6123003: pT4 category (finding)

Status: retired, Not sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jul 2022. Module: SNOMED CT core

Descriptions:

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
stade pT4	Is a	T category (observable entity)	false	Inferred relationship	Some
stade pT4	Is a	TNM classification of malignant tumor after operation	false	Inferred relationship	Some
stade pT4	Is a	pT category finding	false	Inferred relationship	Some
stade pT4	Is a	stade T4	false	Inferred relationship	Some
stade pT4	Associated morphology	Morphologically abnormal structure (morphologic abnormality)	false	Inferred relationship	Some
stade pT4	Is a	Tumor stage finding (finding)	false	Inferred relationship	Some
stade pT4	Associated morphology	Lesion (morphologic abnormality)	false	Inferred relationship	Some	1
stade pT4	Interprets	Lesion observable	false	Inferred relationship	Some	2

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
T4 (IVA): Tumor of uterine cervix/vagina invades mucosa of bladder or rectum and/or extends beyond true pelvis	Is a	False	stade pT4	Inferred relationship	Some
T4 (IVA): Endometrial tumor invades bladder mucosa and/or bowel mucosa	Is a	False	stade pT4	Inferred relationship	Some
T4: Lip: Tumor invades adjacent structures (cortical bone, inferior alveolar nerve, floor of mouth, skin of face)	Is a	False	stade pT4	Inferred relationship	Some
T4: Oral Cavity: Tumor invades adjacent structures (cortical bone, deep (extrinsic) muscle of tongue, maxillary sinus, skin)	Is a	False	stade pT4	Inferred relationship	Some
T4: Aerodigestive tract tumor invades adjacent structures (pterygoid muscles, mandible, hard palate, deep muscle of tongue, larynx)	Is a	False	stade pT4	Inferred relationship	Some
T4: Aerodigestive tract tumor invades adjacent structures (thyroid/cricoid cartilage, carotid artery, soft tissues of neck, prevertebral fascia/muscles, thyroid and/or esophagus)	Is a	False	stade pT4	Inferred relationship	Some
T4: Aerodigestive tumor invades base of skull, seventh nerve, and/or exceeds 6 cm in greatest dimension	Is a	False	stade pT4	Inferred relationship	Some
T4: Aerodigestive tract tumor invades orbital contents beyond the floor or medial wall including apex and/or any of the following: cribriform plate, base of skull, nasopharynx, sphenoid sinus, frontal sinus	Is a	False	stade pT4	Inferred relationship	Some
T4: Tumor invades through cricoid or thyroid cartilage and/or extends into other tissues beyond the larynx (trachea, soft tissues of neck, thyroid, esophagus)	Is a	False	stade pT4	Inferred relationship	Some
T4: Tumor invades through thyroid cartilage and/or extends to other tissues beyond the larynx (trachea, soft tissues of neck, pharynx)	Is a	False	stade pT4	Inferred relationship	Some
T4: Tumor invades through thyroid cartilage, and/or extends into soft tissues of the neck, thyroid, and/or esophagus	Is a	False	stade pT4	Inferred relationship	Some
T4: Aerodigestive tract tumor with intracranial extension and/or involvement of cranial nerves, infratemporal fossa, hypopharynx or orbit	Is a	False	stade pT4	Inferred relationship	Some
T4: Aerodigestive tract tumor with intracranial extension, orbital extension including apex, involving sphenoid and/or frontal sinus and/or skin of nose	Is a	False	stade pT4	Inferred relationship	Some
T4: Lung tumor of any size that invades any of the following: mediastinum; heart; great vessels; trachea; esophagus; vertebral body; carina	Is a	False	stade pT4	Inferred relationship	Some
T4: Lung tumor of any size with a malignant pleural effusion	Is a	False	stade pT4	Inferred relationship	Some
T4: Lung tumor of any size with separate tumor nodule(s) in same lobe	Is a	False	stade pT4	Inferred relationship	Some
T4: Renal tumor invades beyond Gerota's fascia	Is a	False	stade pT4	Inferred relationship	Some
T4: Breast tumor of any size with direct extension to chest wall or skin	Is a	False	stade pT4	Inferred relationship	Some
T4a: Breast tumor with extension to chest wall	Is a	False	stade pT4	Inferred relationship	Some
T4b: Edema (including peau d'orange) or ulceration of the skin of the breast or satellite skin nodules confined to the same breast	Is a	False	stade pT4	Inferred relationship	Some
T4c: Breast tumor, both T4a and T4b	Is a	False	stade pT4	Inferred relationship	Some
T4d: Inflammatory carcinoma (breast)	Is a	False	stade pT4	Inferred relationship	Some
T4: Tumor directly invades adjacent structures	Is a	False	stade pT4	Inferred relationship	Some
T4a: Colon/rectum tumor directly invades other organs or structures	Is a	False	stade pT4	Inferred relationship	Some
T4b: Colon/rectum tumor penetrates the visceral peritoneum	Is a	False	stade pT4	Inferred relationship	Some
T4: Ampulla tumor invades >2 cm into pancreas and/or into other adjacent organs	Is a	False	stade pT4	Inferred relationship	Some
T4: tumeur du pancréas avec extension à l'estomac, à la rate, au colôn ou à des vaisseaux adjacents	Is a	False	stade pT4	Inferred relationship	Some
T4: Urinary bladder tumor invades any of the following: prostate, uterus, vagina, pelvic wall abdominal wall	Is a	False	stade pT4	Inferred relationship	Some
T4: Renal pelvis/ureter tumor invades adjacent organs, or through the kidney into the perinephric fat	Is a	False	stade pT4	Inferred relationship	Some
T4a: Bladder tumor invades prostate or uterus or vagina	Is a	False	stade pT4	Inferred relationship	Some
