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{
"id" : "clin_n_ddj",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin N Scrotum",
"title" : "Clinical N",
"notes" : "**Note 1:** Code only regional nodes and nodes, NOS, in this field. Distant nodes are coded in M (distant metastasis).\n\n**Note 2:** UICC only has a N2, while AJCC has N2a, N2b, and N2c. If a record comes in with N2a, N2b, or N2c, reassign it to N2. N2 and the subcategories of N2 all stage the same way.\n\n**Note 3:** Size of the largest metastasis in a lymph node must be known to assign N. You may use a physician’s statement of the N category if this is the only information in the medical record.\n* If the size of the metastasis is not documented, determine the size of the largest involved lymph node as documented clinically\n* If the size of the lymph node(s) cannot be determined, assign N1\n* Do not code the size of any node(s) assigned in M (distant metastasis)\n\n**Regional lymph nodes**\n\n Iliac, NOS\n External\n Internal (hypogastric), NOS\n Obturator\n Inguinal, NOS\n Deep inguinal, NOS\n Node of Cloquet or Rosenmuller (highest deep inguinal)\n Superficial inguinal (femoral)\n\n Regional lymph node, NOS\n Lymph nodes, NOS",
"footnotes" : "\\* For this schema, UICC has only the N2 subcategory. AJCC has subcategories N2a, N2b, or N2c.",
"last_modified" : "2018-02-02T14:54:19.452Z",
"definition" : [ {
"key" : "clin_n",
"name" : "Clinical N",
"type" : "INPUT"
}, {
"key" : "clin_n_display",
"name" : "Clinical N Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "cX", "cNX", "Regional lymph nodes cannot be assessed", "Clinical classification criteria met, evaluation done: \n Physician unable to assess N\n Regional lymph node involvement cannot be determined or findings inconclusive\nPhysician assigns cNX, no other information available to determine N" ], [ "c0", "cN0", "No regional lymph node metastasis", "" ], [ "c1", "cN1", "Metastasis in a single lymph node, 3 cm or less in greatest dimension", "IPSILATERAL positive regional lymph node(s), not stated if single or multiple\n\nPositive lymph nodes, not stated if ipsilateral, contralateral or bilateral\n\nStated as N1" ], [ "c2", "cN2", "Metastasis in a single lymph node, more than 3 cm but not more than 6 cm in greatest dimension, or in multiple lymph nodes, none more than 6 cm in greatest dimension*", "Multiple ipsilateral lymph nodes, NOS\nBilateral or contralateral lymph nodes, NOS\n\nStated as N2 (N2a, N2b, N2c, N2 [NOS])" ], [ "c3", "cN3", "Metastasis in a lymph node, more than 6 cm in greatest dimension", "Stated as N3" ], [ "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 record\nTumor first detected on surgical resection (no clinical workup)\nEvidence of metastatic disease [(cM1) or (pM1)], no other workup\nOnly Clinical Stage Group documented (no T, N, or M information available)" ] ]
}