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{
"id" : "merkel_cell_scrotum_t_30089",
"algorithm" : "tnm",
"version" : "2.0",
"name" : "Path T Merkel Cell Scrotum",
"title" : "Pathologic T",
"notes" : "**Note 1:** In the case of multiple simultaneous tumors, code the tumor with the greatest extension.\n\n**Note 2:** Skin ulceration does not alter the T category.\n\n**Note 3:** In-transit metastasis is coded in regional lymph nodes.\n\n**Note 4:** Tumor size must be known to assign a value of T1, T2 or T3. You may use a physician’s statement of the T category if this is the only information in the medical record.\n* If the tumor appears to be in the T1, T2 or T3 categories, but no size or category is specified, assign TX\n\n**Note 5:** For the following descriptions, assign the appropriate T category (T1, T2 or T3) based on the tumor size.\n\n Adjacent connective tissue EXCLUDING deep fascia\n Lesion(s) confined to dermis\n Subcutaneous tissue (through entire dermis)\n\n Confined to scrotum\n Localized, NOS",
"last_modified" : "2018-05-14T21:29:04.437Z",
"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 \n Tumor size (TS) unknown for T categories where TS needed to determine T\nPhysician assigns pTX, no other information available to determine T" ], [ "p0", "pT0", "No evidence of primary tumor", "" ], [ "pIS", "pTis", "Carcinoma in situ", "Intraepidermal, intraepithelial, noninvasive\n\nStated as Tis" ], [ "p1", "pT1", "Tumor 2 cm or less in greatest dimension", "Stated as T1" ], [ "p2", "pT2", "Tumor more than 2 cm but not more than 5 cm in greatest\ndimension", "Stated as T2" ], [ "p3", "pT3", "Tumor more than 5 cm in greatest dimension", "Stated as T3" ], [ "p4", "pT4", "Tumor invades deep extradermal structures, \ni.e., cartilage, skeletal muscle, fascia, or bone", "Deep fascia, skeletal muscle\n\nAdjacent organs/structures\n Male genital organs:\n Epididymis\n Penis\n Prostate\n Spermatic cord\n Testis\n\nUnderlying cartilage, bone\n\nFurther contiguous extension\n Other organs and structures in male pelvis:\n Bladder\n Rectum\n Urethra\n\nStated as T4" ], [ "88", "88", "Not applicable", "Death 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)" ] ]
}
