algorithms.tnm.1.6.tables.clin_t_melanoma_larynx_supraglottic_25433.json Maven / Gradle / Ivy

{
  "id" : "clin_t_melanoma_larynx_supraglottic_25433",
  "algorithm" : "tnm",
  "version" : "1.6",
  "name" : "Clin T Melanoma Larynx Supraglottic",
  "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" : "2018-02-02T14:54:22.756Z",
  "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 confined to mucosa of supraglottis: \n    Supraglottis (one subsite):\n        Aryepiglottic fold\n        Arytenoid cartilage:\n            Corniculate cartilage\n            Cuneiform cartilage\n        Epilarynx, NOS\n        False cords:\n            Ventricular bands\n            Ventricular cavity\n            Ventricular fold\n        Infrahyoid epiglottis\n        Laryngeal cartilage, NOS\n        Laryngeal (posterior) surface of epiglottis\n        Suprahyoid epiglottis (including tip, lingual {anterior} and laryngeal surfaces)\nWITH normal vocal cord mobility\n\nExtension involving mucosa only of glottic larynx or subglottis WITHOUT impaired vocal cord mobility or fixation of larynx or NOS\n\nExtension involving mucosa only of adjacent regions(s) outside supraglottis including:    \n    Mucosa of base of tongue\n    Vallecula\n    Medial wall of pyriform sinus\nWITHOUT impaired vocal cord mobility or fixation of larynx or 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 tissues of any structure in T3\nInvolvement of any structures in T3 WITH impaired vocal cord mobility\nInvolvement of any structures in supraglottic larynx and subglottic larynx WITH vocal cord fixation\n\nParaglottic space WITHOUT vocal cord fixation\nMinor thyroid cartilage erosion (inner cortex) WITHOUT vocal cord fixation\n\nTumor involves further regions outside the supraglottis including:\n    Deep tissues or musculature:\n        Base of tongue\n        Medial wall pyriform sinus\n        Vallecula\n    Hypopharynx, NOS\n    Pre-epiglottic tissues\n    Postcricoid area\n    Pyriform sinus, NOS\nWITH or WITHOUT vocal cord fixation\n    \nExtension to/through:\n    Cricoid cartilage \n    Deep extrinsic muscles of tongue  \n    Esophagus\n    Oropharynx\n    Skin\n    Soft tissues of neck\n    Strap muscle(s):\n         Omohyoid\n         Sternohyoid\n         Sternothyroid\n         Thyrohyoid\n    Thyroid cartilage \n    Thyroid gland\n    Trachea\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", "Contiguous extension, including:\n    Carotid artery (encased)\n    Mediastinal structures\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)" ] ]
}