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{
"id" : "mets_hab",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Mets",
"title" : "CS Mets at DX",
"notes" : "**Note 1**: Most pleural and pericardial effusions with lung cancer are due to tumor. In a few patients, however, multiple cytopathologic examinations of pleural and/or pericardial fluid are negative for tumor, and the fluid is nonbloody and is not an exudate. Where these elements and clinical judgment dictate that the effusion is not related to the tumor, the effusion should be excluded as a staging element and the tumor should be classified as M0.\n\n**Note 2**: For contralateral (different lung) pleural effusion, use code 16 instead of code 40. For bilateral (same and different lung) pleural effusion, use code 17 instead of code 40.",
"footnotes" : "- For CS Mets at DX codes 00 and 99, the M category for AJCC 7 staging is assigned based on the value of CS Tumor Size as shown in the Size Mets at DX AJCC 7 Table for this schema.\n- For all CS Met at Dx codes, the M category for AJCC 6 staging is assigned based on the values of CS Tumor Size, CS Extension, CS Mets at DX, and CS Site Specific Factor 1, as shown in the Size Extension Mets SSF1 AJCC 6 Tables for this schema.",
"last_modified" : "2015-05-27T16:19:27.467Z",
"definition" : [ {
"key" : "mets",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "ajcc7_m",
"name" : "AJCC 7 M",
"type" : "ENDPOINT"
}, {
"key" : "ajcc6_m",
"name" : "AJCC 6 M",
"type" : "ENDPOINT"
}, {
"key" : "m77",
"name" : "Summary Stage 1977 M",
"type" : "ENDPOINT"
}, {
"key" : "m2000",
"name" : "Summary Stage 2000 M",
"type" : "ENDPOINT"
} ],
"rows" : [ [ "00", "No distant metastasis", "JUMP:size_metsat_dxajcc7_m_xkb", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:NONE", "VALUE:NONE" ], [ "10", "OBSOLETE DATA CONVERTED V0200\nSee code 30\n\nDistant lymph node(s), including cervical nodes", "ERROR:", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "ERROR:", "ERROR:" ], [ "15", "Malignant pleural effusion, ipsilateral or same lung", "VALUE:M1a", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "16", "Malignant pleural effusion, contralateral or other lung", "VALUE:M1a", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "17", "Malignant pleural effusion, ipsilateral and contralateral lungs (Bilateral pleural effusion)", "VALUE:M1a", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "18", "Malignant pleural effusion, unknown if ipsilateral or contralateral lung", "VALUE:M1a", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "20", "Malignant pericardial effusion", "VALUE:M1a", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "21", "20 + (16 or 17)\n\nMalignant pericardial effusion plus contralateral or bilateral pleural effusion", "VALUE:M1a", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "23", "Extension to: \n Contralateral lung \n Contralateral main stem bronchus \nSeparate tumor nodule(s) in contralateral lung\nPleural tumor foci or nodules on contralateral lung", "VALUE:M1a", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "24", "Pleural tumor foci or nodules on the ipsilateral lung separate from direct invasion", "VALUE:M1a", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "25", "23 + any of (15, 16, 17, 18, 20, 21, 24)\n\nExtension to contralateral lung plus pleural or pericardial effusion or separate pleural tumor foci", "VALUE:M1a", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "26", "Stated as M1a with no other information on distant metastasis", "VALUE:M1a", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "30", "Distant lymph node(s), including cervical nodes", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "32", "30 + any of (15, 16, 17, 18, 20, 21)\n\nDistant lymph nodes plus pleural or pericardial effusion", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "33", "30 + 24\n\nDistant lymph nodes plus pleural tumor foci", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "35", "OBSOLETE DATA RETAINED V0200 \nSeparate tumor nodules reclassified in AJCC 7th Edition, coded in CS Site-Specific Factor 1 \n\nSeparate tumor nodule(s) in different lobe, same lung", "ERROR:", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:L", "VALUE:D" ], [ "36", "30 + 23\n\nDistant lymph nodes plus extension to contralateral lung", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "37", "Extension to:\n Skeletal muscle\n Sternum\n Skin of chest", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "38", "37 + 23\n\nExtension in code 37 plus extension to contralateral lung", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "39", "OBSOLETE DATA CONVERTED V0200\nSee code 23\n\nExtension to:\n Contralateral lung\n Contralateral main stem bronchus \nSeparate tumor nodule(s) in contralateral lung", "ERROR:", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "ERROR:", "ERROR:" ], [ "40", "Abdominal organs\nDistant metastasis, except distant lymph node(s) and extension specified in codes 23 and 37, including: \n Separate lesion in chest wall or diaphragm\n Distant metastasis, NOS\n Carcinomatosis", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "41", "40+ 23 \n\nDistant mets plus extension to contralateral lung ", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "42", "(37 or 40) + any of (15, 16, 17, 18, 20, 21)\n\nDistant metastasis plus pleural or pericardial effusion", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "43", "(37 or 40) + 24\n\nDistant metastasis plus pleural tumor foci", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "50", "OBSOLETE DATA RETAINED V0200\n\nDistant metastases + Distant node(s)\n(10) + any of (35 to 40)", "ERROR:", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "51", "(37 or 40) + 30\n\nDistant metastasis plus distant lymph node(s)", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "52", "51 + any of (15, 16, 17, 18, 20, 21)\n\nDistant metastasis plus distant lymph nodes plus pleural or pericardial effusion", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "53", "51 + 24\n\nDistant metastases plus distant lymph nodes plus pleural tumor foci", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "70", "Stated as M1b with no other information on distant metastasis", "VALUE:M1b", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "75", "Stated as M1 [NOS] with no other information on distant metastasis", "VALUE:M1NOS", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:D", "VALUE:D" ], [ "99", "Unknown; distant metastasis not stated\nDistant metastasis cannot be assessed\nNot documented in patient record", "JUMP:size_metsat_dxajcc7_m_xkb", "JUMP:determine_correct_table_for_ajcc6_tm_ns47", "VALUE:U", "VALUE:U" ] ]
}