algorithms.tnm.2.0.tables.melanoma_larynx_glottic_t_65946.json Maven / Gradle / Ivy

{
  "id" : "melanoma_larynx_glottic_t_65946",
  "algorithm" : "tnm",
  "version" : "2.0",
  "name" : "Path T Melanoma Larynx Glottic",
  "title" : "Pathologic T",
  "notes" : "**Note 1:** Assign 88 for in situ cases (behavior code /2). TNM does not include an in situ category for mucosal melanoma tumors.\n\n**Note 2:**  Mucosal melanomas are aggressive tumors, therefore, T1 and T2 are omitted, as are Stages I and II. \n\n**Note 3:**  Assign T3 for localized tumor when no other information is available or for extension involving the mucosa only of adjacent sites.\n\n**Note 4:**  Assign T4a or T4b for extension involving the deeper tissues of the primary or adjacent sites.",
  "footnotes" : "\\* T4 [NOS] is not defined by UICC in the 7th edition. Approval has been provided by UICC to use \"Tumor invades bone, nerve or extrinsic deep muscles\" as T4 [NOS].\n\\# TX, T0 and T4 [NOS] are not defined in AJCC 7th edition.",
  "last_modified" : "2018-05-14T21:29:04.597Z",
  "definition" : [ {
    "key" : "path_t",
    "name" : "Pathologic T",
    "type" : "INPUT"
  }, {
    "key" : "path_t_display",
    "name" : "Pathologic T Display",
    "type" : "DESCRIPTION"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  }, {
    "key" : "notes",
    "name" : "Registrar Notes",
    "type" : "DESCRIPTION"
  } ],
  "rows" : [ [ "pX", "pTX", "Primary tumor cannot be assessed#", "Pathologic classification criteria met, evaluation done: \n    Physician unable to assess T\n    Surgical resection of primary tumor, extension not stated \nPhysician assigns pTX, no other information available to determine T" ], [ "p0", "pT0", "No evidence of primary tumor#", "" ], [ "p3", "pT3", "Tumor limited to the epithelium and/or submucosa (mucosal disease)", "Tumor extension involving mucosa of: \n    Base of tongue\n    Glottis, NOS\n    Hypopharynx\n    Intrinsic larynx\n    Laryngeal commissure(s), anterior, posterior\n    Pre-epiglottic tissues\n    Postcricoid area\n    Pyriform sinus\n    Subglottis\n    Supraglottis:\n       Aryepiglottic fold\n       Arytenoid cartilage:\n             Corniculate tubercle\n             Cuneiform tubercle\n       Ventricular bands (false vocal cord(s))\n    Vallecula\n    Vocal cord(s), NOS, true vocal cord(s), true cord(s) WITH normal vocal cord mobility    \n\nLocalized, NOS\n\nStated as T3" ], [ "p4", "pT4", "Not defined by UICC*#", "Note: T4 has subcategories of T4a and T4b. Assign T4 only when there is no information available to assign one of the subcategories\n\nTumor invades bone, nerve or extrinsic deep muscles\n\nStated as T4[NOS]" ], [ "p4A", "pT4a", "Tumor invades: \n     Deep soft tissue\n     Cartilage\n     Bone\n     Overlying skin", "Involvement of deep tissues of any structures in T3\nInvolvement of any structures in T3 WITH impaired vocal cord mobility\nInvolvement of deep tissue or musculature of structures in T3 WITH or WITHOUT vocal impairment or fixation of larynx or NOS\nMinor thyroid cartilage erosion (inner cortex)\nParaglottic space\nSoft tissue, NOS\n\nExtension to/through:\n    Cricoid cartilage\n    Thyroid cartilage except minor erosion\nExtension to/through tissues beyond larynx:\n    Oropharynx\n    Skin\n    Soft tissue of neck\n    Strap muscles:\n        Omohyoid\n        Sternohyoid\n        Sternothyroid\n        Thyrohyoid\n    Thyroid gland\n    Trachea\n\nCervical esophagus\nDeep extrinsic muscle(s) of tongue\n\nStated as T4a" ], [ "p4B", "pT4b", "Tumor invades any of the following:\n    Brain\n    Dura\n    Skull base\n    Lower cranial nerves (IX, X, XI, XII)\n    Masticator space\n    Carotid artery\n    Prevertebral space\n    Mediastinal structures", "Contiguous extension, including:\n    Carotid artery (encased)\n    Mediastinal structures\n   \nStated as T4b" ], [ "88", "88", "Not applicable", "In situ case but no pTis is defined by TNM\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Pathologic classification criteria not met \nPathologic classification criteria met, evaluation done: \n    Results not documented in patient record \n    No surgical resection of  known primary tumor (not T0) \n    Resection insufficient for site-specific pathologic assessment\nNo surgical resection of primary tumor and there isn’t a positive biopsy of a structure in the highest T category and highest N category\nEvidence of metastatic disease (pM1), no other workup\nOnly Pathologic Stage Group documented (no T, N, or M information available)" ] ]
}