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{
  "id" : "clin_n_dfn",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Clin N Distal Bile Duct",
  "title" : "Clinical N",
  "notes" : "**Note:**  Code only regional nodes and nodes, NOS, in this field.  Distant nodes are coded in M (distant metastasis).\n\n**Regional lymph nodes**\n\n    Cystic duct (node of the neck of the gallbladder) (Calot's node)\n    Hepatic artery\n    Hilar (in the hepatoduodenal ligament)\n    Node of the foramen of Winslow (omental) (epiploic)\n    Pancreaticoduodenal:\n        Anterior\n        Posterior\n    Pericholedochal (node along common bile duct)\n    Periduodenal\n    Peripancreatic (near head of pancreas only)\n    Periportal\n    Porta hepatis (portal) (hilar) (in hilus of liver)\n    Superior mesenteric artery\n    Superior mesenteric vein",
  "last_modified" : "2018-04-11T19:53:03.872Z",
  "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", "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", "" ], [ "c1", "cN1", "Regional lymph node metastasis", "Regional lymph nodes, NOS\nLymph nodes, NOS\n\nStated as N1" ], [ "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 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)" ] ]
}




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