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{
  "id" : "clin_n_pleural_23905",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Clin N Pleural",
  "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    Intrathoracic \n    Internal mammary\n    Peridiaphragmatic\n    Scalene\n    Supraclavicular nodes",
  "last_modified" : "2018-04-11T19:53:03.922Z",
  "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 ipsilateral bronchopulmonary and/or hilar lymph node(s)", "Regional lymph nodes, ipsilateral, intrapulmonary:\n    Hilar:\n        Bronchopulmonary\n        Proximal lobar\n        Pulmonary root\n    Intrapulmonary:\n        Interlobar\n        Lobar\n        Segmental\n        Subsegmental\n    Peri/parabronchial\n\nRegional lymph nodes, NOS\n\nLymph nodes, NOS\n\nStated as N1" ], [ "c2", "cN2", "Metastasis in subcarinal lymph node(s) and/or ipsilateral internal mammary or mediastinal lymph node(s)", "Regional lymph nodes, ipsilateral, mediastinal:\n    Aortic (above diaphragm), NOS:\n        Aorto-pulmonary window\n        Ascending aorta\n        Peri/para-aortic\n        Phrenic\n        Subaortic\n    Carinal:\n        Tracheobronchial\n        Tracheal bifurcation\n    Internal mammary (parasternal)\n    Mediastinal, NOS:\n        Anterior\n        Posterior (tracheoesophageal)\n    Pericardial\n    Peri/paraesophageal (below carina)\n    Peri/paratracheal, NOS:\n        Lower peritracheal (azygos)\n        Upper paratracheal\n    Pretracheal and retrotracheal, NOS:\n        Precarinal\n    Prevascular\n    Pulmonary ligament\n    Subcardial\n    Subcarinal\n\nRegional lymph nodes, ipsilateral, mediastinal:\n    Peridiaphragmatic\n\nStated as N2" ], [ "c3", "cN3", "Metastasis in contralateral mediastinal, internal mammary, or hilar node(s) and/or ipsilateral or contralateral supraclavicular or scalene lymph node(s)", "Stated as N3" ], [ "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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