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{
"id" : "clin_m_hbb",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin M",
"title" : "Clinical M",
"notes" : "**Note:** Involvement of inguinal, pelvic, or external iliac lymph nodes **WITH** previous scrotal or inguinal surgery prior to presentation of the testis tumor is coded in N (regional lymph nodes) and not in M (distant metastasis).\n\n**Distant lymph nodes WITHOUT previous scrotal or inguinal surgery or UNKNOWN if previous scrotal or inguinal surgery**\n\n External iliac \n Inguinal nodes, NOS\n Deep, NOS\n Node of Cloquet or Rosenmuller (highest deep inguinal)\n Superficial (femoral) \n Pelvic, NOS",
"last_modified" : "2018-02-02T14:54:20.065Z",
"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; 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", "Non-regional lymph node(s) or lung metastasis", "CLINICAL assessment only:\nDistant lymph node(s), NOS\n\nDistant metastasis to lung\n\nStated as M1a" ], [ "c1B", "cM1b", "Distant metastasis other than non-regional lymph nodes and lung", "CLINICAL assessment only:\nCarcinomatosis\n\nDistant metastasis to other distant sites WITH or WITHOUT metastasis to lung\n and/or distant lymph node(s)\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", "Non-regional lymph node(s) or lung metastasis", "HISTOLOGICALLY confirmed:\nDistant lymph node(s), NOS\n\nDistant metastasis to lung" ], [ "p1B", "pM1b", "Distant metastasis other than non-regional lymph nodes and lung", "HISTOLOGICALLY confirmed:\nCarcinomatosis\n\nDistant metastasis to other distant sites WITH or WITHOUT metastasis to lung\n and/or distant lymph node(s)" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\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)" ] ]
}