algorithms.tnm.1.7.tables.clin_t_copy_81159.json Maven / Gradle / Ivy

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A cancer staging client library
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{
  "id" : "clin_t_copy_81159",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Clin T Epiglottis Anterior",
  "title" : "Clinical T",
  "notes" : "**Note 1:**  Impaired vocal cord mobility, also described as vocal cord paresis, may suggest invasion of intrinsic laryngeal muscle. Fixation of the vocal cord may be described as immobility of the arytenoids noted on endoscopy, vocal cord paralysis, or deviation of larynx to fixed side.\n\n**Note 2:**  Assign T1 for localized tumor only if no information is available to identify further extension.",
  "footnotes" : "\\* T4 [NOS] is not defined by UICC in the 7th edition. Approval has been provided by UICC to use \"Tumor invades bone, nerve or extrinsic deep muscles\" as T4 [NOS].\n\\# T4 [NOS] is not defined in AJCC 7th edition.",
  "last_modified" : "2018-04-11T19:53:05.875Z",
  "definition" : [ {
    "key" : "clin_t",
    "name" : "Clinical T",
    "type" : "INPUT"
  }, {
    "key" : "clin_t_display",
    "name" : "Clinical T Display",
    "type" : "DESCRIPTION"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  }, {
    "key" : "notes",
    "name" : "Registrar Notes",
    "type" : "DESCRIPTION"
  } ],
  "rows" : [ [ "cX", "cTX", "Primary tumor cannot be assessed", "Clinical classification criteria met, evaluation done: \n    Physician unable to assess T \n    Extension cannot be determined\nPhysician assigns cTX, no other information available to determine T" ], [ "c0", "cT0", "No evidence of primary tumor", "" ], [ "pIS", "pTis", "Carcinoma in situ", "Intraepithelial, noninvasive\n\nStated as Tis" ], [ "c1", "cT1", "Tumor limited to one subsite of supraglottis \nWITH normal vocal cord mobility", "Invasive tumor confined to anterior surface of epiglottis with normal vocal cord mobility\n\nLocalized, NOS\n\nStated as T1" ], [ "c2", "cT2", "Tumor invades: \n      Mucosa of more than one adjacent subsite of supraglottis OR \n      Glottis or region outside the supraglottis, e.g., \n          Mucosa of base of tongue\n          Vallecula\n          Medial wall of pyriform sinus\n \nWITHOUT fixation of the larynx", "Larynx, glottic or NOS WITHOUT fixation of larynx\nMucosa of adjacent subsite(s) of oropharynx\nMucosa of vallecula without fixation of larynx\n\nStated as T2" ], [ "c3", "cT3", "Tumor limited to larynx WITH vocal cord fixation and/or \ninvades any of the following:\n    Postcricoid area\n    Pre-epiglottic space\n    Paraglottic space\n    Inner cortex of thyroid cartilage", "Any structure coded in T1 or T2 WITH vocal cord fixation\n\nHypopharynx, NOS\nParaglottic space\nPyriform sinus except medial wall \n\nStated as T3" ], [ "c4", "cT4", "Not defined by UICC*#", "Note: T4 has subcategories of T4a and T4b. Assign T4 only when there is no information available to assign one of the subcategories\n\nTumor invades bone, nerve or extrinsic deep muscles\n\nStated as T4[NOS]" ], [ "c4A", "cT4a", "Tumor invades through the thyroid cartilage and/or invades tissues beyond the larynx, e.g., \n    Trachea\n    Soft tissues of neck including deep/extrinsic muscle of tongue \n        Genioglossus\n        Hyoglossus\n        Palatoglossus\n        Styloglossus\n    Strap muscles\n    Thyroid\n    Esophagus", "Deep tissues of base of tongue\nBuccal mucosa (inner cheek)\nFloor of mouth\nGum (gingiva)\nNasopharynx\nPterygoid muscle\nSoft palate\n\nInvasion of, through outer cortex of thyroid cartilage\nThyroid cartilage, NOS\n\nStrap muscles:\n    Omohyoid\n    Sternohyoid\n    Thyrohyoid\n\nStated as T4a" ], [ "c4B", "cT4b", "Tumor invades: \n    Prevertebral space\n    Encases carotid artery\n    Mediastinal structures", "Further contiguous extension, including:\n    Anterior 2/3 of tongue\n    Bone\n    Hard palate\n    Mandible\n    Parotid gland\n\nStated as T4b" ], [ "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\nClinical evaluation of primary tumor not done or unknown if done\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)" ] ]
}