Clinical N

This input is used for staging


**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 hilar


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)
\# NX is not defined in AJCC 7th edition.