Clinical 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 lymph node involvement is rare for GISTs, so that cases in which the nodal status is not associated clinically are classified as cN0 instead of cNX. **Regional lymph nodes** Celiac Hepatic (excluding gastrohepatic) Hepatoduodenal Left gastric (superior gastric), NOS Cardial Cardioesophageal Gastric, left Gastropancreatic, left Lesser curvature Lesser omental Paracardial Hepatoduodenal (for lesser curvature) Nodule(s) in perigastric fat Pancreaticosplenic (pancreaticolienal) Pancreaticoduodenal Perigastric, NOS Peripancreatic Right gastric (inferior gastric), NOS: Gastrocolic Gastroduodenal Gastroepiploic (gastro-omental), right or NOS Gastrohepatic Greater curvature Greater omental Pyloric, NOS: infrapyloric, subpyloric, suprapyloric Splenic (lienal), NOS Gastroepiploic (gastro-omental), left Splenic hilarNAACCR Item
NAACCR #950| Clinical N | Clinical N Display | Description | Registrar Notes |
|---|---|---|---|
| cX | cNX | Regional lymph nodes cannot be assessed# | Clinical classification criteria met, evaluation done: Physician unable to assess N Regional lymph node involvement cannot be determined or findings inconclusive Physician assigns cNX, no other information available to determine N |
| c0 | cN0 | No regional lymph node metastasis | |
| c1 | cN1 | Regional lymph node metastasis | Nodule(s) or foci in pericolic fat/adjacent mesentery/mesocolic fat Regional lymph nodes, NOS Lymph nodes, NOS Stated as N1 |
| 88 | 88 | Not applicable | In situ case but no pTis is defined by TNM 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 record Tumor first detected on surgical resection (no clinical workup) Evidence of metastatic disease [(cM1) or (pM1)], no other workup Only Clinical Stage Group documented (no T, N, or M information available) |