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A cancer staging client library
{
"id" : "nodes_dam",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Nodes",
"title" : "CS Lymph Nodes",
"notes" : "**Note 1**: Code only regional nodes and nodes, NOS in this field. Distant nodes are coded in CS Mets at DX. \n\n**Note 2**: According to AJCC, p. 325, \"There is no lower threshold of tumor burden defining the presence of regional nodal metastasis. Specifically, nodal tumor deposits less than 0.2 millimeter (mm) in diameter (previously used as the threshold for defining nodal metastasis), are included in the staging of nodal disease as a result of the consensus that smaller volumes of metastatic tumor are still clinically significant\". This means that any finding of melanoma in lymph nodes, regardless of size and including isolated tumor cells (ITCs), should be coded as positive lymph nodes in this field. If only ITCs are present, use code 010. \n\n**Note 3**: Bilateral or contralateral nodes are considered regional nodes for head, neck, and truncal tumors with bidirectional drainage to primary nodal basins, as shown on lymphoscintigraphy. Truncal tumors may also drain to both cephalad and caudal primary nodal basins as shown on lymphoscintigraphy. Clinical assessment of bilateral/contralateral or cephalad/caudal regional nodal involvement is required for tumors where lymphoscintigraphy is not performed. \n\n**Note 4**: Contiguous or secondary nodal basins are the next nodal drainage basins beyond the primary nodal basins. Secondary basins are considered regional for AJCC staging but may be distant for Summary Stage. Use code 115 for involvement of nodes in secondary nodal basins not specified in codes 100 and 110. \n\n**Note 5**: Satellite lesions/nodules or in-transit metastases are coded in this field. Use codes 100-118 if there is regional node involvement without satellite nodules or in-transit metastases. Use codes 140-151 if there are satellite nodules or in-transit metastases but there is either no regional lymph node involvement, or involvement of regional nodes is not stated. Use codes 200-223 if both satellite nodules/in-transit metastases and regional lymph nodes are present. \n\n**Note 6**: If the only information about lymph nodes is a statement of N1 involvement without a clinical or pathologic designation, use code 125.\nIf the only information about lymph nodes is a statement of N2 involvement without a clinical or pathologic designation, use code 155.",
"footnotes" : "- When evaluation is clinical (CS Lymph Nodes Eval = 0, 1, 5, 9) for CS Lymph Nodes codes 010-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 7 staging depends on the values in CS Site-Specific Factor 3, as shown in the Lymph Nodes and Nodal Status Clinical Eval AJCC 7 Table. When evaluation is pathologic (CS Lymph Nodes Eval = 2, 3, 6, 8), for CS Lymph Nodes codes 010-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 7 staging depends on the values in CS Site-Specific Factor 3 and Regional Nodes Positive, as shown in the Lymph Nodes and Nodal Status Pathologic Eval AJCC 7 Table. When evaluation is not coded (CS Lymph Nodes Eval = blank), for CS Lymph Nodes codes 010-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 7 staging depends on the values in CS Site-Specific Factor 3 and Regional Nodes Positive, as shown in the Lymph Nodes and Nodal Status Pathologic Eval Blank AJCC 7 Table.\n- When evaluation is clinical (CS Lymph Nodes Eval = 0, 1, 5, 9) for CS Lymph Nodes codes 100-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 6 staging depends on the values in CS Site-Specific Factor 3, as shown in the Lymph Nodes and Nodal Status Clinical Eval AJCC 6 Table. When evaluation is pathologic (CS Lymph Nodes Eval = 2, 3, 6, 8), for CS Lymph Nodes codes 100-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 6 staging depends on the values in CS Site-Specific Factor 3 and Regional Nodes Positive, as shown in the Lymph Nodes and Nodal Status Pathologic Eval AJCC 6 Table. When evaluation is not coded (CS Lymph Nodes Eval = blank), for CS Lymph Nodes codes 100-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 6 staging depends on the values in CS Site-Specific Factor 3 and Regional Nodes Positive, as shown in the Lymph Nodes and Nodal Status Eval Blank AJCC 6 Table.",
