Pathologic N

This input is used for staging


**Note 1:** When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and regional lymph node detail are available, use the regional lymph node detail in preference to a statement of FIGO stage - see Registrar notes. * 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 **Note 2:** Histological examination of an inguinal lymphadenectomy specimen will ordinarily include 6 or more lymph nodes; a pelvic lymphadenectomy specimen will ordinarily include 6 or more lymph nodes. If the lymph nodes are negative, but the number ordinarily examined is not met, classify as pN0. (FIGO classifies such cases as pNX). (1) **Note 3:** Code only regional nodes and nodes, NOS, in this field. Distant nodes are coded in M (distant metastasis). **Regional lymph nodes** Upper two thirds of vagina, regional nodes Pelvic lymph nodes Iliac, NOS Common External Internal (hypogastric) Obturator Middle sacral (promontorial) (Gerota's node) Pelvic lymph node(s), NOS Lower third of vagina, regional nodes Ipsilateral or bilateral Inguinal, NOS Superficial inguinal (femoral)


Pathologic N Pathologic N Display Description Registrar Notes
pX pNX Regional lymph nodes cannot be assessed Only information available is FIGO Stage IVA

Pathologic classification criteria met, evaluation done:
Physician unable to assess N
Surgical resection primary tumor, no regional lymph nodes removed OR
Involvement of regional lymph nodes not documented
Physician assign pNX, no other information available to determine N
p0 pN0 No regional lymph node metastases Only information available is FIGO Stage I or II
p1 pN1 Regional lymph node metastasis Regional lymph nodes, NOS
Lymph nodes, NOS

Stated as N1
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 Only information is FIGO Stage III or IVB

Pathologic classification 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
(1) International Union Against Cancer (UICC) *TNM Classification of Malignant Tumors,* 7th ed., Sobin, LH, Gospodarowicz, M, Wittekind, CH, eds. New York: Wiley, 2009, pg., 204