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{
  "id" : "nodes_ddn",
  "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**:  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 3**:  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 250 for involvement of nodes in secondary nodal basins not specified in codes 100 and 200.\n\n**Note 4**:  In transit metastasis is defined as a tumor distinct from the primary lesion and located either between the primary lesion and the draining regional lymph nodes or distal to the primary lesion. In transit metastasis is coded in CS Lymph Nodes.\n\n**Note 5**:  Isolated tumor cells (ITCs) should be considered positive nodes. If only ITCs are present, defined as any tumor deposits in lymph nodess less than or equal to 0.2mm,  use code 010.\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 360.",
  "footnotes" : "- When CS Lymph Nodes Eval is coded, for CS Lymph Nodes codes 010-370 ONLY, the N category for AJCC 7 staging is assigned based on the value of CS Lymph Nodes Eval and CS Site-Specific Factor 3, Status of Lymph Node Mets, as shown in the Lymph Nodes and Nodal Status Eval AJCC 7 Table.  When CS Lymph Nodes Eval is blank, for CS Lymph Nodes codes 010-370 ONLY, the N category for AJCC 7 staging is assigned based on the value of CS Site-Specific Factor 3, Status of Lymph Node Mets, and Regional Nodes Positive, as shown in the Lymph Nodes and Nodal Status Eval Blank AJCC 7 Table.",
  "last_modified" : "2015-05-27T16:19:35.833Z",
  "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_ns20", "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:\n    All subsites: \n        Cervical\n     Lip:\n        Mandibular, NOS:\n        Submandibular (submaxillary)\n    External ear/auditory canal:\n         Mastoid (post-/retro-auricular) (occipital)\n        Preauricular\n    Face, Other (cheek, chin, forehead, jaw, nose and temple):\n        Facial, NOS:\n            Buccinator (buccal)\n            Nasolabial\n        Mandibular, NOS:\n            Submandibular (submaxillary)\n        Parotid, NOS:\n            Infra-auricular\n            Preauricular\n    Scalp:\n        Mastoid (post-/retro-auricular) (occipital)\n        Parotid, NOS:\n            Infra-auricular\n            Preauricular\n        Spinal accessory (posterior cervical)\n    Neck:\n        Axillary\n        Mandibular, NOS\n        Mastoid (post-/retro-auricular) (occipital)\n        Parotid, NOS:\n            Infra-auricular\n            Preauricular\n        Spinal accessory (posterior cervical)\n        Supraclavicular (transverse cervical)\nUpper Trunk:\n    Axillary\n    Cervical\n    Internal mammary (parasternal)\n    Supraclavicular (transverse cervical)\nLower Trunk:\n    Femoral (superficial inguinal)\nArm/Shoulder:\n    Axillary\n    Epitrochlear for hand/forearm\n    Spinal accessory for shoulder\nLeg/Hip:\n    Femoral (superficial inguinal)\n    Popliteal for heel and calf\nAll sites: \n    Regional lymph node(s), NOS\n(See Note 2)\n", "JUMP:determine_correct_table_for_ajcc7_n_ns20", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "200", "Head and Neck (includes bilateral or contralateral nodes for head and neck):\n    Lip:\n        Facial, NOS:\n            Buccinator (buccal)\n            Nasolabial\n        Submental\n        Parotid, NOS:\n            Infra-auricular\n            Preauricular\n    Face, Other (cheek, chin, forehead, jaw, nose, and temple):\n        Submental\n    Neck:    \n        Submental\n(See Note 2)", "JUMP:determine_correct_table_for_ajcc7_n_ns20", "VALUE:N1", "VALUE:D", "VALUE:RN" ], [ "250", "Bidirectional nodal involvement (includes bilateral or contralateral nodes) \n(See Note 2):\n    Upper Trunk:\n        Femoral (or cephalad/caudal drainage from primary tumor)\n    Lower Trunk:\n        Axillary (or cephalad/caudal drainage from primary tumor) \n\nSecondary