Pathologic N
This input is used for staging
Notes
**Note 1:** Code only regional nodes and nodes, NOS, in this field. Distant nodes are coded in M (distant metastasis). **Note 2:** Regional nodes include bilateral and contralateral involvement of named nodes. **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. * If the size of the metastasis is not documented, determine the size of the largest involved lymph node as documented pathologically * If the size of the lymph node(s) cannot be determined, assign N1 * Do not code the size of any node(s) assigned in M (distant metastasis)NAACCR Item
NAACCR #890| Pathologic N | Pathologic N Display | Description | Registrar Notes |
|---|---|---|---|
| pX | pNX | Regional lymph nodes cannot be assessed | Pathologic classification criteria met, evaluation done: Physician unable to assess N Surgical resection primary tumor, no regional lymph nodes removed Involvement of regional lymph nodes not documented Physician 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 regional lymph node, less than or equal to 2 cm: Iliac, NOS: Common External Internal (hypogastric), NOS: Obturator Inguinal, NOS: Deep inguinal, NOS Node of Cloquet or Rosenmuller (highest deep inguinal) Superficial (femoral) Pelvic, NOS Sacral, NOS Presacral Size and/or number positive lymph nodes not stated Regional lymph node, NOS Lymph nodes, NOS Stated as N1 |
| p2 | pN2 | Metastasis in a single lymph node more than 2 cm in greatest dimension, or in multiple lymph nodes | SINGLE regional lymph node greater than 2 cm OR MULTIPLE positive regional lymph nodes 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 Death certificate only (DCO) case |
| <BLANK> | BLANK | See Registrar Notes | Pathologic classification criteria not met No surgical resection of primary tumor and there isn’t a positive biopsy of a structure in the highest T category and highest N category Evidence of metastatic disease (pM1), no other workup Only Pathologic Stage Group documented (no T, N, or M information available) |