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{
"id" : "clin_t_skin_eyelid_93914",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin T Skin Eyelid",
"title" : "Clinical T",
"notes" : "**Note 1:** Code the tumor with the greatest extension when there are multiple simultaneous tumors. \n\n**Note 2:** 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 3:** Assign the appropriate T category (T1, T2) based on the tumor size for the following descriptions\n\n Lesion(s) confined to dermis\n Minimal infiltration of dermis (Not invading tarsal plate, not at eyelid margin)\n Subcutaneous tissue (Through entire dermis, not invading tarsal plate, not at eyelid margin)\n Tumor invades tarsal plate, not at eyelid margin\n Tumor at eyelid margin\n Tumor involves full eyelid thickness\n\n Localized, NOS\n\n**Note 4:** Skin ulceration does not alter the T category.\n\n**Note 5:** Presence of tumor at eyelid margin takes priority over depth of invasion in dermis/tarsal plate.\n\n**Note 6:** Code metastatic skin lesions in M (distant metastasis).",
"footnotes" : "\\* T2 [NOS] is not defined by UICC in the 7th edition. Approval has been provided by UICC to use \"Tumor greater than 5 mm and less than or equal to 20 mm, or invasion of tarsal plate, lid margin, or involves full thickness\" as T2 [NOS].\n\n\\** T3 [NOS] is not defined by UICC in the 7th edition. Approval has been provided by UICC to use \"Tumor more than 20 mm or any tumor involving adjacent structures or requiring complete resection\" as T3 [NOS].\n\n\\# T2 [NOS] is not defined in AJCC 7th edition.\n\n\\## T3 [NOS] is not defined in AJCC 7th edition.",
"last_modified" : "2018-02-02T14:54:23.014Z",
"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 5 mm or less in greatest dimension \nNOT invading the tarsal plate or eyelid margin", "Stated as T1" ], [ "c2", "cT2", "Not defined by UICC*#", "Note: T2 has subcategories of T2a and T2b. Assign T2 only when there is no information available to assign one of the subcategories\n\nTumor greater than 5 mm and less than or equal to 20 mm, or invasion of tarsal plate, lid margin, or involves full thickness\n\nStated as T2[NOS]" ], [ "c2A", "cT2a", "Tumor more than 5 mm, but not more than 10 mm in greatest dimension OR \nAny tumor that invades the tarsal plate or eyelid margin", "Stated as T2a" ], [ "c2B", "cT2b", "Tumor more than 10 mm, but not more than 20 mm in greatest dimension, OR \nInvolves full thickness eyelid", "Stated as T2b" ], [ "c3", "cT3", "Not defined by UICC**##", "Note: T3 has subcategories of T3a and T3b. Assign T3 only when there is no information available to assign one of the subcategories\n\nTumor more than 20 mm or any tumor involving adjacent structures or requiring complete resection\n\nStated as T3[NOS]" ], [ "c3A", "cT3a", "Tumor more than 20 mm in greatest dimension OR \n\nAny tumor that invades: \n Adjacent ocular \n Orbital structures \n Any tumor with perineural invasion", "Adjacent structures, including:\n Bulbar conjunctiva\n Globe\n Sclera\n Soft tissues of orbit\n\nBone/periosteum of orbit\nSkeletal muscle\nUnderlying cartilage\n\nStated as T3a" ], [ "c3B", "cT3b", "Tumor whose complete resection requires: \n Enucleation, exenteration, or bone resection", "Stated as T3b" ], [ "c4", "cT4", "Tumor is not resectable due to extensive invasion of: \n Ocular\n Orbital\n Craniofacial structures\n Brain", "Tumor unresectable, extensive invasion:\n Ocular structures\n Orbital structures\n\nCentral nervous system\nNasal cavity\nOther craniofacial structures\nParanasal sinuses\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)" ] ]
}
