Number of Positive Para-Aortic Nodes
**Note 1:** Physician statement of positive para-aortic nodes can be used to code this data item when no other information is available.
**Note 2:** The following are para-aortic nodes
* Lateral aortic/lateral lumbar
* Para-aortic, NOS
**Note 3:** Record the number of positive para-aortic lymph nodes documented in the medical record.
**Note 4:** For this data item, do not include isolated tumor cells (ITCs).
**Note 5:** Micrometastasis and macrometastasis may be listed separately on the pathology report. Add these two together to get the total number of positive nodes.
**Note 6:** Code X9 if no lymph node dissection is performed.
* If only a FNA or core biopsy is done and it is positive, then code X6
* If only a FNA or core biopsy is done and it is negative, then code X9
* Code X9 when no lymph nodes are removed
**Note 7:** The number of examined para-aortic nodes is recorded in Number of Examined Para-aortic Nodes [NAACCR Data Item #3899].