algorithms.tnm.1.7.tables.small_intestine_t_70831.json Maven / Gradle / Ivy
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A cancer staging client library
{
"id" : "small_intestine_t_70831",
"algorithm" : "tnm",
"version" : "1.7",
"name" : "Path T Small Intestine",
"title" : "Pathologic T",
"notes" : "**Note 1:** High grade dysplasia and severe dysplasia of the small intestine are generally n ot reportable in cancer registries.\n* Assign pTis if your registry collects these tumors\n\n**Note 2:** The nonperitonealized perimuscular tissue is, for jejunum and ileum, part of the mesentery and, for duodenum in areas where serosa is lacking, part of the interface with the pancreas.\n\n**Note 3:** Code depth of invasion in preference to intraluminal spread or lateral extension to adjacent segment(s) of small intestine or cecum.",
"footnotes" : "\\# T1 [NOS] is not defined in AJCC 7th edition",
"last_modified" : "2018-04-11T19:53:06.010Z",
"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 \nPhysician assigns pTX, no other information available to determine T" ], [ "p0", "pT0", "No evidence of primary tumor", "" ], [ "pIS", "pTis", "Carcinoma in situ", "Noninvasive\n\n(Adeno)carcinoma, noninvasive, in a polyp\n\nStated as Tis" ], [ "p1", "pT1", "Tumor invades lamina propria, muscularis mucosae or submucosa#", "Note: T1 has subcategories of T1a and T1b. Assign T1 only when there is no information available to assign one of the subcategories\n\nIntraluminal spread to other segments of small intestine or cecum\n\nLocalized, NOS\n\nStated as T1 [NOS]" ], [ "p1A", "pT1a", "Tumor invades lamina propria or muscularis mucosae", "Invasive tumor confined:\n Head of polyp\n Stalk of polyp\n Mucosa, NOS\n Intramucosal, NOS\n Polyp, NOS\n\nStated as T1a" ], [ "p1B", "pT1b", "Tumor invades submucosa", "Superficial invasion of submucosa\n\nStated as T1b" ], [ "p2", "pT2", "Tumor invades muscularis propria", "Stated as T2" ], [ "p3", "pT3", "Tumor invades subserosa or non-peritonealized perimuscular tissue (mesentery or retroperitoneum) \nWITH extension 2 cm or less", "Invasion through muscularis propria or muscularis, NOS\nExtension through wall, NOS\nSubserosal tissue/(sub)serosal fat invaded\nTransmural, NOS \nWall, NOS\n\nAdjacent connective tissue\nAdjacent tissue(s), NOS\nNonperitonealized perimuscular tissue (mesentery, mesenteric fact, retroperitoneum): depth of invasion less than 2 cm OR not specified\n\nFat, NOS\n\nStated as T3" ], [ "p4", "pT4", "Tumor perforates visceral peritoneum or directly invades other organs or structures, including:\n Abdominal wall by way of serosa\n Mesentery or retroperitoneum more than 2 cm\n Other loops of small intestine\n\nFor duodenum only, invasion of pancreas", "Invasion of/through serosa (mesothelium) (tunica serosa) (visceral peritoneum)\n \nAll small intestine sites:\n Nonperitonealized perimuscular tissue (mesentery, mesenteric fact, retroperitoneum): depth of invasion greater than 2 cm\n Other segments of the small intestine via serosa\n \nDuodenum primary only (C170):\n Ampulla of Vater \n Blood vessel(s), major:\n Aorta\n Gastroduodenal artery\n Portal vein\n Renal vein\n Superior mesenteric artery or vein\n Vena cava\n Diaphragm\n Extrahepatic bile duct(s)\n Gallbladder\n Hepatic flexure\n Kidney (right or NOS)\n Liver (quadrate lobe, right lobe or NOS)\n Omentum\n Pancreas\n Pancreatic duct\n Stomach\n Transverse colon\n Ureter, right\n\nJejunum or ileum primary only (C171, C172):\n Bladder\n Colon, including appendix\n Fallopian tube(s)\n Ovary(ies)\n Uterus\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)" ] ]
}