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{
"id" : "nodes_dcn",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Nodes",
"title" : "CS Lymph Nodes",
"notes" : "**Note 1**: For head and neck schemas, this field includes all lymph nodes defined as Levels I-VII and Other by AJCC. The complete definitions are provided in the General Rules, Section 2. \n\n**Note 2**: For nasopharynx, unilateral and bilateral retropharyngeal nodes are mapped to N1, and nodes in the supraclavicular fossa are mapped to N3b. The supraclavicular fossa is defined by 3 points: the superior margin of the sterna end of the clavicle, the superior margin of the lateral end of the clavical, and the point where the neck meets the shoulder.\n\n**Note 3**: For head and neck schemas, additional information about lymph nodes (size of involved nodes, extracapsular extension, levels involved, and location of involved nodes above or below the lower border of the cricoid cartilage) is coded in CS Site-Specific Factors 1,3-9.\n\n**Note 4**: If laterality of lymph nodes is not specified, assume nodes are unilateral. Midline nodes are considered unilateral.\n\n**Note 5**: For head and neck cancers, if lymph nodes are described only as \"supraclavicular\", try to determine if they are in Level IV (deep to the sternocleidomastoid muscle, in the lower jugular chain) or Level V (in the posterior triangle, inferior to the transverse cervical artery) and code appropriately. If the specific level cannot be determined, consider them as Level V nodes.\n\n**Note 6**: The description of lymph nodes has been standardized across the head and neck schemas. All lymph node levels and groups listed here are considered regional nodes for AJCC staging. Summary Stage 1977 and Summary Stage 2000 divide these nodes into regional and distant groups.\n\n**Note 7**: Most codes from CS Version 1 have been made obsolete and new codes added, to support AJCC assignment of N values for nasopharynx, which differs from the pattern for other head and neck sites. Retropharyngeal nodes have been moved from code 120 in CS Version 1 to code 050. Spinal accessory nodes have been moved from code 750 to code 110. Lower deep cervical and transverse cervical nodes have been moved from code 750 to code 120. Mandibular nodes are included with Facial nodes.",
"footnotes" : "- For CS Lymph Nodes codes 050-070, 105, 115, 130, 180, 405, 415, 430, 505, 515, and 530-620 ONLY, the N category for AJCC 7 staging is assigned based on the value of CS Site-Specific Factor 1, Size of Lymph Nodes, as shown in the Lymph Nodes Size CSv2 Table for this schema. \n- For CS Lymph Nodes codes 050-070, 105, 115, 130, 180, 405, 415, 430, 505, 515, and 530-620 ONLY, the N category for AJCC 6 staging is assigned based on the value of CS Site-Specific Factor 1, Size of Lymph Nodes, as shown in the Lymph Nodes Size CSv2 Table for this schema.\n- For OBSOLETE CS Lymph Nodes codes 100, 110, 120, 200, 210, 220, 300, 310, 320, 400, 410, 420, 500, 510, and 520 ONLY, the N category for AJCC 6 staging for cases collected in CSv1 is assigned based on the value of CS Site-Specific Factor 1, Size of Lymph Nodes, as shown in the Lymph Nodes Size AJCC 6 CSv1 Tablefor this schema.",
"last_modified" : "2015-05-27T16:19:34.762Z",
"definition" : [ {
"key" : "nodes",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "ajcc7_n",
"name" : "AJCC 7 N",
"type" : "ENDPOINT"
}, {
"key" : "ajcc6_n",
"name" : "TNM 6 N",
"type" : "ENDPOINT"
}, {
"key" : "n77",
"name" : "Summary Stage 1977 N",
"type" : "ENDPOINT"
}, {
"key" : "n2000",
"name" : "Summary Stage 2000 N",
"type" : "ENDPOINT"
} ],
