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{
"id" : "palate_soft_t_48973",
"algorithm" : "tnm",
"version" : "2.0",
"name" : "Clin T Palate Soft",
"title" : "Clinical T",
"notes" : "**Note 1:** 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 2:** Assign the appropriate T category (T1, T2, T3) based on the tumor size for the following descriptions\n\n Invasive tumor on one side confined to\n Lamina propria\n Submucosa\n Buccal mucosa (inner cheek)\n Gum (gingiva), upper\n Lateral pharyngeal wall\n Musculature invaded\n Tonsillar pillars and fossae\n Tonsils\n Tumor crosses midline\n\n Confined to soft palate\n Localized, NOS",
"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\\# T4 [NOS] is not defined in AJCC 7th edition.",
"last_modified" : "2018-05-14T21:29:01.487Z",
"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 \n Tumor size (TS) unknown for T categories where TS needed to determine T\nPhysician assigns cTX, no other information available to determine T" ], [ "c0", "cT0", "No evidence of primary tumor", "" ], [ "pIS", "pTis", "Carcinoma in situ", "In situ, intraepithelial, noninvasive\n\nStated as Tis" ], [ "c1", "cT1", "Tumor 2 cm or less in greatest dimension", "Stated as T1" ], [ "c2", "cT2", "Tumor more than 2 cm but not more than 4 cm in greatest dimension", "Stated as T2" ], [ "c3", "cT3", "Tumor more than 4 cm in greatest dimension OR \nextension to lingual surface of epiglottis", "Stated as T3" ], [ "c4", "cT4", "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]" ], [ "c4A", "cT4a", "Tumor invades any of the following:\n Larynx\n Deep/extrinsic muscle of tongue, which are: \n Genioglossus\n Hyoglossus\n Palatoglossus \n Styloglossus\n Medial pterygoid\n Hard palate\n Mandible", "Hypopharynx\nMandible\nMaxilla \nNasal cavity\nPalatine bone (bone of hard palate)\nPterygoid muscle, medial or NOS\nTongue\n\nStated as T4a" ], [ "c4B", "cT4b", "Tumor invades any of the following:\n Lateral pterygoid muscle\n Pterygoid plates\n Lateral nasopharynx\n Skull base\n Encases carotid artery", "Maxillary sinus (antrum) \nNasopharynx, lateral or NOS\nPterygoid muscle, lateral\nPterygoid plates\n\nFurther contiguous extension including:\n Skull base\n\nStated as T4b" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\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\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\nOnly Clinical Stage Group documented (no T, N, or M information available)" ] ]
}
