Breast Cancer American Joint Committee on Cancer (AJCC) Edition 7 Pathologic Regional Lymph Node N Stage

General Details:

Name:
Breast Cancer American Joint Committee on Cancer (AJCC) Edition 7 Pathologic Regional Lymph Node N Stage
Steward:
NCI
Definition:
Extent of the regional lymph node involvement for the breast carcinoma based on evidence obtained from pathologic examination through completion of definitive surgery.
Registration Status:
Retired

Permissible Values:

Data Type:
Value List
Unit of Measure:
Ids:
Value Code Name Code Code System Code Description
pN0 Breast Cancer pN0 TNM Finding v7 C88349 NCI Thesaurus Breast cancer without histological evidence of regional lymph node involvement. Lymph nodes containing only isolated tumor cell clusters are excluded from the total positive node count for purposes of regional lymph node classification, but should be included in the total number of nodes evaluated. (from AJCC 7th Ed.)
pN0(i+) Breast Cancer pN0(i+) TNM Finding v7 C88351 NCI Thesaurus Breast cancer with malignant cells in regional lymph node(s) no greater than 0.2 mm (detected by H&E or immunohistochemistry including isolated tumor cell clusters). (from AJCC 7th Ed.)
pN0(i-) Breast Cancer pN0(i-) TNM Finding v7 C88350 NCI Thesaurus Breast cancer without histological evidence of regional lymph node involvement, and with negative immunohistochemistry. (from AJCC 7th Ed.)
pN0(mol+) Breast Cancer pN0(mol+) TNM Finding C48995 NCI Thesaurus Breast cancer with positive molecular findings by RT-PCR, but without histological or immunohistochemical evidence of regional lymph node involvement. (from AJCC 6th and 7th Ed.)
pN0(mol-) Breast Cancer pN0(mol-) TNM Finding C48994 NCI Thesaurus Breast cancer without histological evidence of regional lymph node involvement, and with negative molecular findings by RT-PCR. (from AJCC 6th and 7th Ed.)
pN1 Breast Cancer pN1 TNM Finding v7 C88352 NCI Thesaurus Breast cancer with micrometastases; or metastases in 1 to 3 axillary lymph nodes; and/or metastases in internal mammary nodes, with the metastases detected by sentinel lymph node biopsy but not clinically detected. "Not clinically detected" is defined by imaging studies (excluding lymphoscintigraphy) or by clinical examination. (from AJCC 7th Ed.)
pN1a Breast Cancer pN1a TNM Finding C48998 NCI Thesaurus Breast cancer with metastasis in 1 to 3 axillary lymph nodes (at least 1 tumor deposit greater than 2.0 mm). (from AJCC 6th and 7th Eds.)
pN1b Breast Cancer pN1b TNM Finding v7 C88354 NCI Thesaurus Breast cancer with metastases in internal mammary lymph nodes with micrometastases or macrometastases detected by sentinel lymph node biopsy but not clinically detected. "Not clinically detected" is defined by imaging studies (excluding lymphoscintigraphy) or by clinical examination. (from AJCC 7th Ed.)
pN1c Breast Cancer pN1c TNM Finding v7 C88355 NCI Thesaurus Breast cancer with metastases in 1 to 3 axillary lymph nodes and in internal mammary lymph nodes with micrometastases or macrometastases detected by sentinel lymph node biopsy but not clinically detected. "Not clinically detected" is defined by imaging studies (excluding lymphoscintigraphy) or by clinical examination. (from AJCC 7th Ed.)
pN1mi Breast Cancer pN1mi TNM Finding v7 C88353 NCI Thesaurus Breast cancer with micrometastases (greater than 0.2 mm and/or more than 200 cells, but none greater than 2.0 mm) (from AJCC 7th Ed.)
