algorithms.tnm.2.0.tables.clinical_n_head_neck_melanoma_66648.json Maven / Gradle / Ivy

{
  "id" : "clinical_n_head_neck_melanoma_66648",
  "algorithm" : "tnm",
  "version" : "2.0",
  "name" : "Clinical N Head & Neck Melanoma",
  "title" : "Clinical N",
  "notes" : "**Note 1:**  If laterality of lymph nodes is not specified, assume nodes are ipsilateral.  \n* Midline nodes are assigned as ipsilateral\n\n**Note 2:** The description of lymph nodes has been standardized across the head and neck schemas.  All lymph node levels and groups listed here are assigned as regional nodes for TNM staging.\n\n**Level I**\n \n    Level IA - Submental\n    Level IB - Submandibular (submaxillary), sublingual\n**Level II - Upper jugular** \n\n    Jugulodigastric (subdigastric)\n    Upper deep cervical        \n    Level IIA - Anterior\n    Level IIB - Posterior    \n**Level III - Middle jugular**\n\n    Middle deep cervical\n**Level IV - Lower jugular**\n\n    Jugulo-omohyoid (supraomohyoid)\n    Lower deep cervical        \n    Virchow node\n**Level V - Posterior triangle group**\n\n    Posterior cervical\n    Level VA - Spinal accessory        \n    Level VB - Transverse cervical, supraclavicular \n**Level VI - Anterior compartment group**\n\n    Laterotracheal\n    Paralaryngeal\n    Paratracheal - above suprasternal notch\n    Perithyroidal\n    Precricoid (Delphian)\n    Prelaryngeal\n    Pretracheal - above suprasternal notch\n    Recurrent laryngeal\n**Level VII - Superior mediastinal group (for other mediastinal nodes see M [distant metastasis])**\n\n    Esophageal groove\n    Paratracheal - below suprasternal notch\n    Pretracheal - below suprasternal notch    \n**Other groups**\n\n    Cervical, NOS\n    Deep cervical, NOS\n    Facial\n       Buccinator (buccal)\n       Mandibular\n       Nasolabial\n    Internal jugular, NOS\n    Parapharyngeal \n    Parotid\n       Infraauricular\n       Intraparotid\n       Periparotid\n       Preauricular\n    Retroauricular (mastoid)\n    Retropharyngeal\n    Suboccipital\n\n    Regional lymph nodes, NOS\n    Lymph nodes, NOS\n   \n**Note 3:**  For head and neck schemas, additional information about lymph nodes (size of involved nodes, extracapsular extension, levels involved, and location of involved nodes above or below the lower border of the cricoid cartilage) is coded in **Site-Specific Factors 1, 3-9**.\n\n**Note 4:**  For head and neck cancers, if lymph nodes are described only as \"supraclavicular\", try to determine if they are in Level IV (deep to the sternocleidomastoid muscle, in the lower jugular chain) or Level V (in the posterior triangle, inferior to the transverse cervical artery) and code appropriately.  \n* If the specific level cannot be determined, assign them as Level V nodes",
  "last_modified" : "2018-05-14T21:29:04.238Z",
  "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 nodes metastasis", "" ], [ "c1", "cN1", "Regional lymph node metastasis", "Regional lymph nodes, NOS\nLymph nodes, NOS\n\nStated as N1" ], [ "88", "88", "Not applicable", "In situ case but no pTis is defined by TNM\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)" ] ]
}