ARCHETYPE TNM staging - Melanoma of skin (Sixth edition) (openEHR-EHR-CLUSTER.tnm_staging-melanoma.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.tnm_staging-melanoma.v1
ConceptTNM staging - Melanoma of skin (Sixth edition)
DescriptionTNM Staging classification for melanoma of skin (Sixth edition).
UseUse only for the Sixth edition of TNM melanoma of skin classification.
MisuseNot to be used for other editions of TNM classification.
PurposeTo record the TNM staging classification for melanoma of skin (Sixth Edition).
ReferencesAmerican Joint Committee on Cancer. TNM schema files [Internet]. [cited 2009 Jul 27 ]
Available from: http://www.cancerstaging.org/education/tnmschema/tnmschema.html

Greene FL, Page DL, Fleming ID. et al, eds, for the American Joint Committee on Cancer. AJCC Cancer Staging Manual. 6th ed. New York, NY: Springer-Verlag; 2002.

Copyrightcopyright (c) 2009 openEHR Foundation
AuthorsAuthor name: Dr Ian McNicoll
Organisation: Ocean Informatics Scotland
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 27/07/2009
Other Details LanguageAuthor name: Dr Ian McNicoll
Organisation: Ocean Informatics Scotland
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 27/07/2009
OtherDetails Language Independent{references=American Joint Committee on Cancer. TNM schema files [Internet]. [cited 2009 Jul 27 ] Available from: http://www.cancerstaging.org/education/tnmschema/tnmschema.html Greene FL, Page DL, Fleming ID. et al, eds, for the American Joint Committee on Cancer. AJCC Cancer Staging Manual. 6th ed. New York, NY: Springer-Verlag; 2002. , MD5-CAM-1.0.1=77DA0DB2120ED76F3EF208EF4AC1468E}
Keywordstumour, TNM, malignancy, cancer, staging, classification, grade, grading, stage, lymph node, metastasis, melanoma
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.526
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Sam Heard Ocean Informatics Australia
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  • NX [Regional lymph nodes cannot be assessed. ]
  • N0 [No regional lymph node metastasis. ]
  • N1 [Metastasis in one regional lymph node. ]
  • N1a [Only microscopic metastasis (clinically occult). ]
  • N1b [Macroscopic metastasis (clinically apparent). ]
  • N2 [Metastasis in two or three regional lymph nodes or intralymphatic regional metastasis. ]
  • N2a [Only microscopic nodal metastasis. ]
  • N2b [Macroscopic nodal metastasis. ]
  • N2c [Satellite or in-transit metastasis without regional nodal metastasis. ]
  • N3 [Metastasis in four or more regional lymph nodes, or matted metastatic regional lymph nodes, or satellite or in-transit metastasis with metastasis in regional lymph node(s). ]
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  • MX [Distant metastasis cannot be assessed. ]
  • M0 [No distant metastasis. ]
  • M1 [Distant metastasis. ]
  • M1a [Metastasis to skin, subcutaneous tissue or lymph node(s) beyond the regional lymph nodes. ]
  • M1b [Metastasis to lung. ]
  • M1c [Metastasis to other sites, or any site with elevated serum lactic dehydrogenase (LDH). ]
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  • RX [Presence of residual tumour cannot be assessed.]
  • R0 [No residual tumour.]
  • R1 [Microscopic residual tumour.]
  • R2 [Macroscopic residual tumour.]