T4b: Bladder tumor invades pelvic wall or abdominal wall	Is a	False	stade pT4	Inferred relationship	Some
T4: Testicular tumor invades scrotum with or without vascular/lymphatic invasion	Is a	False	stade pT4	Inferred relationship	Some
T4: Pleural tumor directly extends to any of the following: contralateral pleura, contralateral lung, peritoneum, intra-abdominal organs, cervical tissues	Is a	False	stade pT4	Inferred relationship	Some
T4: Thyroid tumor of any size extending beyond the thyroid capsule	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor of any size with direct extension to chest wall or skin (breast)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor directly invades other organs or structures (colon/rectum)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor penetrates visceral peritoneum (colon/rectum)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor of lung as per American Joint Committee on Cancer 6th Edition definition (lung)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Invasion of bladder AND/OR rectum (prostate)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor of any size invades adjacent organ(s), e.g., vagina, urethra, bladder (anal canal)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor directly invades other organs or structures and/or perforates visceral peritoneum (colon/rectum)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor invades beyond Gerota's fascia (kidney)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor invades peripancreatic soft tissues or other adjacent organs or structures (ampulla of Vater)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor(s) with direct invasion of adjacent organs other than the gallbladder or with perforation of visceral peritoneum (liver, including intrahepatic bile ducts)	Is a	False	stade pT4	Inferred relationship	Some
pT4 (IVA): Tumor invades mucosa of bladder or rectum and/or extends beyond true pelvis (bullous edema is not sufficient evidence to classify a tumor as pT4) (TNM category and FIGO stage) (uterine cervix)	Is a	False	stade pT4	Inferred relationship	Some
pT4 (IVA): Tumor invades bladder mucosa and/or bowel mucosa (TNM category and FIGO stage) (corpus uteri)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Melanoma greater than 4.0 mm in thickness, with or without ulceration (melanoma of the skin)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) (carcinoma of skin excluding eyelid, vulva, penis, and melanomas)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor invades the larynx, deep/extrinsic muscle of tongue, medial pterygoid muscle, hard palate, or mandible (oropharynx)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases carotid artery (oropharynx)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor invades through cortical bone, inferior alveolar nerve, floor of mouth, or skin of face, i.e., chin or nose (lip)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor invades through cortical bone, into deep (extrinsic) muscle of tongue (genioglossus, hyoglossus, palatoglossus, and styloglossus), maxillary sinus, or skin of face (oral cavity)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor involves masticator space, pterygoid plates, or skull base and/or encases internal carotid artery (lip and oral cavity)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor with intracranial extension, and/or involvement of cranial nerves, infratemporal fossa, hypopharynx, orbit, or masticator space (nasopharynx)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor invades thyroid/cricoid cartilage, hyoid bone, thyroid gland, esophagus or central compartment of soft tissue (hypopharynx)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor invades prevertebral fascia, encases carotid artery, or involves mediastinal structures (hypopharynx)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor invades through the thyroid cartilage and/or invades tissues beyond the larynx (e.g., trachea, soft tissues of the neck including deep extrinsic muscle of the tongue, strap muscles, thyroid, or esophagus) (larynx, supraglottis)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, supraglottis)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor invades through thyroid cartilage and/or invades tissues beyond the larynx (e.g., trachea, soft tissues of the neck including deep intrinsic muscle of the tongue, strap muscles, thyroid, or esophagus) (larynx, glottis)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, glottis)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor invades cricoid or thyroid cartilage and/or invades tissues beyond the larynx (e.g., trachea, soft tissues of the neck including deep extrinsic muscle of the tongue, strap muscles, thyroid, or esophagus) (larynx, subglottis)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, subglottis)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor invades anterior orbital contents, skin of cheek, pterygoid plates, infratemporal fossa, cribriform plate, sphenoid or frontal sinuses (maxillary sinus)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor invades any of the following: orbital apex, dura, brain, middle cranial fossa, cranial nerves other than maxillary division of trigeminal nerve, nasopharynx, or