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{
"id" : "clin_m_hpd",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin M Head & Neck Melanoma",
"title" : "Clinical M",
"notes" : "**Note:** Supraclavicular and transverse cervical lymph nodes are coded in regional lymph nodes because they are categorized as N rather than M in TNM.",
"last_modified" : "2018-02-02T14:54:24.349Z",
"definition" : [ {
"key" : "clin_m",
"name" : "Clinical M",
"type" : "INPUT"
}, {
"key" : "clin_m_display",
"name" : "Clinical M Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "c0", "cM0", "No distant metastasis", "Unknown, metastasis not stated\nDistant metastasis cannot be assessed \nNot documented in patient record" ], [ "c1", "cM1", "Distant metastasis", "CLINICAL assessment only:\nDistant lymph node(s):\n Mediastinal (excluding superior mediastinal nodes)\n\nDistant lymph node(s), NOS\n\nCarcinomatosis\nDistant metastasis WITH or WITHOUT distant lymph nodes\n\nDistant metastasis, NOS\n\nStated as M1" ], [ "p1", "pM1", "Distant metastasis", "HISTOLOGICALLY confirmed:\nDistant lymph node(s):\n Mediastinal (excluding superior mediastinal nodes)\n\nDistant lymph node(s), NOS\n\nCarcinomatosis\nDistant metastasis WITH or WITHOUT distant lymph nodes\n\nDistant metastasis, NOS" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined \nIn 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 patient record\nClinical evaluation of T and N not done, no evidence metastatic disease\nTumor first detected on surgical resection (no clinical workup)\nOnly Clinical Stage Group documented (no T, N, or M information available)" ] ]
}