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  • Stage 0 [pTis,N0,M0]
  • Stage I [pT1,N0,M0]
  • Stage 1A [pT1a,N0,M0]
  • Stage IIA [pT1b,N0,M0; pT2a,N0,M0]
  • Stage IIA [pT2b,N0,M0; pT3a,N0,M0]
  • Stage IIB [pT3b,N0,M0; pT4a,N0,M0]
  • Stage IIC [pT4b,N0,M0]
  • Stage III [Any pT,N1-3]
  • Stage IIIA [pT1a-pT4a, N1a,N1b, M0]
  • Stage IIIB [pT1a-pT4a,N1b,N2b,N2c,M0; pT1a-4b,N1a,N2a,N2c,M0]
  • Stage IIIC [pT1b-pT4b,N1b,N2b,M0; Any pT,Any N,M0]
  • Stage IV [Any PT, Any N, M1]
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  • pTX [Primary tumour cannot be assessed. ]
  • pT0 [No evidence of primary tumour. ]
  • pTis [Melanoma in situ (Clark level I) (atypical melanocytic hyperplasia, severe melanocytic dysplasia, not an invasive malignant lesion). ]
  • pT1 [Tumour 1 mm or less in thickness. ]
  • pT3 [Clark level II or III, without ulceration. ]
  • pT1b [Clark level IV or V, or with ulceration. ]
  • pT2 [Tumour more than 1 mm but not more than 2 mm in thickness. ]
  • pT2a [ Tumour more than 1 mm but not more than 2 mm in thickness, without ulceration. ]
  • pT2b [ Tumour more than 1 mm but not more than 2 mm in thickness, with ulceration. ]
  • pT3 [Tumour more than 2 mm but not more than 4 mm in thickness. ]
  • pT3a [Tumour more than 2 mm but not more than 4 mm in thickness, without ulceration. ]
  • pT3b [Tumour more than 2 mm but not more than 4 mm in thickness with ulceration. ]
  • pT4 [Tumour more than 4 mm in thickness. ]
  • pT4a [Tumour more than 4 mm in thickness, without ulceration. ]
  • pT4b [Tumour more than 4 mm in thickness, with ulceration. ]
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  • NX [Regional lymph nodes cannot be assessed. ]
  • N0 [No regional lymph node metastasis. ]
  • N1 [Metastasis in one regional lymph node. ]
  • N1a [Only microscopic metastasis (clinically occult). ]
  • N1b [Macroscopic metastasis (clinically apparent). ]
  • N2 [Metastasis in two or three regional lymph nodes or intralymphatic regional metastasis. ]
  • N2a [Only microscopic nodal metastasis. ]
  • N2b [Macroscopic nodal metastasis. ]
  • N2c [Satellite or in-transit metastasis without regional nodal metastasis. ]
  • N3 [Metastasis in four or more regional lymph nodes, or matted metastatic regional lymph nodes, or satellite or in-transit metastasis with metastasis in regional lymph node(s). ]
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  • pMX [Distant metastasis cannot be assessed. ]
  • pM0 [No distant metastasis. ]
  • pM1 [Distant metastasis. ]
  • pM1a [Metastasis to skin, subcutaneous tissue or lymph node(s) beyond the regional lymph nodes. ]
  • pM1b [Metastasis to lung. ]
  • pM1c [Metastasis to other sites, or any site with elevated serum lactic dehydrogenase (LDH). ]
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  • GX [Grade of differentiation cannot be assessed.]
  • G1 [Well differentiated.]
  • G2 [Moderately differentiated.]
  • G3 [Poorly differentiated.]
  • G4 [Undifferentiated.]
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  • NX [Regional lymph nodes cannot be assessed. ]
  • N0 [No regional lymph node metastasis. ]
  • N1 [Metastasis in one regional lymph node. ]
  • N1a [Only microscopic metastasis (clinically occult). ]
  • N1b [Macroscopic metastasis (clinically apparent). ]
  • N2 [Metastasis in two or three regional lymph nodes or intralymphatic regional metastasis. ]
  • N2a [Only microscopic nodal metastasis. ]
  • N2b [Macroscopic nodal metastasis. ]
  • N2c [Satellite or in-transit metastasis without regional nodal metastasis. ]
  • N3 [Metastasis in four or more regional lymph nodes, or matted metastatic regional lymph nodes, or satellite or in-transit metastasis with metastasis in regional lymph node(s). ]
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  • MX [Distant metastasis cannot be assessed. ]
  • M0 [No distant metastasis. ]
  • M1 [Distant metastasis. ]
  • M1a [Metastasis to skin, subcutaneous tissue or lymph node(s) beyond the regional lymph nodes. ]
  • M1b [Metastasis to lung. ]
  • M1c [Metastasis to other sites, or any site with elevated serum lactic dehydrogenase (LDH). ]
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  • RX [Presence of residual tumour cannot be assessed.]
