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{
  "id" : "clin_n_dbc",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Clin N Cervix",
  "title" : "Clinical N",
  "notes" : "**Note 1:** When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and regional lymph node detail are available, use the regional lymph node detail in preference to a statement of FIGO stage - see Registrar notes.\n* If the only information is FIGO IIIB, assign the appropriate stage and leave clinical T, N, and M blank. If the only information is FIGO stage IVB, leave T and N blank and see M\n\n**Note 2:**  Code only regional nodes and nodes, NOS, in this field.  Distant nodes are coded in M (distant metastasis).\n.\n**Note 3:**  If either exploratory or definitive surgery is done with no mention of lymph nodes, assume nodes are negative.\n\n**Note 4:**  If the clinician says \"adnexa palpated\" but does not mention lymph nodes, assume lymph nodes are not involved.\n\n**Regional lymph nodes**\n\n    Iliac, NOS\n       Common\n       External\n       Internal (hypogastric)\n           Obturator\n    Paracervical\n    Parametrial\n    Pelvic, NOS\n    Sacral, NOS\n       Lateral (laterosacral)\n       Middle (promontorial) (Gerota's node)\n       Presacral\n       Uterosacral\n\n    Regional lymph nodes, NOS\n    Lymph nodes, NOS",
  "last_modified" : "2018-04-11T19:53:02.240Z",
  "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 node(s)  cannot be assessed", "Only information available is FIGO Stage IVA\n\nClinical classification criteria met, evaluation done:\n    Physician unable to assess N\n    Regional lymph node involvement cannot be determine or findings inconclusive\nPhysician assigns cNX, no other information available to determine N" ], [ "c0", "cN0", "No regional lymph node metastasis", "Only information available is FIGO Stage I (all subcategories), II (all subcategories), III [NOS], IIIA" ], [ "c1", "cN1", "Regional lymph node metastasis", "Stated as N1" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Only information available is FIGO Stage IIIB or IVB\n\nClinical 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" ] ]
}




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