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{
  "id" : "gist_stomach_n_73991",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Clin N GIST Stomach",
  "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 lymph node involvement is rare for GISTs, so that cases in which the nodal status is not associated clinically are classified as cN0 instead of cNX.\n\n**Regional lymph nodes**\n\n    Celiac\n       Hepatic (excluding gastrohepatic) \n       Hepatoduodenal     \n    Left gastric (superior gastric), NOS\n       Cardial\n       Cardioesophageal\n       Gastric, left\n       Gastropancreatic, left\n       Lesser curvature\n       Lesser omental\n       Paracardial\n    Hepatoduodenal (for lesser curvature)  \n    Nodule(s) in perigastric fat    \n    Pancreaticosplenic (pancreaticolienal)\n    Pancreaticoduodenal\n    Perigastric, NOS\n    Peripancreatic\n    Right gastric (inferior gastric), NOS:\n       Gastrocolic\n       Gastroduodenal\n       Gastroepiploic (gastro-omental), right or NOS\n       Gastrohepatic\n       Greater curvature\n       Greater omental\n       Pyloric, NOS: infrapyloric, subpyloric, suprapyloric\n    Splenic (lienal), NOS\n        Gastroepiploic (gastro-omental), left\n        Splenic hilar",
  "footnotes" : "\\# NX is not defined in AJCC 7th edition.",
  "last_modified" : "2018-04-11T19:53:06.003Z",
  "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", "Regional lymph node metastasis", "Nodule(s) or foci in pericolic fat/adjacent mesentery/mesocolic fat\n\nRegional lymph nodes, NOS\nLymph nodes, NOS\n\nStated as N1" ], [ "88", "88", "Not applicable", "In situ case but no pTis is defined by TNM\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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