"last_modified" : "2015-05-27T16:19:32.028Z",
"definition" : [ {
"key" : "nodes",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "ajcc7_n",
"name" : "AJCC 7 N",
"type" : "ENDPOINT"
}, {
"key" : "ajcc6_n",
"name" : "TNM 6 N",
"type" : "ENDPOINT"
}, {
"key" : "n77",
"name" : "Summary Stage 1977 N",
"type" : "ENDPOINT"
}, {
"key" : "n2000",
"name" : "Summary Stage 2000 N",
"type" : "ENDPOINT"
} ],
"rows" : [ [ "000", "No regional lymph node involvement ", "VALUE:N0", "VALUE:N0", "VALUE:NONE", "VALUE:NONE" ], [ "010", "Isolated tumor cells (ITCs) only", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "VALUE:N0", "VALUE:NONE", "VALUE:NONE" ], [ "100", "Regional lymph nodes by primary site (includes bilateral or contralateral nodes for head, neck, and trunk):\nHEAD AND NECK SITES:\n All subsites: \n Cervical, NOS\n Lip:\n Facial, NOS:\n Mandibular\n Submandibular(submaxillary)\n Eyelid/canthus:\n Facial, NOS:\n Buccinator (buccal)\n Nasolabial\n Mandibular\n Submandibular (submaxillary)\n Parotid, NOS:\n Infraauricular \n External ear/auditory canal:\n Mastoid (post-/retroauricular ) (occipital)\n Preauricular\n Face, Other (cheek, chin forehead, jaw, nose and temple):\n Facial, NOS:\n Buccinator (buccal)\n Nasolabial\n Mandibular\n Submandibular (submaxillary)\n Parotid, NOS:\n Infraauricular \n Preauricular\n Scalp:\n Mastoid (post-/retroauricular) (occipital)\n Parotid, NOS:\n Infraauricular \n Preauricular\n Spinal accessory (posterior cervical)\n Neck:\n Axillary\n Mandibular\n Mastoid (post-/retroauricular )\n Parotid, NOS:\n Infraauricular \n Preauricular\n Spinal accessory (posterior cervical)\n Supraclavicular (transverse cervical)\nUPPER TRUNK:\n Axillary\n Cervical\n Internal mammary\n Supraclavicular\nLOWER TRUNK:\n Superficial inguinal (femoral)\nARM/SHOULDER:\n Axillary\n Epitrochlear for hand/forearm\n Spinal accessory (posterior cervical) for shoulder\nLEG/HIP:\n Popliteal for heel and calf\n Superficial inguinal (femoral)\nVULVA/PENIS/SCROTUM:\n Deep inguinal: Rosenmuller or Cloquet node\n Superficial inguinal (femoral)\nALL SITES:\n Regional lymph node(s), NOS\n(See Note 3)", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:RN", "VALUE:RN" ], [ "110", "Regional lymph node(s) by primary site (includes bilateral or contralateral nodes for head and neck):\nHEAD AND NECK SITES:\n Lip:\n Facial, NOS:\n Buccinator (buccal)\n Nasolabial\n Submental\n Parotid, NOS\n Infraauricular \n Preauricular\n Eyelid/canthus:\n Submental\n Face, Other (cheek, chin, forehead, jaw, nose, and temple):\n Submental\n Neck:\n Submental\n(See Note 3)", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:D", "VALUE:RN" ], [ "115", "Head (includes bilateral or contralateral nodes for head and trunk):\n All subsites:\n Supraclavicular\nUpper Trunk:\n Femoral (or cephalad/caudal drainage from primary tumor) (see Note 2)\nLower Trunk:\n Axillary (or cephalad/caudal drainage from primary tumor) (see Note 2)\nArm/Shoulder:\n Supraclavicular\nLeg/Hip:\n Iliac\nAll sites:\n Regional lymph node(s) in two contiguous secondary nodal basins (to secondary nodal basin) \n(See Notes 2, 3)\n", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:D", "VALUE:D" ], [ "118", "115 + (100 and/or 110)\n\nRegional lymph nodes coded in 115 plus regional lymph nodes coded in 100 and/or 110", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:D", "VALUE:D" ], [ "120", "OBSOLETE DATA CONVERTED V0204\nSee code 110\n\nRegional lymph node(s) by primary site:\nHEAD AND NECK SITES:\n Lip:\n Facial, NOS:\n Buccinator (buccal)\n Nasolabial\n Submental\n Parotid, NOS\n Infraauricular \n Preauricular\n Eyelid/canthus:\n Submental\n Face, Other (cheek, chin, forehead, jaw, nose, and temple):\n Submental\n Neck:\n