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{
"id" : "clin_t_melanoma_gum_lower_93520",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin T Melanoma Gum Lower",
"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" : "2018-02-02T14:54:20.629Z",
"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 Buccal mucosa\n Lateral pharyngeal wall\n Lip(s) including commissure\n Gingiva\n Hard palate\n Soft palate\n Tonsillar pillars and fossae\n Tonsils\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 soft tissue or musculature of cheek (buccinators)\n\nBone, NOS excluding palatine bone, base of skull\nCortical bone:\n Mandible\n Maxilla\nDeep soft tissue involvement:\n Nasal cavity\n Soft palate\nMaxillary sinus (antrum)\nPalatine bone\n\nDeep extrinsic muscle of tongue:\n Genioglossus\n Hyoglossus\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", "Further 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)" ] ]
}
