Pathologic N

This input is used for staging

Notes

**Note:** Code only regional nodes and nodes, NOS, in this field. Distant nodes are coded in M (distant metastasis). **Regional lymph nodes** Inguinal Deep inguinal, NOS Node of Cloquet or Rosenmuller (highest deep inguinal) Superficial inguinal (femoral) Inguinal node, NOS (unknown if superficial or deep) Pelvic lymph nodes, NOS External iliac Internal iliac (hypogastric) Obturator

NAACCR Item

NAACCR #890
Pathologic N Pathologic N Display Description Registrar Notes
pX pNX Regional lymph node(s) 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 No regional lymph node involvement
p1 pN1 Metastasis in a single inguinal lymph node SINGLE regional lymph nodes, NOS

Not stated if single or multiple AND not stated if inguinal or pelvic

Regional lymph node(s), NOS
Lymph nodes, NOS

Stated as N1
p2 pN2 Metastasis in multiple OR

Bilateral inguinal lymph nodes
Inguinal lymph nodes, NOS

Stated as N2
p3 pN3 Metastasis in pelvic lymph node(s), unilateral or bilateral
OR

Extranodal extension of regional lymph node metastasis
Pelvic lymph node(s), NOS

Stated as N3
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)