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{
  "id" : "clin_m_haj",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Clin M Vagina",
  "title" : "Clinical M",
  "notes" : "**Note:** 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, assign the appropriate stage and leave clinical T, N, and M blank\n\n**Distant lymph nodes**\n\n    Aortic, NOS\n        Lateral (lumbar)\n        Para-aortic\n        Periaortic\n    Retroperitoneal, NOS\n\n**Distant lymph nodes for primary in lower third of vagina**\n\n    Pelvic lymph nodes\n        Iliac, NOS\n            Common\n            External\n            Internal (hypogastric)\n                Obturator\n                Middle sacral (promontorial) (Gerota's node)\n    Pelvic lymph nodes, NOS \n\n**Distant lymph nodes for primary in upper two-thirds of vagina**\n\n     Inguinal, NOS\n        Superficial inguinal (femoral)",
  "last_modified" : "2018-04-11T19:53:02.281Z",
  "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, II or IVA\n\nUnknown; distant metastasis not stated\nNot documented in patient record" ], [ "c1", "cM1", "Distant metastasis", "CLINICAL assessment only:\nDistant lymph nodes, NOS\n\nCarcinomatosis\n\nDistant metastasis WITH or WITHOUT distant lymph node(s) \n\nDistant metastasis, NOS\n\nFIGO Stage IVB \n\nStated as M1" ], [ "p1", "pM1", "Distant metastasis", "HISTOLOGICALLY confirmed:\nDistant lymph nodes, NOS\n\nCarcinomatosis\n\nDistant metastasis WITH or WITHOUT distant lymph node(s) \n\nDistant metastasis, NOS\n\nFIGO Stage IVB" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Only information is FIGO Stage III \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)" ] ]
}




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