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{
"id" : "clin_t_placenta_62001",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin T Placenta",
"title" : "Clinical T",
"notes" : "**Note 1:** FIGO nor TNM include an in situ category for tumors of the placenta. Assign pTis (behavior code /2) for in situ cases. \n\n**Note 2:** When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and extension information on the primary tumor are available, use the extension information to assign the T in preference to a statement of FIGO stage - see Registrar notes.\n* If the only information is Stage III [NOS], IIIA, IIIB, or IV [NOS], IVA, or IVB, leave T blank and see M\n\n**Note 3:** Genital metastasis (vagina, ovary, broad ligament, fallopian tube) is classified T2. Any involvement of non-genital structures, whether by direct invasion or metastasis is described using the M (distant metastasis) classification.\n\n**Note 4:** For T, substaging is determined by the values in **Site-Specific Factor 1, Prognostic Scoring Index**.",
"last_modified" : "2018-02-02T14:54:22.276Z",
"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 OR\n Physician assigns cTX, no other information available to determine T" ], [ "c0", "cT0", "No evidence of primary tumor", "" ], [ "c1", "cT1", "Tumor confined to uterus", "Confined to:\n Cervix\n Corpus\n Placenta\n\nLocalized, NOS\n\nFIGO Stage I [NOS], IA, or IB\n\nStated as T1" ], [ "c2", "cT2", "Tumor extends to other genital structures: \n Vagina\n Ovary\n Broad ligament \n Fallopian tube \nby metastasis or direct extension", "Adjacent connective tissue, NOS\n\nGenital structures, NOS by direct extension or \nmetastasis\n \nFurther contiguous extension\n\nFIGO Stage II [NOS], IIA, or IIB\n\nStated as T2" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\nIn situ case but no pTis is defined by TNM\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Only information is Stage III [NOS], IIIA, IIIB, or IV [NOS], IVA, or IVB\n\nClinical classification 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" ] ]
}