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{
"id" : "path_m_hag",
"algorithm" : "tnm",
"version" : "2.0",
"name" : "Path M Rectum",
"title" : "Pathologic M",
"notes" : "**Distant lymph nodes**\n\n Common iliac\n External iliac\n Superior mesenteric\n\n**Distant lymph nodes for rectosigmoid (C199)**\n\n Hemorrhoidal, inferior\n Internal iliac (hypogastric), NOS\n Obturator\n Rectal, inferior\n\n**Distant lymph nodes for rectum (C209)**\n\n Left colic\n\n**Distant metastasis**\n\n Ovary(ies)\n\n**Distant metastasis for rectosigmoid (C199)** \n\n Skeletal muscles of pelvic floor\n Vagina\n\n**Distant metastasis for rectum (C209)**\n\n Cervix\n Perineum, perianal skin\n Sacrum\n Sacral plexus",
"last_modified" : "2018-05-14T21:29:02.691Z",
"definition" : [ {
"key" : "path_m",
"name" : "Pathologic M",
"type" : "INPUT"
}, {
"key" : "path_m_display",
"name" : "Pathologic M Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "c0", "cM0", "No distant metastasis", "Unknown; distant metastasis not stated\nDistant metastasis cannot be assessed\nNot documented in patient record" ], [ "c1", "cM1", "Distant metastasis", "CLINICAL assessment only:\nNote: M1 has subcategories of M1a and M1b. Assign M1 only when there is no information available to assign one of the subcategories\n\nDistant metastasis, NOS\n\nStated as M1 [NOS]" ], [ "c1A", "cM1a", "Metastasis confined to one organ (liver, lung, ovary, non-regional lymph nodes(s))", "CLINICAL assessment only:\nMetastasis limited to:\n Single distant lymph node chain\n Single distant organ except peritoneum\n\nDistant lymph nodes, NOS\n\nStated as M1a" ], [ "c1B", "cM1b", "Metastasis in more than one organ or the peritoneum", "CLINICAL assessment only:\nMetastasis to multiple distant lymph node chains, NOS\n\nCarcinomatosis\n\nDistant metastasis WITH distant lymph nodes\n\nDistant metastasis to more than one organ WITH or WITHOUT distant lymph nodes\n\nStated as M1b" ], [ "p1", "pM1", "Distant metastasis", "HISTOLOGICALLY confirmed:\nNote: M1 has subcategories of M1a and M1b. Assign M1 only when there is no information available to assign one of the subcategories\n\nDistant metastasis, NOS" ], [ "p1A", "pM1a", "Metastasis confined to one organ (liver, lung, ovary, non-regional lymph nodes(s))", "HISTOLOGICALLY confirmed:\nMetastasis limited to:\n Single distant lymph node chain\n Single distant organ except peritoneum\n\nDistant lymph nodes, NOS" ], [ "p1B", "pM1b", "Metastasis in more than one organ or the peritoneum", "HISTOLOGICALLY confirmed:\nMetastasis to multiple distant lymph node chains, NOS\n\nCarcinomatosis\n\nDistant metastasis WITH distant lymph nodes\n\nDistant metastasis to more than one organ WITH or WITHOUT distant lymph nodes" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Pathologic classification criteria not met \nNo pathologic workup for T and N categories and no pathologic evidence of metastasis \nOnly Pathologic Stage Group documented (no T, N, or M information available)" ] ]
}