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

{
  "id" : "path_n_dfn",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Path N Distal Bile Duct",
  "title" : "Pathologic N",
  "notes" : "**Note 1:** Histological examination of a regional lymphadenectomy specimen will ordinarily include 12 or more lymph nodes. If the regional lymph nodes are negative, but the number ordinarily examined is not met, classify as pN0. (1)\n\n**Note 2:**  Celiac nodes are classified as distant nodes for TNM 7 staging.  These nodes are coded in M (distant metastasis).\n\n**Regional lymph nodes**\n\n    Cystic duct (node of the neck of the gallbladder) (Calot's node)\n    Hepatic artery\n    Hilar (in the hepatoduodenal ligament)\n    Node of the foramen of Winslow (omental) (epiploic)\n    Pancreaticoduodenal:\n        Anterior\n        Posterior\n    Pericholedochal (node along common bile duct)\n    Periduodenal\n    Peripancreatic (near head of pancreas only)\n    Periportal\n    Porta hepatis (portal) (hilar) (in hilus of liver)\n    Superior mesenteric artery\n    Superior mesenteric vein",
  "footnotes" : "(1) International Union Against Cancer (UICC) *TNM Classification of Malignant Tumors,* 7th ed., Sobin, LH, Gospodarowicz, M, Wittekind, CH, eds. New York: Wiley, 2009, pg., 127",
  "last_modified" : "2018-04-11T19:53:03.868Z",
  "definition" : [ {
    "key" : "path_n",
    "name" : "Pathologic N",
    "type" : "INPUT"
  }, {
    "key" : "path_n_display",
    "name" : "Pathologic N Display",
    "type" : "DESCRIPTION"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  }, {
    "key" : "notes",
    "name" : "Registrar Notes",
    "type" : "DESCRIPTION"
  } ],
  "rows" : [ [ "pX", "pNX", "Regional lymph node(s) cannot be assessed", "Pathologic classification criteria met, evaluation done:\n    Physician unable to assess N\n    Surgical resection primary tumor, no regional lymph nodes removed\n    Involvement of regional lymph nodes not documented\nPhysician assigns pNX, no other information available to determine N" ], [ "p0", "pN0", "No regional lymph node metastasis", "" ], [ "p1", "pN1", "Regional lymph node metastasis", "Regional lymph nodes, NOS\nLymph nodes, NOS\n\nStated as N1" ], [ "c0", "cN0", "Clinically: No regional lymph node metastasis", "Use only for TNM defined pTis cases where there is a resection of the primary and the nodes are not evaluated pathologically" ], [ "88", "88", "Not applicable", "Primary site/histology not TNM defined\nDeath certificate only (DCO) case" ], [ "", "BLANK", "See Registrar Notes", "Pathologic classification criteria not met \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)" ] ]
}