algorithms.tnm.1.7.tables.clin_n_dam.json Maven / Gradle / Ivy
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A cancer staging client library
{
"id" : "clin_n_dam",
"algorithm" : "tnm",
"version" : "1.7",
"name" : "Clin N Melanoma Skin",
"title" : "Clinical N",
"notes" : "**Note 1:** Code only regional nodes and nodes, NOS in this field. Distant nodes are coded in M (distant metastasis).\n\n**Note 2:** Any finding of melanoma in lymph nodes, regardless of size and including isolated tumor cells (ITCs), are coded as positive lymph nodes.\n* Assign N1 If only ITCs are present\n\n**Note 3:** Bilateral or contralateral nodes are classified as 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.\n* Clinical assessment of bilateral/contralateral or cephalad/caudal regional nodal involvement is required for tumors where lymphoscintigraphy is not performed\n\n\n **Note 4:** Contiguous or secondary nodal basins are the next nodal drainage basins beyond the primary nodal basins. Secondary basins are regional for TNM staging.\n\n**Note 5:** Assign N2c if there are satellite(s) or in-transit metastasis without regional lymph node involvement. Assign N3 if both satellite nodules/in-transit metastases and regional lymph nodes are present. \n\n**Regional lymph nodes by skin primary site**\n* Head and Neck sites include bilateral or contralateral nodes\n\n**Lip (C440)**\n \n Cervical\n Facial, NOS \n Buccinator (buccal) \n Nasolabial \n Mandibular, NOS \n Parotid, NOS \n Infra-auricular \n Preauricular \n Submental \n Submandibular (submaxillary) \n \n**External ear/auditory canal (C442)**\n \n Cervical\n Mastoid (post-/retro-auricular) (occipital) \n Preauricular \n \n**Face, Other (cheek, chin, forehead, jaw, nose and temple) (C443)** \n \n Cervical\n Facial, NOS \n Buccinator (buccal) \n Nasolabial \n Mandibular, NOS \n Parotid, NOS \n Infra-auricular \n Preauricular \n Submental\n Submandibular (submaxillary) \n \n**Scalp (C444)** \n \n Mastoid (post-/retro-auricular) (occipital) \n Parotid, NOS \n Infra-auricular \n Preauricular \n Spinal accessory (posterior cervical)\n \n**Neck (C444)**\n \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 Submental \n Supraclavicular (transverse cervical) \n \n**Trunk (C445)** \n \n Axillary \n Cervical \n Internal mammary (parasternal)\n Femoral (superficial inguinal) \n Supraclavicular (transverse cervical) \n \n**Arm/Shoulder (C446)**\n \n Axillary \n Epitrochlear for hand/forearm \n Spinal accessory for shoulder \n \n**Leg/Hip (C447)**\n \n Femoral (superficial inguinal) \n Popliteal for heel and calf \n \n **Bidirectional nodal involvement (includes bilateral or contralateral nodes)**\n\n Upper Trunk: Femoral (or cephalad/caudal drainage from primary tumor) \n Lower Trunk: Axillary (or cephalad/caudal drainage from primary tumor)\n \n**Secondary nodal basin involvement (includes bilateral or contralateral nodes)**\n \n Head and Neck: Supraclavicular \n Arm/Shoulder: Supraclavicular \n Leg/Hip: Iliac \n All sites: Regional lymph node(s) in secondary nodal basins, NOS",
"last_modified" : "2018-04-11T19:53:08.380Z",
"definition" : [ {
"key" : "clin_n",
"name" : "Clinical N",
"type" : "INPUT"
}, {
"key" : "clin_n_display",
"name" : "Clinical N Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "cX", "cNX", "Regional lymph nodes cannot be assessed", "Clinical classification criteria met, evaluation done: \n Physician unable to assess N\n Regional lymph node involvement cannot be determined or findings inconclusive\nPhysician assigns cNX, no other information available to determine N" ], [ "c0", "cN0", "No regional lymph node metastasis", "No regional lymph node involvement " ], [ "c1", "cN1", "Metastasis in one regional lymph node", "Regional lymph nodes, NOS\nLymph nodes, NOS\n\nStated as N1 [NOS]" ], [ "c2", "cN2", "Metastasis in two or three regional lymph nodes or satellite(s) or in-transit metastasis", "Stated as N2 [NOS]" ], [ "c2C", "cN2c", "Satellite(s) or in-transit metastasis WITHOUT regional nodal metastasis", "Satellite nodule(s) or in transit metastasis, distance from primary tumor less than or equal to 2 cm or distance not stated WITHOUT regional lymph node involvement. \n\nDescribed as tumor with satellite nodule(s) or in transit metastasis, NOS WITHOUT regional lymph node involvement\n\nStated as N2c" ], [ "c3", "cN3", "Metastasis in four or more regional lymph nodes, or matted metastatic regional lymph nodes, or satellite(s) or in-transit metastasis with metastasis in regional lymph node(s)", "Matted lymph nodes\n\nSatellite nodule(s) or in-transit metastases WITH regional lymph nodes\n\nStated as N3" ], [ "88", "88", "Not applicable", "Death 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 record\nTumor first detected on surgical resection (no clinical workup)\nEvidence of metastatic disease [(cM1) or (pM1)], no other workup\nOnly Clinical Stage Group documented (no T, N, or M information available)" ] ]
}