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{
"id" : "clin_m_hah",
"algorithm" : "tnm",
"version" : "1.7",
"name" : "Clin M Ovary",
"title" : "Clinical M",
"notes" : "**Note 1:** When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and metastatic detail are available, use the metastatic detail in preference to a statement of FIGO stage - see Registrar notes.\n* If the only information is FIGO III [NOS] or IIIC, assign the appropriate stage and leave clinical T, N, and M blank\n\n**Note 2:** Discontinuous metastasis to any of the following abdominal organs by way of peritoneal seeding or implants is included in the T3 category (FIGO Stage III) and coded in T (primary tumor).\n* Abdominal mesentery; diaphragm; gallbladder; infracolic omentum; kidneys; large intestine except rectum, rectosigmoid, and sigmoid colon; liver (peritoneal surface); omentum; pancreas; pericolic gutter; peritoneum, NOS; small intestine; spleen; stomach; and ureters outside pelvis\n\n**Note 3:** Hematogenous metastases are included in M1 (FIGO Stage IV) disease.",
"last_modified" : "2018-04-11T19:53:02.070Z",
"definition" : [ {
"key" : "clin_m",
"name" : "Clinical M",
"type" : "INPUT"
}, {
"key" : "clin_m_display",
"name" : "Clinical M Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "c0", "cM0", "No distant metastasis", "Only information available is FIGO Stage I [NOS], IA, IB, II [NOS], IIA, IIB, IIC, IIIA, or IIIB\n\nUnknown; distant metastasis not stated\nNot documented in patient record" ], [ "c1", "cM1", "Distant metastasis except peritoneal metastasis", "CLINICAL assessment only:\nDistant lymph nodes, NOS\n\nInvolvement of other organs by peritoneal seeding or implants including:\n Liver parenchymal metastasis\n Pleural effusion WITH positive cytology\n\nCarcinomatosis\n\nDistant metastasis WITH or WITHOUT distant lymph node(s) \n\nDistant metastasis, NOS\n\nFIGO Stage IV\n\nStated as M1" ], [ "p1", "pM1", "Distant metastasis except peritoneal metastasis", "HISTOLOGICALLY confirmed:\nDistant lymph nodes, NOS\n\nInvolvement of other organs by peritoneal seeding or implants including:\n Liver parenchymal metastasis\n Pleural effusion WITH positive cytology\n\nCarcinomatosis\n\nDistant metastasis WITH or WITHOUT distant lymph node(s) \n\nDistant metastasis, NOS\n\nFIGO Stage IV" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\nIn situ case but no pTis is defined by TNM\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Only information is FIGO Stage III [NOS] or IIIC\n\nClinical classification criteria not met\nClinical classification criteria met, evaluation done:\n No information about diagnostic workup\n Results not documented in patient record\nClinical evaluation of T and N not done, no evidence metastatic disease \nTumor first detected on surgical resection (no clinical workup)" ] ]
}
