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{
"id" : "clin_t_gist_small_intestine_3299",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin T GIST Small Intestine",
"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 small intestine tumors.\n\n**Note 2:** Give priority to coding depth of invasion or spread outside the small intestine for tumor with intraluminal or lateral extension to adjacent segment(s) of small intestine.\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 Invasion of polyp, NOS\n Tumor confined to muscular wall\n Tumor invades through submucosa and muscularis mucosae to involve mucosa\n Intraluminal spread to other segments of small intestine or cecum\n Invasion through muscularis propria or muscularis, NOS\n Extension through wall, NOS\n Subserosal tissue/(sub) serosal fat invaded\n Transmural, NOS\n\n Adjacent connective tissue\n Mesentery, including mesenteric fat\n Nonperitonealized perimuscular tissue \n Retroperitoneum \n Invasion of/through serosa (mesothelium) (tunica serosa) (visceral peritoneum)\n\n**Duodenum primaries (C170)**\n\n Ampulla of Vater\n Blood vessel(s), major\n Aorta\n Gastroduodenal artery\n Greater omentum\n Portal vein\n Renal vein\n Superior mesenteric artery or vein\n Vena cava\n Diaphragm\n Extrahepatic bile duct(s)\n Gallbladder\n Hepatic flexure\n Kidney (right or NOS)\n Liver (quadrate lobe, right lobe or NOS)\n Omentum\n Pancreas\n Pancreatic duct\n Stomach\n Transverse colon\n Ureter, right\n\n**Jejunum (C171) or Ileum (C172)** \n\n Bladder\n Colon, including appendix\n Fallopian tube(s)\n Ovary(ies)\n Uterus\n \n Confined to small intestine\n Localized, NOS",
"last_modified" : "2018-02-02T14:54:23.687Z",
"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)" ] ]
}