  • R0 [No residual tumour.]
  • R1 [Microscopic residual tumour.]
  • R2 [Macroscopic residual tumour.]
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  • Stage 0 [pTis,N0,M0]
  • Stage I [pT1,N0,M0]
  • Stage 1A [pT1a,N0,M0]
  • Stage IIA [pT1b,N0,M0; pT2a,N0,M0]
  • Stage IIA [pT2b,N0,M0; pT3a,N0,M0]
  • Stage IIB [pT3b,N0,M0; pT4a,N0,M0]
  • Stage IIC [pT4b,N0,M0]
  • Stage III [Any pT,N1-3]
  • Stage IIIA [pT1a-pT4a, N1a,N1b, M0]
  • Stage IIIB [pT1a-pT4a,N1b,N2b,N2c,M0; pT1a-4b,N1a,N2a,N2c,M0]
  • Stage IIIC [pT1b-pT4b,N1b,N2b,M0; Any pT,Any N,M0]
  • Stage IV [Any PT, Any N, M1]
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  • pTX [Primary tumour cannot be assessed. ]
  • pT0 [No evidence of primary tumour. ]
  • pTis [Melanoma in situ (Clark level I) (atypical melanocytic hyperplasia, severe melanocytic dysplasia, not an invasive malignant lesion). ]
  • pT1 [Tumour 1 mm or less in thickness. ]
  • pT3 [Clark level II or III, without ulceration. ]
  • pT1b [Clark level IV or V, or with ulceration. ]
  • pT2 [Tumour more than 1 mm but not more than 2 mm in thickness. ]
  • pT2a [ Tumour more than 1 mm but not more than 2 mm in thickness, without ulceration. ]
  • pT2b [ Tumour more than 1 mm but not more than 2 mm in thickness, with ulceration. ]
  • pT3 [Tumour more than 2 mm but not more than 4 mm in thickness. ]
  • pT3a [Tumour more than 2 mm but not more than 4 mm in thickness, without ulceration. ]
  • pT3b [Tumour more than 2 mm but not more than 4 mm in thickness with ulceration. ]
  • pT4 [Tumour more than 4 mm in thickness. ]
  • pT4a [Tumour more than 4 mm in thickness, without ulceration. ]
  • pT4b [Tumour more than 4 mm in thickness, with ulceration. ]
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  • NX [Regional lymph nodes cannot be assessed. ]
  • N0 [No regional lymph node metastasis. ]
  • N1 [Metastasis in one regional lymph node. ]
  • N1a [Only microscopic metastasis (clinically occult). ]
  • N1b [Macroscopic metastasis (clinically apparent). ]
  • N2 [Metastasis in two or three regional lymph nodes or intralymphatic regional metastasis. ]
  • N2a [Only microscopic nodal metastasis. ]
  • N2b [Macroscopic nodal metastasis. ]
  • N2c [Satellite or in-transit metastasis without regional nodal metastasis. ]
  • N3 [Metastasis in four or more regional lymph nodes, or matted metastatic regional lymph nodes, or satellite or in-transit metastasis with metastasis in regional lymph node(s). ]
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  • pMX [Distant metastasis cannot be assessed. ]
  • pM0 [No distant metastasis. ]
  • pM1 [Distant metastasis. ]
  • pM1a [Metastasis to skin, subcutaneous tissue or lymph node(s) beyond the regional lymph nodes. ]
  • pM1b [Metastasis to lung. ]
  • pM1c [Metastasis to other sites, or any site with elevated serum lactic dehydrogenase (LDH). ]
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  • GX [Grade of differentiation cannot be assessed.]
  • G1 [Well differentiated.]
  • G2 [Moderately differentiated.]
  • G3 [Poorly differentiated.]
  • G4 [Undifferentiated.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0011], code=at0011, itemType=ELEMENT, level=2, text=Pathological staging, description=The overall Pathological staging derived from each pT, pN and pM component. May include additional TNM descriptors., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0015], code=at0015, itemType=ELEMENT, level=2, text=Pathological stage grouping, description=The TNM Pathological stage grouping., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Comment, description=A text comment on the Pathological staging., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]