pN2 Breast Cancer pN2 TNM Finding v7 C88358 NCI Thesaurus Breast cancer with metastases in 4 to 9 axillary lymph nodes, or metastases in clinically detected internal mammary lymph nodes in the absence of axillary lymph node metastases. "Clinically detected" is defined as detected by imaging studies (excluding lymphoscintigraphy) or by clinical examination and having characteristics highly suspicious for malignancy or a presumed pathologic macrometastasis based on fine needle aspiration biopsy with cytologic examination. (from AJCC 7th Ed.)
pN2a Breast Cancer pN2a TNM Finding C49002 NCI Thesaurus Breast cancer with metastasis in 4 to 9 axillary lymph nodes (at least 1 tumor deposit greater than 2.0 mm). (from AJCC 6th and 7th Eds.)
pN2b Breast Cancer pN2b TNM Finding v7 C88360 NCI Thesaurus Breast cancer with metastases in clinically detected internal mammary lymph nodes in the absence of axillary lymph node metastases. "Clinically detected" is defined as detected by imaging studies (excluding lymphoscintigraphy) or by clinical examination and having characteristics highly suspicious for malignancy or a presumed pathologic macrometastasis based on fine needle aspiration biopsy with cytologic examination. (from AJCC 7th Ed.)
pN3 Breast Cancer pN3 TNM Finding v7 C88361 NCI Thesaurus Breast cancer with metastases in 10 or more axillary lymph nodes; or in infraclavicular (level III axillary) lymph nodes; or in clinically detected ipsilateral internal mammary lymph nodes in the presence of 1 or more positive level I, II axillary lymph nodes; or in more than 3 axillary lymph nodes and in internal mammary lymph nodes with micrometastases or macrometastases detected by sentinel lymph node biopsy but not clinically detected; or in ipsilateral supraclavicular lymph nodes. (from AJCC 7th Ed.)
pN3a Breast Cancer pN3a TNM Finding C49005 NCI Thesaurus Breast cancer with metastases in 10 or more axillary lymph nodes (at least one tumor deposit greater than 2.0 mm); or metastases to the infraclavicular (level III axillary) lymph nodes. (from AJCC 6th and 7th Eds.)
pN3b Breast Cancer pN3b TNM Finding v7 C88362 NCI Thesaurus Breast cancer with metastases in clinically detected ipsilateral internal mammary lymph nodes in the presence of 1 or more positive axillary lymph nodes; or in more than 3 axillary lymph nodes and in internal mammary lymph nodes with micrometastases or macrometastases detected by sentinel lymph node biopsy but not clinically detected. (from AJCC 7th Ed.)
pN3c Breast Cancer pN3c TNM Finding C49007 NCI Thesaurus Breast cancer with metastasis in ipsilateral supraclavicular lymph nodes. (from AJCC 6th and 7th Eds.)
pNX Breast Cancer pNX TNM Finding C48990 NCI Thesaurus Breast cancer in which regional lymph nodes cannot be assessed (e.g., previously removed, or not removed for pathologic study). (from AJCC 6th and 7th Eds.)

Designations:

Designation:
Breast Cancer American Joint Committee on Cancer (AJCC) Edition 7 Pathologic Regional Lymph Node N Stage
Tags:
Long Name
Designation:
Pathologic N Stage
Tags:
Preferred Question Text
Designation:
N Stage
Tags:
Alternate Question Text

Designations:

Definition:
Extent of the regional lymph node involvement for the breast carcinoma based on evidence obtained from pathologic examination through completion of definitive surgery.
Tags:
Long Name
Definition:
Pathologic N Stage
Tags:
Preferred Question Text
Definition:
DCP Question Text
Tags:
Alternate Question Text

Properties:

Key:
caDSR_Context
Value:
NCI Standards
Key:
caDSR_Short_Name
Value:
2189064v1.0:3655846v1.0
Key:
C3D Name
Value:
BR_AJCC_PATH_N_STG

Identifiers:

Source:
NLM
Id:
mJBeYuxmJkl
Version:
1
Source:
caDSR
Id:
3655869
Version:
1