone beyond the initial tumor and into other regions of the body. 

M0 implies that there is no metastasis, but M1 indicates that there is metastasis.  

What is Grading? 

Grading is a system for describing the degree of abnormality in cancerous tumor cells. It can be used to predict the rate at which cancer will spread. 

This suggests that the tumor cells are better structured and resemble normal tissue. Tumor cells of high grade or grade III are poorly differentiated.

The pathologist can analyze individual cancer cells and describe them as poorly or highly differentiated, or as not differentiated at all.  

Main Differences Between Staging and Grading 

  1. Staging mainly focuses on the tumors and grading emphasizes the cells of the tumor. 
  2. Grading focuses on the microscopic details of the tumor unlike staging. 


Staging refers to the assessment of the size of the tumor and its metastasis and grading refers to microscopic details and how it differs from normal, regular cells. 


  1. https://link.springer.com/article/10.1245/s10434-010-0985-
  2. https://bjui-journals.onlinelibrary.wiley.com/doi/abs/10.1046/j.1464-410x.2000.00356.x

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