algorithms.tnm.1.7.tables.pancreas_head_t_4793.json Maven / Gradle / Ivy

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A cancer staging client library
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{
  "id" : "pancreas_head_t_4793",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Path T Pancreas Head",
  "title" : "Pathologic T",
  "notes" : "**Note 1:**  Tumors of the head of the pancreas arise to the right of the superior mesenteric-portal vein confluence.\n\n**Note 2:**  Islets of Langerhans are distributed throughout the pancreas. \n* An islet tumor is coded 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" : "2018-04-11T19:53:04.681Z",
  "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\nAdjacent stomach\nAmpulla of Vater\nBlood vessel(s) (major):\n    Gastroduodenal artery\n    Hepatic artery\n    Pancreaticoduodenal artery\n    Portal vein\n    Superior mesenteric vein\nBody of stomach\nDuodenum\nExtrahepatic bile duct(s)\nGallbladder\nMesenteric fat\nMesentery\nMesocolon\nOmentum\nPeritoneum\nStomach, NOS\nTransverse colon, including hepatic flexure\n\nStated as T3" ], [ "p4", "pT4", "Tumor involves celiac axis or superior mesenteric artery", "Tumor is inseparable from the celiac axis\nTumor is inseparable from the superior mesenteric artery\nSuperior mesenteric artery\nSuperior mesenteric artery plus omentum\nSuperior mesenteric artery plus body of stomach\n\nAdrenal (suprarenal) gland\nAorta\nCeliac artery\nColon (other than transverse colon including hepatic flexure)\nIleum\nJejunum\nKidney\nLiver (including porta hepatis)\nRetroperitoneum\nSpleen\nUreter\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)" ] ]
}