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{
"id" : "clin_n_day",
"algorithm" : "tnm",
"version" : "2.0",
"name" : "Clin N Ovary",
"title" : "Clinical N",
"notes" : "**Note 1:** When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and regional lymph node detail are available, use the regional lymph node detail in preference to a statement of FIGO stage - see Registrar notes.\n* If the only information is FIGO III [NOS] or IIIC, assign the appropriate stage and leave clinical T, N, and M blank. If the only information is FIGO stage IV, leave T and N blank and see M\n\n**Note 2:** Regional nodes include bilateral and contralateral named nodes. \n\n**Note 3:** If the clinician says \"adnexa palpated\" but does not mention lymph nodes, assume lymph nodes are clinically negative (cN0).\n\n**Regional lymph nodes**\n\n Aortic\n Lateral (lumbar)\n Para-aortic\n Periaortic\n Iliac\n Common iliac\n External iliac\n Internal iliac (hypogastric):\n Obturator \n Inguinal\n Intra-abdominal\n Pelvic\n Subdiaphragmatic\n \n Retroperitoneal, NOS",
"last_modified" : "2018-05-14T21:29:00.924Z",
"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 determine or findings inconclusive\nPhysician assigns cNX, no other information available to determine N" ], [ "c0", "cN0", "No regional lymph node metastasis", "Only information available is FIGO Stage I [NOS], IA, IB, IC, II [NOS], IIA, IIB, IIC, IIIA, IIIB" ], [ "c1", "cN1", "Regional lymph node metastasis", "Regional lymph nodes, NOS\nLymph nodes, NOS\n\nStated as N1" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\nIn situ case but no pTis is defined by TNM\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Only information available is FIGO Stage III [NOS], IIIC, or IV\n\nClinical 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" ] ]
}