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{
"id" : "clin_t_gallbladder_13172",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin T Gallbladder",
"title" : "Clinical T",
"notes" : "**Note:** Ignore extension from gallbladder to cystic duct. Ignore extension to extrahepatic bile ducts or ampulla of Vater (T3) when other structures in T4 are involved.",
"last_modified" : "2018-02-02T14:54:20.705Z",
"definition" : [ {
"key" : "clin_t",
"name" : "Clinical T",
"type" : "INPUT"
}, {
"key" : "clin_t_display",
"name" : "Clinical T Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "cX", "cTX", "Primary tumor cannot be assessed", "Clinical classification criteria met, evaluation done: \n Physician unable to assess T \n Extension cannot be determined\nPhysician assigns cTX, no other information available to determine T" ], [ "c0", "cT0", "No evidence of primary tumor", "" ], [ "pIS", "pTis", "Carcinoma in situ", "Intraepithelial, noninvasive\n\nStated as Tis" ], [ "c1", "cT1", "Tumor invades lamina propria or muscular layer", "Note: T1 has subcategories of T1a and T1b. Assign T1 only when there is no information available to assign one of the subcategories\n\nConfined to gallbladder, NOS\nLocalized, NOS\n\nStated as T1 [NOS]" ], [ "c1A", "cT1a", "Tumor invades lamina propria", "Invasive tumor confined to:\n Lamina propria\n Mucosa, NOS\n Submucosa (superficial invasion)\n\nStated as T1a" ], [ "c1B", "cT1b", "Tumor invades muscular layer", "Muscularis propria\n\nStated as T1b" ], [ "c2", "cT2", "Tumor invades perimuscular connective tissue; no extension beyond serosa or into liver", "Perimuscular connective tissue\n\nStated as T2" ], [ "c3", "cT3", "Tumor perforates the serosa (visceral peritoneum) and/or directly invades the liver and/or one other adjacent organ or structure, such as: \n Stomach\n Duodenum\n Colon\n Pancreas\n Omentum\n Extrahepatic bile ducts", "Invasion of/through serosa (visceral peritoneum)\n\nExtension to: \n Abdominal wall\n Ampulla of Vater\n Branch(es) of hepatic artery (right or left) but not into main portal vein or hepatic artery\n Branch(es) of portal vein (right or left)\n Cystic artery vein\n Diaphragm\n Small intestine\n\nExtension into:\n Liver \n\nStated as T3" ], [ "c4", "cT4", "Tumor invades main portal vein or hepatic artery or invades two or more extrahepatic organs or structures", "Extension to:\n Common hepatic artery\n Main portal vein\n Hepatic artery, NOS\n Portal vein, NOS\n\nFurther contiguous extension\n\nStated as T4" ], [ "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\nClinical evaluation of primary tumor not done or unknown if done\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)" ] ]
}