algorithms.tnm.1.6.tables.clin_t_melanoma_oropharynx_83498.json Maven / Gradle / Ivy

{
  "id" : "clin_t_melanoma_oropharynx_83498",
  "algorithm" : "tnm",
  "version" : "1.6",
  "name" : "Clin T Melanoma Oropharynx",
  "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" : "2018-02-02T14:54:22.742Z",
  "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 the following subsites:\n    Anterior wall: \n        Lingual (anterior surface of epiglottis)\n        Vallecula \n    One lateral wall\n    Posterior wall\n\nInvolvement of mucosa only: \n    Anterior two-thirds of tongue\n    Base of tongue\n    Buccal mucosa (inner cheek)\n    Floor of mouth\n    Gum (gingiva)\n    Hard palate\n    Hypopharynx, NOS\n    Larynx\n    Nasopharynx \n    Posterior surface of epiglottis\n    Pyriform sinus\n    Soft palate, inferior surface, including uvula\n    Soft palate, superior (nasopharyngeal) surface\n    Soft palate, NOS\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 any structure in T3 WITH or WITHOUT fixation\nMucosal involvement of hard palate\nInvolvement of deep soft tissue or musculature of both lateral walls, soft palate, or base of tongue \nwith contiguous involvement through all four sites\n\nBone, NOS\nBone excluding base of skull\nCartilage, NOS\nDeep tissue or periosteum of hard palate\nDeep soft tissue or musculature of anterior tongue\nLateral pterygoid muscle\nMaxilla\nMaxillary sinus (antrum)\nNasal cavity\nMedial pterygoid muscle\nOverlying skin\nPalatine bone\nParotid Gland\nPterygoid plates\nPterygoid muscle, NOS\nSoft tissue of neck, NOS\n\nDeep extrinsic 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/muscle WITH or WITHOUT involvement of both lateral walls through soft palate or base of tongue and WITH or WITHOUT involvement of anterior tongue or hard palate\n\nBone of skull\nCarotid artery (encased)\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)" ] ]
}