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{
"id" : "melanoma_larynx_subglottic_81170",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "Path T Melanoma Larynx Subglottic",
"title" : "Pathologic 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" : "2018-02-02T14:54:21.065Z",
"definition" : [ {
"key" : "path_t",
"name" : "Pathologic T",
"type" : "INPUT"
}, {
"key" : "path_t_display",
"name" : "Pathologic T Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "pX", "pTX", "Primary tumor cannot be assessed#", "Pathologic classification criteria met, evaluation done: \n Physician unable to assess T\n Surgical resection of primary tumor, extension not stated \nPhysician assigns pTX, no other information available to determine T" ], [ "p0", "pT0", "No evidence of primary tumor#", "" ], [ "p3", "pT3", "Tumor limited to the epithelium and/or submucosa (mucosal disease)", "Tumor confined to mucosa of subglottis WITH normal vocal cord mobility\n\nExtension involving mucosa only of adjacent region(s) or of larynx:\n Supraglottis \n Glottis\nWITH normal vocal cord mobility\n\nExtension involving mucosa only of adjacent regions:\n Base of tongue\n Hypopharynx, NOS\n Postcricoid area\n Pre-epiglottic tissues \n Pyriform sinus\n Vallecula\n\nLocalized, NOS\n\nStated as T3" ], [ "p4", "pT4", "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]" ], [ "p4A", "pT4a", "Tumor invades: \n Deep soft tissue\n Cartilage\n Bone\n Overlying skin", "Involvement of deep tissues of any structure in T3\nInvolvement of any structures in T3 WITH impaired vocal cord mobility\nTumor limited to larynx WITH vocal cord fixation\nInvolvement of deep soft tissues or musculature of any structure in T3\nWITH or WITHOUT vocal cord impairment or fixation of larynx or NOS\n\nExtension to/through:\n Cervical esophagus\n Cricoid cartilage\n Deep muscle of tongue\n Strap muscles:\n Omohyoid\n Sternohyoid\n Sternothyroid\n Thyrohyoid\n Oropharynx\n Skin\n Soft tissues of neck\n Thyroid cartilage\n Thyroid gland\n Trachea\n\nStated as T4a" ], [ "p4B", "pT4b", "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", "Contiguous extension:\n Carotid artery (encased)\n Mediastinal structures\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", "Pathologic classification criteria not met \nPathologic classification criteria met, evaluation done: \n Results not documented in patient record \n No surgical resection of known primary tumor (not T0) \n Resection insufficient for site-specific pathologic assessment\nNo surgical resection of primary tumor and there isn’t a positive biopsy of a structure in the highest T category and highest N category\nEvidence of metastatic disease (pM1), no other workup\nOnly Pathologic Stage Group documented (no T, N, or M information available)" ] ]
}
