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{
  "id" : "nodes_dan",
  "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.  Note 2 specifies when to code certain tumor deposits (TD) here.  Distant nodes are coded in CS Mets at DX.\n\n**Note 2**:  One or more malignant satellite peritumoral nodules in the pericolorectal adipose tissue of a primary carcinoma without histologic evidence of residual lymph node in the nodule(s) may represent discontinuous spread, venous invasion with extravascular spread, or a totally replaced lymph node.  If this is the only information on lymph nodes, use code 050. The total number of TD must also be coded in CS Site-Specific Factor 4.  If there are TD and node involvement, code only the information on node involvement in this field; use a higher code number than 050. \n\n**Note 3**:  Inferior mesenteric nodes are coded in CS Mets at DX for cecum, ascending colon, transverse colon, and hepatic flexure. Superior mesenteric nodes are coded in CS Mets at DX for all colon sites.\n\n**Note 4**:  The number of positive regional nodes is required to calculate the correct N category for this schema.  Use codes 400-480 when the pathology report assigns an N1 or N2 category but does not specify the number of nodes involved, or the record identifies an N1 or N2 category but the specific information about number of nodes involved is not available.    Use codes 110-300 rather than codes 400-480 when information about the number of positive nodes is available, or when nodes are clinically positive but not removed for examination. \n\n**Note 5**:  Sigmoid nodes for descending colon have been moved from code 200 in CS Version 1 to code 220.",
  "footnotes" : "- For codes 100-300 ONLY: when CS Lymph Nodes Eval is 0, 1, 5, or 9, the N category is assigned from the Lymph Nodes Clinical Evaluation 6th Table, using Regional Nodes Positive and CS Site-Specific Factor 2; when CS Regional Nodes Eval is 2, 3, 6, 8, or not coded, the N category is determined from the Lymph Nodes Pathologic Evaluation 6th Table Also Used When CS Reg Nodes Eval is Not Coded using Regional Nodes Positive.\n- For codes 100-300 ONLY: when CS Lymph Nodes Eval is 1 or 9, and CS Coding System Original is before CS v02.05, the N category is assigned from the Lymph Nodes Clinical Eval prior to V02.05 7th Table using Regional Nodes Positive and CS Site-Specific Factor 2.  When CS Lymph Nodes Eval = 0, 5 OR (CS Lymph Nodes Eval is 1, 9 and CS Coding System Original is at least V02.05), the N category is assigned from Lymph Nodes Clinical Eval V02.05 AJCC 7th Table using Site-Specific Factor 2; when CS Regional Nodes Eval is 2, 3, 6, 8, or not coded, the N category is determined from the Lymph Nodes Pathologic Evaluation 7th Table Also Used When CS Reg Nodes Eval is Not Coded using Regional Nodes Positive.",
  "last_modified" : "2015-05-27T16:19:32.108Z",
  "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 and no tumor deposits (TD)", "VALUE:N0", "VALUE:N0", "VALUE:NONE", "VALUE:NONE" ], [ "050", "TD in the subserosa, mesentery, or nonperitonealized pericolic or perirectal tissues\nWITHOUT regional nodal metastasis\n\nStated as N1c with no other information on regional lymph nodes", "VALUE:N1c", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "100", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nCode 100 was defined as \"Regional lymph nodes for all colon sites: Colic (NOS), Epicolic (adjacent to bowel wall), Mesocolic (NOS), Paracolic/pericolic, Nodule(s) or foci in pericolic fat/adjacent mesentery/mesocolic fat\" in CSv1.  Code 100 was defined as \"Regional lymph nodes for all colon sites: Colic (NOS), Epicolic (adjacent to bowel wall), Mesocolic (NOS), Paracolic/pericolic\" in CSv2:V0201, V0202.  All cases should be reviewed and recoded to appropriate codes; see codes 050 and 110.