"rows" : [ [ "000", "No regional lymph node involvement", "VALUE:N0", "VALUE:N0", "VALUE:NONE", "VALUE:NONE" ], [ "050", "Unilateral positive regional node(s):\n Retropharyngeal", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:RN", "VALUE:RN" ], [ "060", "Bilateral positive nodes:\n Retropharyngeal", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:RN", "VALUE:RN" ], [ "070", "Positive nodes, not stated if unilateral or bilateral:\n Retropharyngeal", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:RN", "VALUE:RN" ], [ "100", "OBSOLETE DATA RETAINED V0200\n\nSingle positive ipsilateral regional node:\n Level II node\n Jugulodigastric (subdigastric)\n Upper deep cervical\n Upper jugular\n Level III node\n Middle deep cervical\n Mid jugular\n Level IV node\n Lower deep cervical\n Lower jugular\n Retropharyngeal\n Cervical, NOS\n Deep cervical, NOS\n Internal jugular, NOS\n Mandibular\n Regional lymph node, NOS", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:RN", "VALUE:RN" ], [ "105", "Unilateral positive regional node(s):\n Level II - Upper jugular:\n Jugulodigastric (subdigastric)\n Upper deep cervical \n Level IIA - Anterior\n Level IIB - Posterior\n Cervical, NOS\n Deep cervical, NOS\n Internal jugular, NOS \n Regional lymph node, NOS", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:RN", "VALUE:RN" ], [ "110", "OBSOLETE DATA RETAINED V0200\n\nSingle positive ipsilateral regional node:\n Level I node\n Submandibular (submaxillary)\n Submental ", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:D", "VALUE:RN" ], [ "115", "Unilateral positive regional node(s):\n Level I: \n Level IA - Submental\n Level IB - Submandibular (submaxillary), sublingual\n Level V:\n Level VA - Spinal accessory", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:D", "VALUE:RN" ], [ "120", "OBSOLETE DATA RETAINED V0200\n\nSingle positive ipsilateral regional node:\n Level V node\n Posterior cervical\n Posterior triangle (spinal accessory and transverse cervical) (upper, middle, and lower corresponding to the levels that define upper, middle, and lower jugular nodes)\n Level VI node\n Anterior deep cervical\n Laterotracheal\n Paralaryngeal\n Paratracheal\n Prelaryngeal\n Pretracheal\n Recurrent laryngeal\n Level VII node\n Upper mediastinum (for other mediastinal nodes see CS Mets at DX)\n Other groups\n Intraparotid\n Parapharyngeal\n Periparotid\n Retropharyngeal\n Sub-occipital\n Supraclavicular fossa", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:D", "VALUE:D" ], [ "130", "Unilateral positive regional node(s):\n Level III - Middle jugular:\n Middle deep cervical \n Level VI - Anterior compartment group:\n Laterotracheal\n Paralaryngeal\n Paratracheal - above suprasternal notch\n Perithyroidal\n Precricoid (Delphian) \n Prelaryngeal\n Pretracheal - above suprasternal notch\n Recurrent laryngeal\n Other groups:\n Facial:\n Buccinator (buccal)\n Mandibular\n Nasolabial\n Parotid:\n Infraauricular\n Intraparotid\n Periparotid\n Preauricular\n Parapharyngeal\n Retroauricular (mastoid) \n Suboccipital", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:D", "VALUE:D" ], [ "180", "Stated as N1 with no other information on regional lymph nodes", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:RN", "VALUE:RN" ], [ "200", "OBSOLETE DATA RETAINED V0200\n\nMultiple positive ipsilateral nodes listed in code 100", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:RN", "VALUE:RN" ], [ "210", "OBSOLETE DATA RETAINED V0200\n\nMultiple positive ipsilateral nodes listed in code 110", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:D", "VALUE:RN" ], [ "220", "OBSOLETE DATA RETAINED V0200\n\nMultiple positive ipsilateral nodes listed in code 120", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:D", "VALUE:D" ], [ "300", "OBSOLETE DATA RETAINED V0200\n\nRegional lymph nodes as listed in code 100:\nPositive ipsilateral node(s), not stated if single or multiple", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:RN", "VALUE:RN" ], [ "310", "OBSOLETE DATA RETAINED V0200\n\nRegional lymph nodes listed in code 110:\nPositive ipsilateral node(s), not stated if single or multiple", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:D", "VALUE:RN" ], [ "320", "OBSOLETE DATA RETAINED V0200\n\nRegional lymph nodes listed in code 120:\nPositive ipsilateral node(s), not stated if single or