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{
"id" : "clin_t_melanoma_epiglottis_anterior_87665",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin T Melanoma Epiglottis Anterior",
"title" : "Clinical T",
"notes" : "**Note 1:** Assign 88 for in situ cases (behavior code /2). TNM does not include an in situ category for mucosal melanoma tumors.\n\n**Note 2:** Mucosal melanomas are aggressive tumors, therefore, T1 and T2 are omitted, as are Stages I and II. \n\n**Note 3:** Assign T3 for localized tumor when no other information is available or for extension involving the mucosa only of adjacent sites.\n\n**Note 4:** Assign T4a or T4b for extension involving the deeper tissues of the primary or adjacent sites.",
"footnotes" : "\\* T4 [NOS] is not defined by UICC in the 7th edition. Approval has been provided by UICC to use \"Tumor invades bone, nerve or extrinsic deep muscles\" as T4 [NOS].\n\\# TX, T0 and T4 [NOS] are not defined in AJCC 7th edition.",
"last_modified" : "2018-02-02T14:54:22.862Z",
"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#", "" ], [ "c3", "cT3", "Tumor limited to the epithelium and/or submucosa (mucosal disease)", "Tumor extension involving mucosa of: \n Adjacent subsite(s) of oropharynx\n Adjacent subsite(s) of supraglottis (including posterior surface of epiglottis) WITHOUT fixation of larynx\n Anterior surface of epiglottis with normal vocal cord mobility\n Base of tongue WITHOUT fixation of larynx\n Larynx, glottis or NOS WITHOUT fixation of larynx\n Pyriform sinus, medial wall or NOS WITHOUT fixation of larynx\n Vallecula WITHOUT fixation of larynx \n\nBuccal mucosa\nMucosa of floor of mouth\nMucosa of gum (gingival)\n\nLocalized, NOS\n\nStated as T3" ], [ "c4", "cT4", "Not defined by UICC*#", "Note: T4 has subcategories of T4a and T4b. Assign T4 only when there is no information available to assign one of the subcategories\n\nTumor invades bone, nerve or extrinsic deep muscles\n\nStated as T4[NOS]" ], [ "c4A", "cT4a", "Tumor invades: \n Deep soft tissue\n Cartilage\n Bone\n Overlying skin", "Involvement of deep tissue or musculature \nSoft tissue, NOS\n\nAnterior 2/3 of tongue\nEsophagus\nHard palate\nHypopharynx, NOS\nMinor thyroid cartilage erosion (inner cortex)\nNasopharynx, NOS\nParaglottic space\nParotid gland\nPre-epiglottic tissues\nPostcricoid area\nPterygoid muscle\nPyriform sinus except medial wall \nSoft palate\nSoft tissues of neck\nStrap muscles:\n Omohyoid \n Sternohyoid\n Sternothyroid\n Thyrohyoid\nThyroid\nThyroid cartilage, NOS\nTrachea\n\nExtrinsic muscles of tongue:\n Genioglossus\n Geniohyoid\n Hyoglossus\n Mylohyoid\n Palatoglossus\n Styloglossus\n\nStated as T4a" ], [ "c4B", "cT4b", "Tumor invades any of the following:\n Brain\n Dura\n Skull base\n Lower cranial nerves (IX, X, XI, XII)\n Masticator space\n Carotid artery\n Prevertebral space\n Mediastinal structures", "Prevertebral fascia or muscle\nPrevertebral space\n\nFurther contiguous extension \n\nStated as T4b" ], [ "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)" ] ]
}