Submental\n(See Note 3)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "121", "Evaluated clinically:\n\nClinically stated as N1 with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:RN", "VALUE:RN" ], [ "122", "Evaluated pathologically:\n\nPathologically stated as N1a with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:RN", "VALUE:RN" ], [ "123", "Evaluated pathologically:\n\nPathologically stated as N1b with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:RN", "VALUE:RN" ], [ "124", "Evaluated pathologically:\n\nPathologically stated as N1 [NOS] with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:RN", "VALUE:RN" ], [ "125", "Stated as N1 [NOS] with no information on clinical or pathologic evaluation", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:RN", "VALUE:RN" ], [ "128", "Evaluated clinically:\n\nClinically stated as N2 with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:RNOS", "VALUE:RNOS" ], [ "130", "OBSOLETE DATA CONVERTED V0204\nSee code 151\n\nSatellite nodule(s) or in-transit metastases, NOS \n(Distance from primary tumor not stated) \nWITHOUT regional lymph node involvement or involvement of regional nodes not stated", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "140", "Satellite nodule(s) or in-transit metastases less than or equal to 2cm from primary tumor \nWITHOUT regional lymph node involvement or involvement of regional nodes not stated", "VALUE:N2c", "VALUE:N2c", "VALUE:L", "VALUE:RE" ], [ "150", "Satellite nodule(s) or in-transit metastases greater than 2cm from primary tumor\nWITHOUT regional lymph node involvement or involvement of regional nodes not stated.", "VALUE:N2c", "VALUE:N2c", "VALUE:RE", "VALUE:RN" ], [ "151", "Satellite nodule(s) or in-transit metastases, NOS \n(Distance from primary tumor not stated) \nWITHOUT regional lymph node involvement or involvement of regional nodes not stated", "VALUE:N2c", "VALUE:N2c", "VALUE:RE", "VALUE:RNOS" ], [ "152", "Evaluated pathologically:\n\nPathologically stated as N2a with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:RN", "VALUE:RN" ], [ "153", "Evaluated pathologically:\n\nPathologically stated as N2b with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:RN", "VALUE:RN" ], [ "154", "Stated as N2c with no other information on satellite nodules", "VALUE:N2c", "VALUE:N2c", "VALUE:RE", "VALUE:RE" ], [ "155", "Stated as N2 [NOS] with no information on pathologic or clinical evaluation", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:RNOS", "VALUE:RNOS" ], [ "158", "Evaluated pathologically:\n\nPathologically stated as N2 [NOS] with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns40", "JUMP:determine_correct_table_for_ajcc6_n_ns41", "VALUE:RNOS", "VALUE:RNOS" ], [ "170", "Matted lymph nodes in code 100", "VALUE:N3", "VALUE:N3", "VALUE:RN", "VALUE:RN" ], [ "180", "Matted lymph nodes in code 110", "VALUE:N3", "VALUE:N3", "VALUE:D", "VALUE:RN" ], [ "190", "Matted lymph nodes in code 115", "VALUE:N3", "VALUE:N3", "VALUE:D", "VALUE:D" ], [ "195", "190 + (170 and/or 180)\n\nMatted lymph nodes in code 190 plus matted lymph nodes in code 170 and/or code 180", "VALUE:N3", "VALUE:N3", "VALUE:D", "VALUE:D" ], [ "200", "Satellite nodule(s) or in-transit metastases\nWITH regional lymph nodes listed in code 100.", "VALUE:N3", "VALUE:N3", "VALUE:RE+RN", "VALUE:RNOS" ], [ "220", "Satellite nodule(s) or in-transit metastases\nWITH regional lymph nodes listed in code 110", "VALUE:N3", "VALUE:N3", "VALUE:D", "VALUE:RNOS" ], [ "223", "Satellite nodule(s) or in-transit metastases WITH regional lymph nodes listed in code 115", "VALUE:N3", "VALUE:N3", "VALUE:D", "VALUE:D" ], [ "225", "Stated as N3 with no other information on regional lymph nodes", "VALUE:N3", "VALUE:N3", "VALUE:RNOS", "VALUE:RNOS" ], [ "800", "Lymph nodes, NOS", "VALUE:N1NOS", "VALUE:N1NOS", "VALUE:RN", "VALUE:RN" ], [ "999", "Unknown; regional lymph nodes not stated\nRegional lymph nodes cannot be assessed\nNot documented in patient record", "VALUE:NX", "VALUE:NX", "VALUE:U", "VALUE:U" ] ]
}