multiple", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:D", "VALUE:D" ], [ "400", "OBSOLETE DATA RETAINED V0200\n\nRegional lymph nodes as listed in code 100:\nPositive bilateral or contralateral nodes", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:RN", "VALUE:RN" ], [ "405", "\nPositive bilateral nodes listed in code 105", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:RN", "VALUE:RN" ], [ "410", "OBSOLETE DATA RETAINED V0200\n\nRegional lymph nodes as listed in code 110:\nPositive bilateral or contralateral nodes", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:D", "VALUE:RN" ], [ "415", "Positive bilateral nodes, any listed in code 115\nWITH or WITHOUT nodes listed in code 105", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:D", "VALUE:RN" ], [ "420", "OBSOLETE DATA RETAINED V0200\n\nRegional lymph nodes as listed in code 120:\nPositive bilateral or contralateral nodes", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:D", "VALUE:D" ], [ "430", "Positive bilateral nodes, any listed in code 130\nWITH or WITHOUT nodes listed in code 105 or 115", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:D", "VALUE:D" ], [ "500", "OBSOLETE DATA RETAINED V0200\n\nRegional lymph nodes as listed in code 100:\nPositive node(s), not stated if ipsilateral, or bilateral, or contralateral,\nAND not stated if single or multiple", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:RN", "VALUE:RN" ], [ "505", "Positive nodes listed in code 105, not stated if unilateral, or bilateral", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:RN", "VALUE:RN" ], [ "510", "OBSOLETE DATA RETAINED V0200\n\nRegional lymph nodes as listed in code 11:\nPositive node(s), not stated if ipsilateral, or bilateral, or contralateral, \nAND not stated if single or multiple", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:D", "VALUE:RN" ], [ "515", "Positive nodes listed in code 115, not stated if unilateral, or bilatera", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:D", "VALUE:RN" ], [ "520", "OBSOLETE DATA RETAINED V0200\n\nRegional lymph nodes as listed in code 12:\nPositive node(s), not stated if ipsilateral or bilateral, or contralateral, \nAND not stated if single or multiple", "ERROR:", "JUMP:lymph_nodes_size_ajcc6_table_csv1_xex", "VALUE:D", "VALUE:D" ], [ "530", "Positive nodes listed in code 130, not stated if unilateral or bilateral", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:D", "VALUE:D" ], [ "600", "Stated as N2 with no other information on regional lymph nodes", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:RN", "VALUE:RN" ], [ "620", "Stated as N3a with no other information on regional lymph nodes", "JUMP:lymph_nodes_size_table_csv2_xcp", "JUMP:lymph_nodes_size_table_csv2_xcp", "VALUE:RN", "VALUE:RN" ], [ "650", "Unilateral or bilateral positive regional node(s):\n Level IV - Lower jugular:\n Jugulo-omohyoid (supraomohyoid) \n Lower deep cervical\n Virchow node\n Level VB - Transverse cervical, supraclavicular (see Note 4)\n Level VII - Superior mediastinal group (for other mediastinal nodes see CS Mets at DX):\n Esophageal groove\n Paratracheal - below suprasternal notch\n Pretracheal - below suprasternal notch\n\nStated as N3b with no other information on regional lymph nodes", "VALUE:N3b", "VALUE:N3b", "VALUE:D", "VALUE:D" ], [ "700", "Stated as N3 [NOS] with no other information on regional lymph nodes", "VALUE:N3NOS", "VALUE:N3NOS", "VALUE:RN", "VALUE:RN" ], [ "750", "OBSOLETE DATA RETAINED V0200\n\nRegional lymph nodes in the supraclavicular fossa:\nInferior deep cervical (scalene)\nSpinal accessory (posterior cervical)\nSupraclavicular (transverse cervical) (See Note 4)", "ERROR:", "VALUE:N3b", "VALUE:D", "VALUE:D" ], [ "800", "Lymph nodes, NOS, no other information", "VALUE:N1", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "999", "Unknown; regional lymph nodes not stated\nRegional lymph node(s) cannot be assessed\nNot documented in patient record", "VALUE:NX", "VALUE:NX", "VALUE:U", "VALUE:U" ] ]
}
