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{
"id" : "clin_t_gist_esophagus_47140",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin T GIST Esophagus",
"title" : "Clinical T",
"notes" : "**Note 1:** Assign 88 for in situ cases (behavior code /2). TNM does not include an in situ category for GIST esophagus tumors.\n\n**Note 2:** Ignore intraluminal extension to adjacent segment(s) of colon; code depth of invasion or extra-appendiceal spread as indicated.\n\n**Note 3:** Tumor size must be known to assign T. You may use a physician’s statement of the T category if this is the only information in the medical record.\n* If no size or category is specified, assign TX\n\n**Note 4:** Assign the appropriate T category based on the tumor size for the following descriptions\n\n Tumor confined to muscular wall\n Tumor invades through submucosa and muscularis mucosae to involve with mucosa\n\n Localized, NOS\n \n Adventitia and/or soft tissue invaded\n Esophagus described as fixed\n Invasion into adventitia with invasion of/through mucosa\n Invasion of adjacent structures\n\n**Cervical esophagus (C150)**\n \n Carina\n Carotid artery\n Cervical vertebra€\n Hypopharynx\n Jugular vein\n Larynx\n Thyroid gland \n Subclavian artery\n Trachea\n \n**Lower thoracic (abdominal) esophagus (C152, C155)**\n\n Diaphragm fixed\n\n**Upper thoracic esophagus (C151, C153)**\n\n Blood vessel(s), major:\n Aorta \n Azygos vein\n Pulmonary artery/vein \n Vena cava \n Diaphragm \n Main stem bronchus \n Trachea \n\n**Intrathoracic esophagus, upper (C153) or middle (C154)**\n\n Blood vessel(s), major: \n Aorta \n Gastric artery/vein\n Vena cava\n Pericardium",
"last_modified" : "2018-02-02T14:54:27.593Z",
"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 \n Tumor size (TS) unknown for T categories where TS needed to determine T\nPhysician assigns cTX, no other information available to determine T" ], [ "c0", "cT0", "No evidence of primary tumor", "" ], [ "c1", "cT1", "Tumor 2 cm or less in greatest dimension", "Stated as T1" ], [ "c2", "cT2", "Tumor more than 2 cm but not more than 5 cm in greatest dimension", "Stated as T2" ], [ "c3", "cT3", "Tumor more than 5 cm but not more than 10 cm in greatest dimension", "Stated as T3" ], [ "c4", "cT4", "Tumor more than 10 cm in greatest dimension", "Stated as T4" ], [ "88", "88", "Not applicable", "In situ case but no pTis is defined by TNM\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)" ] ]
}
