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{
"id" : "clin_m_hav",
"algorithm" : "tnm",
"version" : "1.7",
"name" : "Clin M Bone",
"title" : "Clinical M",
"notes" : "**Note:** The term \"skip metastasis\" is not used with a consistent meaning in the literature. In some cases, it refers to discontinuous metastasis in the same bone as the primary tumor, while in other cases it refers to discontinuous metastasis in an adjacent bone, usually in the same limb. For TNM staging, discontinuous metastasis in the same bone is classified as T3 (coded in primary tumor), and discontinuous metastasis in an adjacent bone is classified as M1b (coded in distant metastasis). \n* If a primary bone tumor is stated as having \"skip metastasis\" or \"skip lesions\" with no other information regarding the bone involved, assign T3 in primary tumor",
"last_modified" : "2018-04-11T19:53:02.716Z",
"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", "Unknown; distant metastasis not stated\nDistant metastasis cannot be assessed\nNot documented in patient record" ], [ "c1", "cM1", "Distant metastasis", "CLINICAL assessment only:\nNote: M1 has subcategories of M1a and M1b. Assign M1 only when there is no information available to assign one of the subcategories.\n\nDistant metastasis, NOS\n\nStated as M1[NOS]" ], [ "c1A", "cM1a", "Lung", "CLINICAL assessment only:\nDistant metastasis to lung only\n\nStated as M1a" ], [ "c1B", "cM1b", "Other distant sites", "CLINICAL assessment only:\nDistant lymph nodes, NOS\n\nDistant metastasis WITH or WITHOUT distant lymph node(s)\n\nDistant metastasis WITH or WITHOUT lung mets \n\nCarcinomatosis\n\nStated as M1b" ], [ "p1", "pM1", "Distant metastasis", "HISTOLOGICALLY confirmed:\nNote: M1 has subcategories of M1a and M1b. Assign M1 only when there is no information available to assign one of the subcategories.\n\nDistant metastasis, NOS" ], [ "p1A", "pM1a", "Lung", "HISTOLOGICALLY confirmed:\nDistant metastasis to lung only" ], [ "p1B", "pM1b", "Other distant sites", "HISTOLOGICALLY confirmed:\nDistant lymph nodes, NOS\n\nDistant metastasis WITH or WITHOUT distant lymph node(s)\n\nDistant metastasis WITH or WITHOUT lung mets \n\nCarcinomatosis" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Clinical 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)\nOnly Clinical Stage Group documented (no T, N, or M information available)" ] ]
}
