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{
  "id" : "clin_n_testis_17993",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Clin N Testis",
  "title" : "Clinical N",
  "notes" : "**Note 1:**  Involvement of inguinal, pelvic, or external iliac lymph nodes  **WITHOUT** previous scrotal or inguinal surgery prior to presentation of the testis tumor is coded in M (distant metastasis), as distant lymph node involvement.\n\n**Note 2:** Size of the largest metastasis in a lymph node must be known to assign N. You may use a physician’s statement of the N category if this is the only information in the medical record. \n* If the size of the metastasis is not documented, determine the size of the largest involved lymph node as documented clinically\n* If the size of the lymph node(s) cannot be determined, assign N1\n* Do **not** code the size of any node(s) assigned in M (distant metastasis)\n\n**Regional lymph nodes**\n     \n    Aortic, NOS\n       Lateral (lumbar)\n       Para-aortic\n       Periaortic\n       Preaortic \n       Retroaortic\n    Pericaval, NOS\n       Interaortocaval\n       Paracaval\n       Precaval\n       Retrocaval\n    Retroperitoneal, NOS\n    Spermatic vein\n\n    Regional lymph nodes, NOS\n    Lymph nodes, NOS\n     \n**Regional lymph nodes WITH previous scrotal or inguinal surgery** \n    \n    External iliac\n    Inguinal nodes, NOS\n       Deep, NOS\n       Node of Cloquet or Rosenmuller (highest deep inguinal)\n       Superficial (femoral)\n    Pelvic, NOS",
  "last_modified" : "2018-04-11T19:53:04.805Z",
  "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", "" ], [ "c1", "cN1", "Metastasis with a lymph node mass 2 or less in greatest dimension OR \n\nMultiple lymph nodes, none more than 2 cm in greatest dimension", "Single or multiple nodes not stated, size not stated\n\nStated as N1" ], [ "c2", "cN2", "Metastasis with a lymph node mass more than 2 cm but not more than 5 cm in greatest dimension  OR \n\nMultiple lymph nodes, any one mass more than 2 cm but not more than 5 cm in greatest dimension", "Single or multiple nodes not stated, size stated and greater than 2 cm but less than or equal to 5 cm\n\nStated as N2" ], [ "c3", "cN3", "Metastasis with a lymph node mass more than 5 cm in greatest dimension", "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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