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{
"id" : "giststomach_t_55582",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Clin T NET Stomach",
"title" : "Clinical T",
"notes" : "**Note 1:** TNM defines Tis as carcinoma in situ/dysplasia (tumor size less than 0.5 mm), confined to mucosa. Neuroendocrine tumors (NET) stated to be in situ, noninvasive, or confined to mucosa are classified as Tis. \n* \"Dysplasia\" alone is generally not reportable in cancer registries but, if a registry does collect it, assign Tis\n\n**Note 2:** Intraluminal or intramural extension to esophagus and duodenum is classified by the depth of greatest invasion. \n* For extension to esophagus or duodenum via serosa, assign T4\n\n**Note 3:** 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 4:** Assign the appropriate T category (T1, T2) based on the tumor size for the following descriptions\n\n Invasion into\n Lamina propria, including lamina propria in a polyp \n Muscularis mucosae, including muscularis mucosae in a polyp\n Submucosa (superficial invasion), including submucosa in a polyp\n\n Implants inside stomach\n\n Confined to stomach\n Localized, NOS",
"last_modified" : "2018-02-02T14:54:23.475Z",
"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/dysplasia (tumor less than 0.5 mm, confined to mucosa)", "Intraepithelial, noninvasive\nTumor size less than 0.5 millimeters (mm)\nTumor confined to mucosa, NOS including intramucosal, NOS\n\nStated as Tis" ], [ "c1", "cT1", "Tumor confined to mucosa and 0.5 mm or more but not greater than 1 cm in size; OR \n\nInvades submucosa and is no greater than 1 cm in greatest dimension", "Stated as T1" ], [ "c2", "cT2", "Tumor invades muscularis propria OR \n\nIs more than 1 cm in greatest dimension", "Stated as T2" ], [ "c3", "cT3", "Tumor invades subserosa", "Invasion through muscularis propria or muscularis, NOS\nExtension through wall, NOS\nPerimuscular tissue invaded\nSubserosa/(sub)serosal fat penetrated\n\nExtension to adjacent (connective) tissue \nWITHOUT perforation of visceral peritoneum:\n Gastric artery\n Ligaments: \n Gastrocolic\n Gastrohepatic\n Gastrosplenic\n Omentum\n Perigastric fat\n\nStated as T3" ], [ "c4", "cT4", "Tumor perforates visceral peritoneum (serosa) or other organs or adjacent structures", "Invasion of/through serosa (mesothelium) (tunica serosa) (visceral peritoneum)\nIncluding perforation of visceral peritoneum covering the gastric ligaments or the omentum \nWITHOUT invasion of adjacent structures\n\nAbdominal wall\nAdrenal gland\nAorta\nCeliac axis\nDiaphragm\nDuodenum via serosa or NOS\nEsophagus via serosa\nIleum\nJejunum\nKidney\nLiver\nPancreas\nRetroperitoneum\nSmall intestine, NOS\nSpleen\nTransverse colon/mesocolon (including flexures)\n\nFurther contiguous extension\n\nStated as T4" ], [ "88", "88", "Not applicable", "Death 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)" ] ]
}
