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{
  "id" : "clin_t_vagina_84852",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Clin T Vagina",
  "title" : "Clinical T",
  "notes" : "**Note 1:**    FIGO does not include an in situ category for tumors of the vagina, but TNM does. Assign pTis (behavior code /2) for in situ cases. \n\n**Note 2:**  When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and extension information on the primary tumor are available, use the extension information to assign the T in preference to a statement of FIGO stage - see Registrar notes.\n* If the only information is FIGO III assign the appropriate stage and leave clinical T, N, and M blank. If the only information is FIGO stage IVB, leave T and N blank and see M\n\n**Note 3:** The presence of bullous edema is not sufficient evidence to classify a tumor as T4.\n\n**Note 4:**  The pelvic wall is defined as muscle, fascia, neurovascular structures, or skeletal portions of the bony pelvis.",
  "last_modified" : "2018-04-11T19:53:04.821Z",
  "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 OR\n Physician assigns cTX, no other information available to determine T" ], [ "c0", "cT0", "No evidence of primary tumor", "" ], [ "pIS", "pTis", "Carcinoma in situ (preinvasive carcinoma)", "Intraepithelial,  noninvasive" ], [ "c1", "cT1", "Tumor confined to vagina", "Invasive cancer confined to: \n    Submucosa (stroma) (vagina)\n\nMusculature involved\n\nLocalized, NOS\n\nFIGO Stage I\n\nStated as T1" ], [ "c2", "cT2", "Tumor invades paravaginal tissues (pracolpium)", "Cervix\nCul de sac (rectouterine pouch)\nParavaginal soft tissue\nRectovaginal septum\nVesicovaginal septum\nVulva\n\nFIGO Stage II\n\nStated as T2" ], [ "c3", "cT3", "Tumor extends to pelvic wall", "Extension to: \n   Bladder wall or bladder, NOS excluding mucosa\n   Pelvic wall (described clinically as frozen pelvis)\n   Rectal wall or rectum, NOS excluding mucosa\n\nStated as T3" ], [ "c4", "cT4", "Tumor invades mucosa of bladder or rectum, OR \n\nExtends beyond the true pelvis", "Extension to:  \n    Bladder mucosa (excluding bullous edema)\n    Rectal mucosa\n    Urethra\n\nFIGO Stage IVA\n\nStated as T4" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Only information is FIGO Stage III or IVB\n\nClinical classification 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" ] ]
}




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