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{
  "id" : "clin_renal_pevis_and_ureter_11547",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Clin N Renal Pevis and Ureter",
  "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:**  Regional nodes include bilateral and contralateral involvement of named nodes.\n\n**Note 3:** 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    Renal Pelvis\n        Aortic, NOS\n            Lateral (lumbar)\n            Para-aortic\n            Periaortic\n        Paracaval\n        Renal hilar\n        Retroperitoneal, NOS\n        Regional lymph node, NOS\n    Ureter\n        Iliac, NOS\n    Common\n        External\n        Internal (hypogastric), NOS\n             Obturator\n        Lateral aortic (lumbar)\n        Paracaval\n        Pelvic, NOS\n        Periureteral\n        Renal hilar\n        Retroperitoneal, NOS",
  "last_modified" : "2018-04-11T19:53:02.920Z",
  "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 in a single lymph node 2 cm or less in greatest dimension", "Single or multiple nodes not stated, size not stated\n   \nRegional lymph node, NOS\nLymph nodes, NOS\n\nStated as N1" ], [ "c2", "cN2", "Metastasis in a single lymph node more than 2 cm but not more than 5 cm in greatest dimension, OR \nMultiple lymph nodes, none 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 in a lymph node more than 5 cm in greatest dimension", "Single or multiple nodes not stated, size stated and greater than 5 cm\n\nStated 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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