algorithms.tnm.1.7.tables.glottic_larynx_t_8691.json Maven / Gradle / Ivy
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A cancer staging client library
{
"id" : "glottic_larynx_t_8691",
"algorithm" : "tnm",
"version" : "1.7",
"name" : "Path T Glottic Larynx",
"title" : "Pathologic 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" : "2018-04-11T19:53:05.800Z",
"definition" : [ {
"key" : "path_t",
"name" : "Pathologic T",
"type" : "INPUT"
}, {
"key" : "path_t_display",
"name" : "Pathologic T Display",
"type" : "DESCRIPTION"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "notes",
"name" : "Registrar Notes",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "pX", "pTX", "Primary tumor cannot be assessed", "Pathologic classification criteria met, evaluation done: \n Physician unable to assess T\n Surgical resection of primary tumor, extension not stated \nPhysician assigns pTX, no other information available to determine T" ], [ "p0", "pT0", "No evidence of primary tumor", "" ], [ "pIS", "pTis", "Carcinoma in situ", "Intraepithelial, noninvasive\n\nStated as Tis" ], [ "p1", "pT1", "Tumor limited to vocal cord(s) (may involve anterior or posterior commissure) \nWITH normal mobility", "Note: T1 has subcategories of T1a and T1b. Assign T1 only when there is no information available to assign one of the subcategories\n\nInvasive tumor with normal vocal cord mobility: \n Confined to glottis, NOS:\n Intrinsic larynx\n Laryngeal commissure(s):\n Anterior\n Posterior; \n Vocal cord(s), NOS:\n True vocal cord(s)\n True cord(s)\n\nLocalized, NOS\n\nStated as T1 [NOS]" ], [ "p1A", "pT1a", "Tumor limited to one vocal cord", "One vocal cord with normal vocal cord mobility\n\nStated as T1a with no other information on extension" ], [ "p1B", "pT1b", "Tumor involves both vocal cords", "Both vocal cords with normal vocal cord mobility\n\nStated as T1b with no other information on extension" ], [ "p2", "pT2", "Tumor extends to supraglottis and/or subglottis, and/or \nWITH impaired vocal cord mobility", "Tumor involves adjacent regions(s) of larynx:\n Subglottis\n Supraglottis:\n Aryepiglottic fold\n Arytenoid cartilage:\n Corniculate tubercle\n Cuneiform tubercle\n Ventricular bands (false vocal cord(s))\n\nImpaired vocal cord mobility\n\nStated as T2" ], [ "p3", "pT3", "Tumor limited to larynx WITH vocal cord fixation and/or \nInvades: \n Paraglottic space \n Inner cortex of the thyroid cartilage", "Tumor limited to larynx WITH vocal cord fixation\nInvolvement of intrinsic muscle(s) of larynx:\n Aryepiglottic\n Arytenoid \n Cricoarytenoid\n Cricothyroid\n Thyroarytenoid \n Thyroepiglottic\n Vocalis\n\nInner cortex of thyroid cartilage (minor thyroid cartilage erosion)\n\nStated as T3" ], [ "p4", "pT4", "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]" ], [ "p4A", "pT4a", "Tumor invades through the outer cortex of the thyroid cartilage, AND/OR \nInvades 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", "Base of tongue\nHypopharynx, NOS\nPre-epiglottic tissues\nPostcricoid area\nPyriform sinus\nVallecula\n\nExtension to/through:\n Cricoid cartilage\n Outer cortex of thyroid cartilage\n\nExtension to/through tissues beyond larynx:\n Strap muscles:\n Omohyoid\n Sternohyoid\n Sternothyroid\n Thyrohyoid\n Oropharynx\n Skin\n Soft tissue of neck\n Thyroid gland\n Trachea\n\nCervical esophagus\n\nStated as T4a" ], [ "p4B", "pT4b", "Tumor invades: \n Prevertebral space\n Encases carotid artery\n Mediastinal structures", "Stated as T4b" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Pathologic classification criteria not met \nPathologic classification criteria met, evaluation done: \n Results not documented in patient record \n No surgical resection of known primary tumor (not T0) \n Resection insufficient for site-specific pathologic assessment\nNo surgical resection of primary tumor and there isn’t a positive biopsy of a structure in the highest T category and highest N category\nEvidence of metastatic disease (pM1), no other workup\nOnly Pathologic Stage Group documented (no T, N, or M information available)" ] ]
}