Clinical M | TNM Data SEER*RSA

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Clinical M

This input is used for staging

Notes

**Distant lymph nodes** Cervical, NOS Contralateral/bilateral axillary and/or internal mammary Other than above

NAACCR Item

NAACCR #960

Clinical M	Clinical M Display	Description	Registrar Notes
c0	cM0	No distant metastasis	Unknown; distant metastasis not stated Distant metastasis cannot be assessed Not documented in patient record
c0I+	cM0(i+)	Isolated tumor cells found in bone marrow	No clinical or radiographic evidence of distant metastasis, BUT deposits of molecularly or microscopically detected tumor cells in circulating blood, bone marrow or other non-regional nodal tissue that are 0.2 millimeters (mm) or less in a patient without symptoms or signs of metastasis Stated as M0(i+)
c1	cM1	Distant metastasis	CLINICAL assessment only: Distant lymph node(s), NOS Further contiguous extension: Skin over: Axilla Contralateral (opposite) breast Sternum Upper abdomen Metastasis: Adrenal (suprarenal) gland Bone, other than adjacent rib Contralateral (opposite) breast - if stated as metastatic Lung Ovary Satellite nodule(s) in skin other than primary breast Carcinomatosis Distant metastasis WITH or WITHOUT distant lymph nodes Distant metastasis, NOS Stated as M1
p1	pM1	Distant metastasis	HISTOLOGICALLY confirmed: Distant lymph node(s), NOS Further contiguous extension: Skin over: Axilla Contralateral (opposite) breast Sternum Upper abdomen Metastasis: Adrenal (suprarenal) gland Bone, other than adjacent rib Contralateral (opposite) breast - if stated as metastatic Lung Ovary Satellite nodule(s) in skin other than primary breast Carcinomatosis Distant metastasis WITH or WITHOUT distant lymph nodes Distant metastasis, NOS
88	88	Not applicable	Primary site/histology not TNM defined Death certificate only (DCO) case
<BLANK>	BLANK	See Registrar Notes	Clinical classification criteria not met Clinical classification criteria met, evaluation done: No information about diagnostic workup Results not documented in patient record Clinical evaluation of T and N not done, no evidence metastatic disease Tumor first detected on surgical resection (no clinical workup) Only Clinical Stage Group documented (no T, N, or M information available)