\n\nRegional lymph nodes for all colon sites:\n    Colic (NOS)\n    Epicolic (adjacent to bowel wall)\n    Mesocolic (NOS)\n    Paracolic/pericolic", "JUMP:determine_correct_table_for_ajcc7_n_ns11", "JUMP:determine_correct_table_for_ajcc6_n_ns10", "VALUE:RN", "VALUE:RN" ], [ "110", "Regional lymph nodes for all colon sites:\n    Colic, NOS\n    Epicolic (adjacent to bowel wall)\n    Mesocolic, NOS\n    Paracolic/pericolic", "JUMP:determine_correct_table_for_ajcc7_n_ns11", "JUMP:determine_correct_table_for_ajcc6_n_ns10", "VALUE:RN", "VALUE:RN" ], [ "200", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 210 and 220\n\nRegional lymph nodes, for specific subsites:\n    Cecum:\n        Cecal: anterior (prececal),\n                posterior (retrocecal); NOS\n        Ileocolic\n        Right colic\n    Ascending colon:\n        Ileocolic\n        Middle colic\n        Right colic\n    Transverse colon and flexures:\n        Inferior mesenteric for splenic flexure only\n        Left colic for splenic flexure only\n        Middle colic\n        Right colic for hepatic flexure only\n    Descending colon:\n        Inferior mesenteric\n        Left colic\n        Sigmoid\n    Sigmoid colon:\n        Inferior mesenteric\n        Sigmoidal (sigmoid mesenteric)\n        Superior hemorrhoidal\n        Superior rectal", "JUMP:determine_correct_table_for_ajcc7_n_ns11", "JUMP:determine_correct_table_for_ajcc6_n_ns10", "VALUE:RN", "VALUE:RN" ], [ "210", "Regional lymph nodes, for specific colon sites:\n    Cecum:\n        Cecal: \n            Anterior (prececal),\n            Posterior (retrocecal); NOS\n        Ileocolic\n        Right colic\n        Periappendiceal\n    Ascending colon:\n        Ileocolic\n        Middle colic\n        Right colic        \n    Transverse colon and flexures:\n        Inferior mesenteric for splenic flexure only\n        Left colic for splenic flexure only\n        Middle colic\n        Right colic for hepatic flexure only\n    Descending colon:\n        Inferior mesenteric\n        Left colic\n    Sigmoid colon:\n        Inferior mesenteric\n        Sigmoidal (sigmoid mesenteric)\n        Superior hemorrhoidal\n        Superior rectal", "JUMP:determine_correct_table_for_ajcc7_n_ns11", "JUMP:determine_correct_table_for_ajcc6_n_ns10", "VALUE:RN", "VALUE:RN" ], [ "220", "Regional lymph nodes for descending colon:\n    Sigmoid", "JUMP:determine_correct_table_for_ajcc7_n_ns11", "JUMP:determine_correct_table_for_ajcc6_n_ns10", "VALUE:D", "VALUE:RN" ], [ "300", "Regional lymph nodes for all colon sites:\n    Mesenteric, NOS\n    Regional lymph node(s), NOS", "JUMP:determine_correct_table_for_ajcc7_n_ns11", "JUMP:determine_correct_table_for_ajcc6_n_ns10", "VALUE:RN", "VALUE:RN" ], [ "400", "OBSOLETE DATA CONVERTED V0203\nSee code 430\n\nStated as N1 pathologic", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "410", "Stated as pathologic N1a with no other pathologic information on regional lymph nodes", "VALUE:N1a", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "420", "Stated as pathologic N1b with no other pathologic information on regional lymph nodes", "VALUE:N1b", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "430", "Stated as pathologic N1 [NOS] with no other pathologic information on regional lymph nodes", "VALUE:N1NOS", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "450", "OBSOLETE DATA CONVERTED V0203\nSee code 480\n\nStated as N2 pathologic", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "460", "Stated as pathologic N2a with no other pathologic information on regional lymph nodes", "VALUE:N2a", "VALUE:N2", "VALUE:RN", "VALUE:RN" ], [ "470", "Stated as pathologic N2b with no other pathologic information on regional lymph nodes", "VALUE:N2b", "VALUE:N2", "VALUE:RN", "VALUE:RN" ], [ "480", "Stated as pathologic N2 [NOS] with no other pathologic information on regional lymph nodes", "VALUE:N2NOS", "VALUE:N2", "VALUE:RN", "VALUE:RN" ], [ "800", "Lymph nodes, NOS", "VALUE:N1NOS", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "999", "Unknown; regional nodes not stated\nRegional lymph node(s) cannot be assessed\nNot documented in patient record", "VALUE:NX", "VALUE:NX", "VALUE:U", "VALUE:U" ] ]
}




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