clivus (maxillary sinus)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor invades any of the following: anterior orbital contents, skin of nose or cheek, minimal extension to anterior cranial fossa, pterygoid plates, sphenoid or frontal sinuses (nasal cavity and ethmoid sinus)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor invades any of the following: orbital apex, dura, brain, middle cranial fossa, cranial nerves other than maxillary division of trigeminal nerve, nasopharynx, or clivus (nasal cavity and ethmoid sinus)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor invades skin, mandible, ear canal, and/or facial nerve (major salivary glands)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor invades skull base and/or pterygoid plates and/or encases carotid artery (major salivary glands)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor invades any of the following: prostate, uterus, vagina, pelvic wall, abdominal wall (urinary bladder)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor invades adjacent organs, or through the kidney into the perinephric fat (renal pelvis and ureter)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor invades the scrotum with or without vascular/lymphatic invasion (testis)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor involves the celiac axis or the superior mesenteric artery (exocrine pancreas)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Extraocular tumor extension which includes sites as per American Joint Committee on Cancer 6th Edition definition (retinoblastoma)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor invades adjacent structures (esophagus)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor perforates the visceral peritoneum or directly invades other organs or structures (small intestine)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor invades main portal vein or hepatic artery or invades two or more extrahepatic organs or structures (gallbladder)	Is a	False	stade pT4	Inferred relationship	Some
pT4 (IVA): Tumor invades mucosa of the bladder or rectum and/or extends beyond the true pelvis (bullous edema is not sufficient evidence to classify a tumor as T4) (TNM category and FIGO stage) (vagina)	Is a	False	stade pT4	Inferred relationship	Some
pT4 (IVA): Tumor invades any of the following: upper urethra, bladder mucosa, rectal mucosa, or is fixed to the pubic bone (TNM category and FIGO stage) (vulva)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor invades any of the following: main portal vein or its branches bilaterally, common hepatic artery, or other adjacent structures, such as the colon, stomach, duodenum, or abdominal wall (extrahepatic bile ducts)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor involves any of the ipsilateral pleural surfaces plus additional sites as by American Joint Committee on Cancer 6th Edition definition (thoracic mesothelioma)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor invades prevertebral fascia or encases carotid artery or mediastinal vessels (thyroid)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Extrathyroidal anaplastic carcinoma - surgically unresectable (anaplastic carcinoma) (thyroid)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Intrathyroidal anaplastic carcinoma - surgically resectable (anaplastic carcinoma) (thyroid)	Is a	False	stade pT4	Inferred relationship	Some
pT4a: Tumor of any size extending beyond the thyroid capsule to invade subcutaneous soft tissues, larynx, trachea, esophagus, or recurrent laryngeal nerve (thyroid)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor involves masticator space, pterygoid plates, or skull base and/or encases internal carotid artery (oropharynx)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor with extraocular extension (iris) (uveal melanoma)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor more than 16 mm in greatest diameter and/or greater than 10 mm in maximum height (thickness) with extraocular extension (ciliary body and choroid) (uveal melanoma)	Is a	False	stade pT4	Inferred relationship	Some
pT4b: Tumor invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases internal carotid artery (oropharynx)	Is a	False	stade pT4	Inferred relationship	Some
pT4: Tumor directly invades other organs or structures and/or perforates visceral peritoneum (appendix)	Is a	False	stade pT4	Inferred relationship	Some
pT4b category	Is a	False	stade pT4	Inferred relationship	Some
pT4a category	Is a	False	stade pT4	Inferred relationship	Some
pT4c category	Is a	False	stade pT4	Inferred relationship	Some
pT4d category	Is a	False	stade pT4	Inferred relationship	Some

Reference Sets

Concept inactivation indicator reference set

REPLACED BY association reference set (foundation metadata concept)

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Id	Description	Lang	Type	Status	Case?	Module
11170019	pT4 stage	en	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	SNOMED CT core
2836641019	pT4 category (finding)	en	Fully specified name	Active	Entire term case sensitive (core metadata concept)	SNOMED CT core
2841484014	pT4 category	en	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	SNOMED CT core
5586211000172118	stade pT4	fr	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	Belgian module (core metadata concept)