algorithms.tnm.1.7.tables.pancreas_bodytail_t_46669.json Maven / Gradle / Ivy

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A cancer staging client library
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{
  "id" : "pancreas_bodytail_t_46669",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Path T Pancreas Body Tail",
  "title" : "Pathologic T",
  "notes" : "**Note 1:**  Tumors of the body of the pancreas arise between the left edge of the superior mesenteric-portal vein confluence and the left edge of the aorta.  Tumors of the tail of the pancreas arise to the left of the left edge of the aorta.\n\n**Note 2:**  Islets of Langerhans are distributed throughout the pancreas; an islet tumor is coded according to the subsite of the pancreas in which the tumor arises if the information is available.\n\n**Note 3:** 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 4:**  Assign the appropriate T category (T1, T2) based on the tumor size for the following descriptions\n\n    Confined to pancreas\n    Localized, NOS",
  "last_modified" : "2018-04-11T19:53:04.220Z",
  "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", "" ], [ "pIS", "pTis", "Carcinoma in situ", "In situ, intraepithelial, noninvasive \nPancreatic Intraepithelial Neoplasia III (PanInIII) \nPanIN-III classification" ], [ "p1", "pT1", "Tumor limited to pancreas, 2 cm or less in greatest dimension", "Stated as T1" ], [ "p2", "pT2", "Tumor limited to pancreas, more than 2 cm in greatest dimension", "Stated as T2" ], [ "p3", "pT3", "Tumor extends beyond pancreas, but \nWITHOUT involvement celiac axis or superior mesenteric artery", "Extension to peripancreatic tissue, NOS\nFixation to adjacent structures, NOS\n\nAmpulla of Vater\nBlood vessel(s):\n    Hepatic artery\n    Portal vein\n    Splenic artery/vein\n    Superior mesenteric vein\nDuodenum\nExtrahepatic bile duct(s)\nKidney, NOS\nLeft adrenal (suprarenal) gland\nLeft kidney\nLeft ureter\nMesenteric fat\nMesentery\nMesocolon\nPeritoneum\nRetroperitoneal soft tissue (retroperitoneal space)\nSpleen\nSplenic flexure of colon\n\nStated as T3" ], [ "p4", "pT4", "Tumor involves celiac axis or superior mesenteric artery", "Tumor is inseparable from the celiac axis or superior mesenteric artery\n\nAorta\nCeliac artery\nColon (other than splenic flexure)\nDiaphragm\nGallbladder\nIleum\nJejunum\nLiver (including porta hepatis)\nRight adrenal (suprarenal) gland\nRight kidney\nRight ureter\nStomach\nSuperior mesenteric artery\n\nFurther contiguous extension\n\nStated as T4" ], [ "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)" ] ]
}