algorithms.tnm.1.7.tables.pathological_n_corpus_carcinoma_11126.json Maven / Gradle / Ivy

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A cancer staging client library
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{
  "id" : "pathological_n_corpus_carcinoma_11126",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Path N Corpus Carcinoma",
  "title" : "Pathologic N",
  "notes" : "**Note 1:** When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and extension information on the primary tumor are available, use the extension information to assign the T in preference to a statement of FIGO stage - see Registrar notes.\n* If the only information is (pathologic) FIGO III [NOS], IIIC [NOS], IIIC1, or IIIC2 assign the appropriate stage and leave pathologic T, N, and M blank. If the only information is FIGO stage IVB, leave T and N blank and see M\n\n**Note 2:** Histological examination of a pelvic lymphadenectomy specimen will ordinarily include 6 or more lymph nodes. If the lymph nodes are negative, but the number ordinarily examined is not met, classify as pN0. (FIGO classifies such cases as pNX). (1)\n\n**Note 3:**  Code only regional nodes and nodes, NOS, in this field.  Distant nodes are coded in M (distant metastasis).\n\n**Note 4:**  Regional nodes include bilateral and contralateral involvement of named nodes.\n\n**Note 5:**  If the clinician says \"adnexa palpated\" but does not mention lymph nodes, assume lymph nodes are not involved.\n\n**Regional lymph nodes**\n\n    Aortic, NOS\n        Lateral (lumbar)\n        Para-aortic\n        Periaortic\n    Iliac, NOS\n        Common\n        External\n        Internal (hypogastric)\n            Obturator\n    Paracervical\n    Parametrial\n    Pelvic, NOS\n    Sacral, NOS\n        Lateral (laterosacral)\n        Middle (promontorial) (Gerota's node)\n        Presacral\n        Uterosacral\n\n    Pelvic lymph nodes, NOS\n\n    FIGO Stage IIIC (pelvic or para-aortic lymph nodes)\n    FIGO Stage IIIC1 (pelvic lymph nodes)\n    FIGO Stage IIIC2 (para-aortic lymph nodes WITH or WITHOUT pelvic lymph nodes)",
  "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., 215\n\n^ Definition from the [Updated pages](http://www.wileyanduicc.com/pdf/Corrected_pages.pdf) from TNM Classification of Malignant Tumours",
  "last_modified" : "2018-04-11T19:53:02.581Z",
  "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 nodes cannot be assessed", "Only information available is FIGO Stage IVA\n\nPathologic classification criteria met, evaluation done:\n    Physician unable to assess N\n    Surgical resection primary tumor, no regional lymph nodes removed OR\n    Involvement of regional lymph nodes not documented\nPhysician assign pNX, no other information available to determine N" ], [ "p0", "pN0", "No regional lymph node metastasis", "Only information available is FIGO Stage I [NOS], IA, IB, II, IIIA, IIIB" ], [ "p1", "pN1", "Statement of FIGO IIIC only\n\nMetastasis to pelvic lymph nodes (IIIC1)", "Regional lymph nodes, NOS\nLymph nodes, NOS\n\nStated as N1" ], [ "p2", "pN2", "Metastasis to para-aortic lymph nodes with or without metastasis to pelvic lymph nodes (IIIC2)^", "Stated as N2" ], [ "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", "Only information is FIGO Stage III [NOS], IIIC [NOS], IIIC1, IIIC2, or IVB\n\nPathologic classification not met\nNo surgical resection of primary tumor AND\nThere 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" ] ]
}