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{
"id" : "clin_n_dak",
"algorithm" : "tnm",
"version" : "2.0",
"name" : "Clin N Stomach",
"title" : "Clinical N",
"notes" : "**Note 1:** Code only regional nodes and nodes, NOS, in this field. Distant nodes are coded in M (distant metastasis).\n\n**Note 2:** Assign N1 if regional lymph nodes are involved but there is no indication of the number of nodes involved.\n\n**Note 3:** Assign as regional node metastases when there are metastatic nodules in the fat adjacent to a gastric carcinoma WITHOUT evidence of residual lymph node tissue; assign as M (distant metastases) for nodules implanted on peritoneal surfaces.\n\n**Regional lymph nodes**\n\n Celiac\n Hepatic \n Hepatoduodenal (for lesser curvature) \n Left gastric (superior gastric), NOS\n Cardial\n Cardioesophageal\n Gastric, left\n Gastropancreatic, left\n Lesser curvature\n Lesser omental\n Paracardial\n Nodule(s) in perigastric fat \n Pancreaticosplenic (pancreaticolienal)\n Pancreaticoduodenal\n Perigastric, NOS\n Peripancreatic\n Right gastric (inferior gastric), NOS\n Gastrocolic\n Gastroduodenal\n Gastroepiploic (gastro-omental), right or NOS\n Gastrohepatic\n Greater curvature\n Greater omental\n Pyloric, NOS: infrapyloric, subpyloric, suprapyloric\n Splenic (lienal), NOS\n Gastroepiploic (gastro-omental), left\n Splenic hilar\n\n Regional lymph nodes, NOS\n Lymph nodes, NOS",
"last_modified" : "2018-05-14T21:29:01.141Z",
"definition" : [ {
"key" : "clin_n",
"name" : "Clinical N",
"type" : "INPUT"
}, {
"key" : "clin_n_display",
"name" : "Clinical N Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "cX", "cNX", "Regional lymph nodes cannot be assessed", "Clinical classification criteria met, evaluation done: \n Physician unable to assess N\n Regional lymph node involvement cannot be determined or findings inconclusive\nPhysician assigns cNX, no other information available to determine N" ], [ "c0", "cN0", "No regional lymph node metastasis", "" ], [ "c1", "cN1", "Metastasis in 1-2 regional lymph nodei", "Stated as N1" ], [ "c2", "cN2", "Metastasis in 3-6 regional lymph nodes", "Stated as N2" ], [ "c3", "cN3", "Metastasis in 7 or more regional lymph nodes", "Note: N3 has subcategories of N3a and N3b. Assign N3 only when there is no information available to assign one of the subcategories\n\nStated as N3 [NOS]" ], [ "c3A", "cN3a", "Metastasis in 7-15 regional lymph nodes", "Stated as N3a" ], [ "c3B", "cN3b", "Metastasis in 16 or more regional lymph nodes", "Stated as N3b" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\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 record\nTumor first detected on surgical resection (no clinical workup)\nEvidence of metastatic disease [(cM1) or (pM1)], no other workup\nOnly Clinical Stage Group documented (no T, N, or M information available)" ] ]
}
