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{
"id" : "ssf8_spb",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "SSF8",
"title" : "Site-Specific Factor 8",
"subtitle" : "Extracapsular Extension Clinically, Lymph Nodes for Head and Neck",
"notes" : "**Note 1:** Clinical assessment can be by physical examination or imaging. According to AJCC, \"ECS [extracapsular spread] can be diagnosed clinically by a matted mass of nodes adherent to overlying skin, adjacent soft tissue, or clinical evidence of cranial nerve invasion. Radiologic signs of ECS include amorphous, spiculated margins of a metastatic node and stranding of the perinodal soft tissue in previously untreated patients.\" (1)\n\n**Note 2:** Code the status of extracapsular extension assessed clinically for any involved regional lymph node(s) coded in Clinical N. Do not code extracapsular extension for any distant lymph node(s).\n\n**Note 3:** If nodes are involved clinically, and documentation of physical examination or imaging is available without a statement of extracapsular extension, use code 010.\n\n**Note 4:** If the only documentation is a reference to clinically involved nodes with no reference to extracapsular extension, use code 030.\n\n**Note 5:** If there is no information about clinical assessment of nodes, use code 999.",
"footnotes" : "(1) American Joint Committee on Cancer., & Edge, S.B. (2010) *AJCC Cancer Staging Manual (7th ed.)*. New York; London: Springer, pg. 22",
"last_modified" : "2018-02-02T14:54:23.675Z",
"definition" : [ {
"key" : "ssf8",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "000", "No regional lymph nodes involved clinically" ], [ "010", "Regional lymph node(s) involved clinically, no extracapsular extension clinically" ], [ "020", "Regional lymph node(s) involved clinically, extracapsular extension clinically (nodes described as fixed or matted)" ], [ "030", "Regional lymph node(s) involved clinically, unknown if extracapsular extension" ], [ "988", "Not applicable: Information not collected for this case" ], [ "997", "Clinical examination of regional lymph nodes performed, unknown results" ], [ "998", "No clinical examination of regional lymph nodes" ], [ "999", "Unknown if regional lymph nodes involved clinically, not stated \nRegional lymph nodes cannot be assessed \nNot documented in patient record" ] ]
}
