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{
"id" : "clin_t_skin_92153",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin T Skin",
"title" : "Clinical T",
"notes" : "**Note 1:** T1 and T2 categories are based on size and high risk features and not depth of invasion or extension. \n\n**Note 2:** T3 category is for head and neck skin primaries only.\n\n**Note 3:** Code the tumor with the greatest extension when there are multiple simultaneous tumors. \n\n**Note 4:** Skin ulceration does not alter the T category. \n\n**Note 5:** Tumor size must be known to assign a value of T1 or T2. You may use a physician’s statement of the T category if this is the only information in the medical record.\n* If the tumor appears to be in the T1 or T2 categories, but no size or category is specified, assign TX\n\n**Note 6:** Assign the appropriate T category (T1, T2) based on the tumor size for the following descriptions\n\n Lesion(s) confined to dermis\n Subcutaneous tissue (through entire dermis)\n Underlying cartilage and/or skeletal muscle\n\n Confined to skin\n Localized, NOS",
"last_modified" : "2018-02-02T14:54:20.384Z",
"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 \n Tumor size (TS) unknown for T categories where TS needed to determine T\nPhysician assigns cTX, no other information available to determine T" ], [ "c0", "cT0", "No evidence of primary tumor", "" ], [ "pIS", "pTis", "Carcinoma in situ", "Intraepidermal, intraepithelial, noninvasive \nBowen disease" ], [ "c1", "cT1", "Tumor 2 cm or less in greatest dimension \nWITH less than two-high risk features", "Lesion(s) confined to dermis\nSubcutaneous tissue (through entire dermis)\nUnderlying cartilage and/or skeletal muscle\n\nStated as T1" ], [ "c2", "cT2", "Tumor more than 2 cm in greatest dimension OR \nWITH two or more high-risk features", "Stated as T2" ], [ "c3", "cT3", "Tumor with invasion of deep structures \n e.g., muscle, bone, cartilage, jaws, and orbit", "For skin of head and neck primaries only:\n Maxilla\n Mandible\n Orbital bone\n Temporal bone\n\nStated as T3" ], [ "c4", "cT4", "Tumor with direct or perineural invasion of skull base or axial skeleton", "For skin of head and neck primaries only:\n Direct or perineural invasion of skull base\n\nAxial or appendicular skeleton\n\nFurther contiguous extension \n\nStated as T4" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\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)" ] ]
}
