algorithms.tnm.1.7.tables.vagina_t_91502.json Maven / Gradle / Ivy

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A cancer staging client library
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{
  "id" : "vagina_t_91502",
  "algorithm" : "tnm",
  "version" : "1.7",
  "name" : "Path T Vagina",
  "title" : "Pathologic T",
  "notes" : "**Note 1:**    FIGO does not include an in situ category for tumors of the vagina, but TNM does. Assign pTis (behavior code /2) for in situ cases. \n\n**Note 2:**  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, assign the appropriate stage and leave pathologic T, N, and M blank. If the only information is (pathologic) FIGO stage IVB, leave pathologic T and N blank and see M\n\n**Note 3:** The presence of bullous edema is not sufficient evidence to classify a tumor as T4.\n\n**Note 4:**  The pelvic wall is defined as muscle, fascia, neurovascular structures, or skeletal portions of the bony pelvis.",
  "last_modified" : "2018-04-11T19:53:02.354Z",
  "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 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 (preinvasive carcinoma)", "Intraepithelial,  noninvasive" ], [ "p1", "pT1", "Tumor confined to vagina", "Invasive cancer confined to: \n    Submucosa (stroma) (vagina)\n\nMusculature involved\n\nLocalized, NOS\n\nFIGO Stage I\n\nStated as T1" ], [ "p2", "pT2", "Tumor invades paravaginal tissues (pracolpium)", "Cervix\nCul de sac (rectouterine pouch)\nParavaginal soft tissue\nRectovaginal septum\nVesicovaginal septum\nVulva\n\nFIGO Stage II\n\nStated as T2" ], [ "p3", "pT3", "Tumor extends to pelvic wall", "Extension to: \n   Bladder wall or bladder, NOS excluding mucosa\n   Pelvic wall (described clinically as frozen pelvis)\n   Rectal wall or rectum, NOS excluding mucosa\n\nStated as T3" ], [ "p4", "pT4", "Tumor invades mucosa of bladder or rectum, OR \n\nExtends beyond the true pelvis", "Extension to:  \n    Bladder mucosa (excluding bullous edema)\n    Rectal mucosa\n    Urethra\n\nFIGO Stage IVA\n\nStated as T4" ], [ "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 or IVB\n\nPathologic classification 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) OR\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" ] ]
}