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{
"id" : "clin_m_haz",
"algorithm" : "tnm",
"version" : "2.0",
"name" : "Clin M Mycosis Fungoides",
"title" : "Clinical M",
"notes" : "**Note 1:** For this schema, code all lymph node (regional and distant) involvement in regional lymph nodes (N). Only visceral and bone marrow involvement are coded in M (distant metastasis). \n* Peripheral blood involvement is coded in **Site-Specific Factor 1, Peripheral Blood Involvement**\n\n**Note 2:** Visceral involvement is metastatic and needs to be questioned in the absence of node or blood involvement.\n\n**Note 3:** For visceral disease (Stage IVB), documentation of involvement by only one organ outside the skin, nodes, or blood is needed.\n\n**Note 4:** Visceral involvement must be pathologically confirmed, except for the liver and spleen, which may be documented with only imaging.",
"last_modified" : "2018-05-14T21:29:01.362Z",
"definition" : [ {
"key" : "clin_m",
"name" : "Clinical M",
"type" : "INPUT"
}, {
"key" : "clin_m_display",
"name" : "Clinical M Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "c0", "cM0", "No visceral organ involvement", "Clinical confirmation only of visceral (non-cutaneous, extra nodal) involvement \n\nCarcinomatosis, unknown if clinical or pathologic confirmation\n\nUnknown; distant metastasis not stated\nDistant metastasis cannot be assessed\nNot documented in patient record" ], [ "c1", "cM1", "Visceral organ involvement (must have pathology confirmation)", "CLINICAL assessment only:\nImaging confirmation of liver and/or spleen metastasis \nInvolvement of Bone marrow\n\nVisceral (non-cutaneous, extranodal) involvement, pathologically confirmed:\n Involvement by at least one organ outside the skin, nodes, blood, or bone marrow\n\nDistant metastasis, NOS\n\nStated as M1" ], [ "p1", "pM1", "Visceral organ involvement (must have pathology confirmation)", "HISTOLOGICALLY confirmed:\nImaging confirmation of liver and/or spleen metastasis \nInvolvement of Bone marrow\n\nVisceral (non-cutaneous, extranodal) involvement, pathologically confirmed:\n Involvement by at least one organ outside the skin, nodes, blood, or bone marrow\n\nDistant metastasis, NOS" ], [ "88", "88", "Not applicable", "In situ case but no pTis is defined by EORTC\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Clinical classification criteria not met \nClinical classification criteria met, evaluation done:\n No information about diagnostic workup\n Results not documented in patient record\nClinical evaluation of T and N not done, no evidence metastatic disease\nTumor first detected on surgical resection (no clinical workup)\nOnly Clinical Stage Group documented (no T, N, or M information available)" ] ]
}
