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{
"id" : "clin_t_fallopian_tube_77615",
"algorithm" : "tnm",
"version" : "2.0",
"name" : "Clin T Fallopian Tube",
"title" : "Clinical T",
"notes" : "**Note 1:** When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and extension information on the primary tumor are available, use the extension information to assign the T 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:** FIGO does not include an in situ category for tumors of the fallopian tube, but TNM does. Assign pTis (behavior code /2) for in situ cases.\n\n**Note 3:** Liver capsule metastasis is T3/Stage III, liver parenchymal metastasis, M1/Stage IV. \n\n**Note 4:** Both extension to and discontinuous metastasis to any of the following pelvic organs are assigned as FIGO Stage II and coded in T2a or T2b.\n * Adnexa, NOS; bladder, bladder serosa; broad ligament (mesovarium); cul de sac; contralateral fallopian tube; parametrium; pelvic peritoneum; pelvic wall; rectum; sigmoid colon; sigmoid mesentery; ureter; uterus; uterine serosa\n\n**Note 5:** Both extension to and discontinuous metastasis to any of the following abdominal organs are classified as FIGO Stage III and coded in T3. \n* Abdominal mesentery; diaphragm; gallbladder; infracolic omentum; kidneys; large intestine except rectum and sigmoid colon; liver (peritoneal surface); omentum; pancreas; pericolic gutter; peritoneum, NOS; small intestine; spleen; stomach; ureters",
"last_modified" : "2018-05-14T21:29:03.212Z",
"definition" : [ {
"key" : "clin_t",
"name" : "Clinical T",
"type" : "INPUT"
}, {
"key" : "clin_t_display",
"name" : "Clinical T Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "cX", "cTX", "Primary tumor cannot be assessed", "Clinical classification criteria met, evaluation done:\n Physician unable to assess T\n Extension cannot be determined OR\n Physician assigns cTX, no other information available to determine T" ], [ "c0", "cT0", "No evidence of primary tumor", "" ], [ "pIS", "pTis", "Carcinoma in situ (preinvasive carcinoma)", "In situ, intraepithelial, noninvasive\nLimited to tubal mucosa\n\nStated as Tis" ], [ "c1", "cT1", "Tumor confined to fallopian tube(s)", "Note: T1 has subcategories of T1a, T1b and T1c. Assign T1 only when there is no information available to assign one of the subcategories\n\nConfined to fallopian tube, NOS\nLocalized, NOS\n\nFIGO Stage I [NOS]\n\nStated as T1" ], [ "c1A", "cT1a", "Tumor limited to one tube \nWITHOUT penetrating the serosal surface", "Confined to one fallopian tube \nWITHOUT penetrating serosal surface\nWITHOUT ascites\n\nFIGO Stage IA\n\nStated as T1a" ], [ "c1B", "cT1b", "Tumor limited to both tubes \nWITHOUT penetrating the serosal surface", "Confined to both fallopian tubes \nWITHOUT penetrating serosal surface\nWITHOUT ascites\n\nFIGO Stage IB\n\nStated as T1b" ], [ "c1C", "cT1c", "Tumor limited to one or both tube(s)\nWITH extension onto or through the tubal serosa, OR \nWITH malignant cells in ascites or peritoneal washings", "Extension onto or through tubal serosa\nMalignant ascites\nMalignant peritoneal washings\n\nFIGO Stage IC\n\nStated as T1c" ], [ "c2", "cT2", "Tumor involves one or both fallopian tube(s) with pelvic extension", "Note: T2 has subcategories of T2a, T2b and T2c. Assign T2 only when there is no information available to assign one of the subcategories\n\nPelvic extension, NOS with no malignant cells in ascites or peritoneal washings\n\nFIGO Stage II [NOS]\n\nStated as T2 [NOS]" ], [ "c2A", "cT2a", "Extension and/or metastasis to uterus and/or ovaries", "Extension or metastasis to:\n Corpus uteri\n Ovary, ipsilateral or contralateral\n Uterus, NOS\nWITHOUT malignant cells in ascites or peritoneal washings\n\nFIGO Stage IIA\n\nStated as T2a" ], [ "c2B", "cT2b", "Extension to other pelvic structures", "Extension or metastasis to:\n Adjacent peritoneum\n Broad ligament, ipsilateral or contralateral\n Cul de sac (rectouterine pouch)\n Mesosalpinx, ipsilateral or contralateral\n Rectosigmoid\n Sigmoid\nWITHOUT malignant cells in ascites or peritoneal washings\n\nFIGO Stage IIB\n\nStated as T2b" ], [ "c2C", "cT2c", "Pelvic extension (2a or 2b) \nWITH malignant cells in ascites or peritoneal washings", "FIGO Stage IIC\n\nStated as T2c" ], [ "c3", "cT3", "Tumor involves one or both fallopian tube(s) \nWITH peritoneal implants outside the pelvis and/or positive regional lymph nodes", "Note: T3 has subcategories of T3a, T3b and T3c. Assign T3 only when there is no information available to assign one of the subcategories\n\nPeritoneal implants or metastasis outside the pelvis, size of metastasis not stated, unknown if microscopic or macroscopic:\n Omentum\n Small intestine\n\nFurther contiguous extension\n\nStated as T3 [NOS]" ], [ "c3A", "cT3a", "Microscopic peritoneal metastasis outside the pelvis", "Microscopic peritoneal implants or metastasis:\n Omentum\n Small intestine\n\nFIGO Stage IIIA\n\nStated as T3a" ], [ "c3B", "cT3b", "Macroscopic peritoneal metastasis outside the pelvis, 2 cm or less in greatest dimension", "FIGO Stage IIIB \n\nStated as T3b" ], [ "c3C", "cT3c", "Peritoneal metastasis, more than 2 cm in greatest dimension AND/OR \nPositive regional lymph nodes", "Stated as T3c" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Only information is FIGO Stage III [NOS], IIIC or IV\n\nClinical classification not met\nClinical classification criteria met, evaluation done:\n No information about diagnostic workup\n Results not documented in record\nClinical evaluation of primary tumor not done or unknown if done\nTumor first detected on surgical resection (no clinical workup)\nEvidence of metastatic disease [(cM1) or (pM1)], no other workup" ] ]
}