nodal basin involvement (includes bilateral or contralateral nodes for head and trunk)\n(See Note 3):\n    Head:\n        All subsites:\n            Supraclavicular\n    Arm/Shoulder:\n        Supraclavicular\n    Leg/Hip:\n        Iliac\n    All sites:\n        Regional lymph node(s) in secondary nodal basins , NOS ", "JUMP:determine_correct_table_for_ajcc7_n_ns20", "VALUE:N1", "VALUE:D", "VALUE:D" ], [ "300", "200 + 100 \n\nRegional lymph nodes coded in 200 plus regional lymph nodes coded in 100", "JUMP:determine_correct_table_for_ajcc7_n_ns20", "VALUE:N1", "VALUE:D", "VALUE:RN" ], [ "305", "250 + (100 and/or 200)\n\nRegional lymph nodes coded in 250 plus regional lymph nodes coded in 100 and/or 200", "JUMP:determine_correct_table_for_ajcc7_n_ns20", "VALUE:N1", "VALUE:D", "VALUE:D" ], [ "310", "Evaluated clinically:\n\nClinically stated as N1 with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns20", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "320", "Evaluated pathologically:\n\nPathologically stated as N1a with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns20", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "340", "Evaluated pathologically:\n\nPathologically stated as N1b with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns20", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "350", "Evaluated pathologically:\n\nPathologically stated as N1 [NOS] with no other information on regional lymph nodes", "JUMP:determine_correct_table_for_ajcc7_n_ns20", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "360", "Stated as N1[NOS] with no information on pathologic or clinical evaluation", "JUMP:determine_correct_table_for_ajcc7_n_ns20", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "390", " Satellite nodule(s) or in transit metastasis, distance from primary tumor less than or equal to 2 cm or distance not stated\nWITHOUT regional lymph node involvement.  Includes cases with ITCs only and cases with regional lymph node involvement not stated\n\nOR\n\nDescribed as tumor with satellite nodule(s), NOS\nWITHOUT regional lymph node involvement or regional lymph node involvement not stated\n(See Note 4)", "VALUE:N2", "VALUE:N0", "VALUE:RE", "VALUE:RE" ], [ "400", "Satellite nodule(s) or in transit metastasis, distance from primary tumor greater than 2 cm or distance not stated \nWITHOUT regional lymph node involvement.  Includes cases with ITCs only and cases with regional lymph node involvement not stated \n\nOR\n \nDescribed as tumor with in transit metastasis, NOS \nWITHOUT regional lymph node involvement or regional lymph node involvement not stated\n(See Note 4)", "VALUE:N2", "VALUE:N1", "VALUE:RE", "VALUE:RN" ], [ "420", "400 + 100 \n\nSatellite nodule(s) or in transit metastasis \nWITH regional lymph nodes listed in code 100 \n(See Note 4)", "VALUE:N2", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "440", "400 + 200\n\nSatellite nodule(s) or in transit metastasis \nWITH regional lymph nodes listed in code 200 \n(See Note 4)", "VALUE:N2", "VALUE:N1", "VALUE:D", "VALUE:RN" ], [ "460", "400 + 300\n\nSatellite nodule(s) or in transit metastasis \nWITH regional lymph nodes listed in code 300 \n(See Note 4)", "VALUE:N2", "VALUE:N1", "VALUE:D", "VALUE:RN" ], [ "470", "400 + (250 or 305)  \n\nSatellite nodule(s) or in transit metastasis  \nWITH regional lymph nodes listed in code 250 or code 305  \n(See Note 4)", "VALUE:N2", "VALUE:N1", "VALUE:D", "VALUE:D" ], [ "475", "Satellite nodule(s) or in transit metastasis \nWITH regional lymph node(s), NOS", "VALUE:N2", "VALUE:N1", "VALUE:RN", "VALUE:RN" ], [ "480", "Stated as N2 [NOS] with no other information on regional lymph nodes", "VALUE:N2", "VALUE:N1", "VALUE:RE", "VALUE:RE" ], [ "800", "Lymph nodes, NOS", "VALUE:N1NOS", "VALUE:N1", "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" ] ]
}




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