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{
"id" : "nodes_daj",
"algorithm" : "eod_public",
"version" : "1.0",
"name" : "EOD Regional Nodes",
"title" : "EOD Regional Nodes",
"notes" : "**Note 1:** Code only regional nodes and nodes, NOS, in this field. Distant nodes are coded in EOD Mets.\n\n**Note 2:** If the pathology report indicates that nodes are positive but size of the metastases is not stated, assume the metastases are greater than 0.2 mm and code the lymph nodes as positive in this field.\n\n**Note 3:** If regional nodes are removed and there is no mention of the level or another specific type, assume these are Level I-II and code appropriately.\n\n**Note 4:** Codes 030, 050, and 070 are for nodes that are pathologically negative. \n* Code 030: Negative nodes pathologically with positive ITCs OR positive ITCs AND positive RT-PCR\n* Code 050: Negative nodes pathologically with positive RT-PCR, negative ITCs\n* Code 070: Negative nodes pathologically, unknown if ITCs or RT-PCR\n\n\n**Note 5:** Code 800 if regional lymph nodes are involved but there is no indication of the number of nodes involved.\n\n**Note 6:** **Regional lymph nodes include**\n\n Axillary (ipsilateral), NOS\n Level I (low-axilla) (low) (superficial), NOS [adjacent to tail of breast]\n Anterior (pectoral)\n Intramammary\n Lateral (brachial)\n Posterior (subscapular)\n Level II (mid-axilla) (central), NOS\n Interpectoral (Rotter’s)\n Level III (high) (deep), NOS\n Apical (subclavian)\n Axillary vein\n Infraclavicular (subclavicular)\nInternal mammary (ipsilateral)\nSupraclavicular (transverse cervical) (ipsilateral)",
"footnotes" : "(1) Fritz AG, Ries LAG (eds). **SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998)**, National Cancer Institute, NIH Pub. No. 98-2313, Bethesda, MD, 1998\n\n(2) Young JL Jr, Roffers SD, Ries LAG, Fritz AG, Hurlbut AA (eds.). **SEER Summary Staging Manual-2000: Codes and Coding Instructions**, National Cancer Institute, NIH Pub. No. 01-4969, Bethesda, MD, 2001.\n\n(3) Collaborative Stage Work Group of the American Joint Committee on Cancer. **Collaborative Stage Data Collection System User Documentation and Coding Instructions, version 02.05**. American Joint Committee on Cancer (Chicago, IL)\n\n(4) Gress, D.M., Edge, S.B., Gershenwald, J.E., et al. **Principles of Cancer Staging**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 3-30\n\n(5) Hortobagyi, G.N., Giuliano, A., et al. **Breast**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 589-628",
"last_modified" : "2018-03-12T16:39:57.598Z",
"definition" : [ {
"key" : "eod_regional_nodes",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "eod_2018_n",
"name" : "EOD 2018 N",
"type" : "ENDPOINT"
}, {
"key" : "ss2018_n",
"name" : "SS2018 N",
"type" : "ENDPOINT"
}, {
"key" : "stage_table_for_n",
"name" : "Stage Group Table",
"type" : "ENDPOINT"
} ],
"rows" : [ [ "000", "No clinical regional lymph node involvement", "VALUE:N0", "VALUE:NONE", "VALUE:c" ], [ "030", "PATHOLOGICAL assessment only\n\nITCs only (malignant cell clusters no larger than 0.2 mm) in regional lymph node(s)", "VALUE:N0(i+)", "VALUE:NONE", "VALUE:p" ], [ "050", "PATHOLOGICAL assessment only\n\nPositive molecular findings by reverse transcriptase polymerase chain reaction (RT-PCR) , no ITCs detected", "VALUE:N0(mol+)", "VALUE:NONE", "VALUE:p" ], [ "070", "No regional lymph node involvement pathologically \n(lymph nodes removed and pathologically negative)\nWITHOUT ITCs or ITC testing unknown", "VALUE:N0", "VALUE:NONE", "VALUE:c" ], [ "100", "Micrometastasis, less than or equal to 2mm\nAxillary (level I and II) lymph node(s), ipsilateral \nDetected by IHC or H&E (At least one micrometastasis greater than 0.2 mm or more than 200 cells \n\nMicrometastasis, NOS", "VALUE:N1mi", "VALUE:RN", "VALUE:p" ], [ "150", "CLINICAL assessment only\n\nClinically positive movable axillary (level I and II) lymph node(s), ipsilateral\nPositive needle core biopsy/FNA", "VALUE:N1", "VALUE:RN", "VALUE:c" ], [ "200", "PATHOLOGICAL assessment only\n\nPositive axillary (level I and II) lymph node(s), ipsilateral \nWITH more than micrometastasis \n(At least one metastasis greater than 2 mm, or size of metastasis not stated) \n\nWITHOUT internal mammary lymph node(s) or not stated", "JUMP:num_pos_aln_with_regional_nodes_for_ajcc_n_30002", "VALUE:RN", "VALUE:p" ], [ "250", "PATHOLOGICAL assessment only\n\nInternal mammary node(s), ipsilateral, positive on sentinel node biopsy but not clinically apparent\n(No positive imaging or clinical exam)\nWITHOUT axillary lymph node(s), ipsilateral", "VALUE:N1b", "VALUE:RN", "VALUE:p" ], [ "300", "PATHOLOGICAL assessment only\n\nInternal mammary node(s), ipsilateral, positive on sentinel node biopsy but not clinically apparent \n(No positive imaging or clinical exam)\nWITH axillary lymph node(s), ipsilateral", "JUMP:num_pos_aln_with_regional_nodes_for_ajcc_n_30002", "VALUE:RN", "VALUE:p" ], [ "350", "CLINICAL assessment only\n\nFixed/matted ipsilateral axillary (level I and II)", "VALUE:N2a", "VALUE:RN", "VALUE:c" ], [ "400", "CLINICAL assessment only\n\nInternal mammary node(s), ipsilateral\nWITHOUT axillary (level I and II) lymph node(s), ipsilateral", "VALUE:N2b", "VALUE:RN", "VALUE:c" ], [ "500", "Infraclavicular lymph node(s) (subclavicular) (level III axillary node(s)) (apical), ipsilateral\nWITH or WITHOUT axillary (level I and II) nodes(s)\nWITHOUT internal mammary node", "VALUE:N3a", "VALUE:RN", "VALUE:c" ], [ "600", "Internal mammary node(s), ipsilateral, clinically apparent \n(On imaging or clinical exam)\nWITH axillary (level I, II, or III) lymph node(s), ipsilateral including infraclavicular", "VALUE:N3b", "VALUE:RN", "VALUE:c" ], [ "700", "Supraclavicular node(s), ipsilateral", "VALUE:N3c", "VALUE:D", "VALUE:c" ], [ "800", "Regional lymph node(s), NOS\nLymph node(s), NOS", "VALUE:N1", "VALUE:RN", "VALUE:c" ], [ "999", "Unknown; regional lymph node(s) not stated\nRegional lymph node(s) cannot be assessed\nNot documented in patient record\n\nDeath Certificate Only", "VALUE:NX", "VALUE:U", "VALUE:c" ] ]
}
