algorithms.tnm.1.7.tables.net_ampulla_pathologic_t_58166.json Maven / Gradle / Ivy

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A cancer staging client library
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{
  "id" : "net_ampulla_pathologic_t_58166",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Path T NET Ampulla",
  "title" : "Pathologic T",
  "notes" : "**Note 1:** Assign 88 for in situ cases (behavior code /2). TNM does not include an in situ category for NET ampulla tumors.\n\n**Note 2:** Tumor size must be known to assign a value of T1 or T2. You may use a physician’s statement of the T category if this is the only information in the medical record.\n* If the tumor appears to be in the T1 or T2 categories, but no size or category is specified, assign TX\n\n**Note 3:** Assign the appropriate T category (T1, T2) based on the tumor size for the following descriptions\n\n    Invasive tumor confined/limited to ampulla of Vater or extending to sphincter of Oddi\n    Duodenal wall\n\n    Confined to ampulla, NOS\n    Localized, NOS",
  "last_modified" : "2018-04-11T19:53:05.006Z",
  "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 \n    Tumor size (TS) unknown for T categories where TS  needed to determine T\nPhysician assigns pTX, no other information available to determine T" ], [ "p0", "pT0", "No evidence of primary tumor", "" ], [ "p1", "pT1", "Tumor invades lamina propria or submucosa and is no greater than 1 cm in size", "Stated as T1" ], [ "p2", "pT2", "Tumor invades muscularis propria or is greater than 1 cm in size", "Stated as T2" ], [ "p3", "pT3", "Jejunal or ileal tumor invades subserosa \nAmpullary or duodenal tumor invades pancreas or retroperitoneum", "Peripancreatic soft tissues\n\nStated as T3" ], [ "p4", "pT4", "Tumor perforates visceral peritoneum (serosa) or invades other organs or adjacent structures", "Common bile duct\nExtrahepatic bile ducts other than common bile duct or sphincter of Oddi\n\nExtension to other adjacent organs or tissues:\n    Blood vessels (major):\n        Hepatic artery\n        Portal vein\n    Gallbladder\n    Hepatic flexure\n    Lesser omentum\n    Liver including porta hepatis\n    Stomach\n    Transverse colon\n\nFurther contiguous extension\n\nStated as T4" ], [ "88", "88", "Not applicable", "In situ case but no pTis is defined by TNM\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)" ] ]
}