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{
  "id" : "renal_pevis_and_ureter_n_58133",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Path N Renal Pevis and Ureter",
  "title" : "Pathologic N",
  "notes" : "**Note 1:**  Code only regional nodes and nodes, NOS, in this field.  Distant nodes are coded in M (distant metastasis).\n\n**Note 2:**  Regional nodes include bilateral and contralateral involvement of named nodes.\n\n**Note 3:** Size of the largest metastasis in a lymph node must be known to assign N. You may use a physician’s statement of the N category if this is the only information in the medical record.\n* If the size of the metastasis is not documented, determine the size of the largest involved lymph node as documented pathologically\n* If the size of the lymph node(s) cannot be determined, assign N1\n* Do not code the size of any node(s) assigned in M (distant metastasis)\n\n**Regional lymph nodes**\n\n    Renal Pelvis\n        Aortic, NOS\n            Lateral (lumbar)\n            Para-aortic\n            Periaortic\n        Paracaval\n        Renal hilar\n        Retroperitoneal, NOS\n        Regional lymph node, NOS\n    Ureter\n        Iliac, NOS\n    Common\n        External\n        Internal (hypogastric), NOS\n             Obturator\n        Lateral aortic (lumbar)\n        Paracaval\n        Pelvic, NOS\n        Periureteral\n        Renal hilar\n        Retroperitoneal, NOS",
  "last_modified" : "2018-04-11T19:53:04.087Z",
  "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", "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", "Metastasis in a single lymph node 2 cm or less in greatest dimension", "Single or multiple nodes not stated, size not stated\n   \nRegional lymph node, NOS\nLymph nodes, NOS\n\nStated as N1" ], [ "p2", "pN2", "Metastasis in a single lymph node more than 2 cm but not more than 5 cm in greatest dimension, OR \nMultiple lymph nodes, none more than 5 cm in greatest dimension", "Single or multiple nodes not stated, size stated and greater than 2 cm but less than or equal to 5 cm\n\nStated as N2" ], [ "p3", "pN3", "Metastasis in a lymph node more than 5 cm in greatest dimension", "Single or multiple nodes not stated, size stated and greater than 5 cm\n\nStated as N3" ], [ "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)" ] ]
}




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