| Members |
acceptabilityId |
| pT4: Tumour invades adjacent structures (oesophagus) |
Preferred (foundation metadata concept) |
| pT4: Tumour invades adjacent structures (stomach) |
Preferred (foundation metadata concept) |
| pT4: Tumour 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) |
Preferred (foundation metadata concept) |
| pT4: Tumour invades any of the following: prostate, uterus, vagina, pelvic wall, abdominal wall (urinary bladder) |
Preferred (foundation metadata concept) |
| pT4: Tumour invades beyond Gerota fascia (kidney) |
Acceptable (foundation metadata concept) |
| pT4: Tumour invades beyond Gerota's fascia (kidney) |
Preferred (foundation metadata concept) |
| pT4: Tumour invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) (carcinoma of skin excluding eyelid, vulva, penis, and melanomas) |
Preferred (foundation metadata concept) |
| pT4: Tumour invades main portal vein or hepatic artery or invades two or more extrahepatic organs or structures (gallbladder) |
Preferred (foundation metadata concept) |
| pT4: Tumour invades peripancreatic soft tissues or other adjacent organs or structures (ampulla of Vater) |
Preferred (foundation metadata concept) |
| pT4: Tumour invades the scrotum with or without vascular/lymphatic invasion (testis) |
Preferred (foundation metadata concept) |
| pT4: Tumour involves any of the ipsilateral pleural surfaces plus additional sites as by AJCC 6th Edition definition (thoracic mesothelioma) |
Preferred (foundation metadata concept) |
| pT4: Tumour involves any of the ipsilateral pleural surfaces plus additional sites as by American Joint Committee on Cancer 6th Edition definition (thoracic mesothelioma) |
Acceptable (foundation metadata concept) |
| pT4: Tumour involves the coeliac axis or the superior mesenteric artery (exocrine pancreas) |
Preferred (foundation metadata concept) |
| pT4: Tumour 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) |
Preferred (foundation metadata concept) |
| pT4: Tumour of any size invades adjacent organ(s), e.g., vagina, urethra, bladder (anal canal) |
Preferred (foundation metadata concept) |
| pT4: Tumour of any size with direct extension to chest wall or skin (breast) |
Preferred (foundation metadata concept) |
| pT4: Tumour of lung as per AJCC 6th Edition definition (lung) |
Preferred (foundation metadata concept) |
| pT4: Tumour of lung as per American Joint Committee on Cancer 6th Edition definition (lung) |
Acceptable (foundation metadata concept) |
| pT4: Tumour perforates the visceral peritoneum or directly invades other organs or structures (small intestine) |
Preferred (foundation metadata concept) |
| pT4: Tumour with extraocular extension (iris) (uveal melanoma) |
Preferred (foundation metadata concept) |
| pT4: Tumour with intracranial extension, and/or involvement of cranial nerves, infratemporal fossa, hypopharynx, orbit, or masticator space (nasopharynx) |
Preferred (foundation metadata concept) |
| pT4: Tumour(s) with direct invasion of adjacent organs other than the gallbladder or with perforation of visceral peritoneum (liver, including intrahepatic bile ducts) |
Preferred (foundation metadata concept) |
| pT4a |
Preferred (foundation metadata concept) |
| pT4a - Used with permission of the American College of Surgeons, Chicago, Illinois. The original source for this information is the AJCC Cancer Staging System (2022) https://www.facs.org/quality-programs/cancer/ajcc/cancer-staging. |
Preferred (foundation metadata concept) |
| pT4a category |
Preferred (foundation metadata concept) |
| pT4a category (finding) |
Preferred (foundation metadata concept) |
| pT4a: Intrathyroidal anaplastic carcinoma - surgically resectable (anaplastic carcinoma) (thyroid) |
Preferred (foundation metadata concept) |
| pT4a: Intrathyroidal anaplastic carcinoma - surgically resectable (anaplastic carcinoma) (thyroid) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Melanoma greater than 4.0 mm in thickness, no ulceration (melanoma of the skin) |
Preferred (foundation metadata concept) |
| pT4a: Melanoma greater than 4.0 mm in thickness, no ulceration (melanoma of the skin) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumor directly invades other organs or structures (colon/rectum) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumor invades anterior orbital contents, skin of cheek, pterygoid plates, infratemporal fossa, cribriform plate, sphenoid or frontal sinuses (maxillary sinus) (finding) |
Preferred (foundation metadata concept) |
| 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) (finding) |
Preferred (foundation metadata concept) |
| 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) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumor invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) not more than 6mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumor invades prostate or uterus or vagina (urinary bladder) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumor invades skin, mandible, ear canal, and/or facial nerve (major salivary glands) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumor invades the larynx, deep/extrinsic muscle of tongue, medial pterygoid muscle, hard palate, or mandible (oropharynx) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumor invades through cortical bone, inferior alveolar nerve, floor of mouth, or skin of face, i.e., chin or nose (lip) (finding) |
Preferred (foundation metadata concept) |
| 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) (finding) |
Preferred (foundation metadata concept) |
| 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) (finding) |
Preferred (foundation metadata concept) |
| 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) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumor invades thyroid/cricoid cartilage, hyoid bone, thyroid gland, esophagus or central compartment of soft tissue (hypopharynx) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumor of any size extending beyond the thyroid capsule to invade subcutaneous soft tissues, larynx, trachea, esophagus, or recurrent laryngeal nerve (thyroid) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumor of any size with extension to chest wall, not including pectoralis muscle (breast) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumor penetrates to surface of visceral peritoneum (colon/rectum) (finding) |
Preferred (foundation metadata concept) |
| pT4a: Tumour directly invades other organs or structures (colon/rectum) |
Preferred (foundation metadata concept) |
| pT4a: Tumour invades anterior orbital contents, skin of cheek, pterygoid plates, infratemporal fossa, cribriform plate, sphenoid or frontal sinuses (maxillary sinus) |
Preferred (foundation metadata concept) |
| pT4a: Tumour 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) |
Preferred (foundation metadata concept) |
| pT4a: Tumour 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 oesophagus) (larynx, subglottis) |
Preferred (foundation metadata concept) |
| pT4a: Tumour invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) not more than 6mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas) |
Preferred (foundation metadata concept) |
| pT4a: Tumour invades prostate or uterus or vagina (urinary bladder) |
Preferred (foundation metadata concept) |
| pT4a: Tumour invades skin, mandible, ear canal, and/or facial nerve (major salivary glands) |
Preferred (foundation metadata concept) |
| pT4a: Tumour invades the larynx, deep/extrinsic muscle of tongue, medial pterygoid muscle, hard palate, or mandible (oropharynx) |
Preferred (foundation metadata concept) |
| pT4a: Tumour invades through cortical bone, inferior alveolar nerve, floor of mouth, or skin of face, i.e., chin or nose (lip) |
Preferred (foundation metadata concept) |
| pT4a: Tumour invades through cortical bone, into deep (extrinsic) muscle of tongue (genioglossus, hyoglossus, palatoglossus, and styloglossus), maxillary sinus, or skin of face (oral cavity) |
Preferred (foundation metadata concept) |
| pT4a: Tumour 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 oesophagus) (larynx, supraglottis) |
Preferred (foundation metadata concept) |
| pT4a: Tumour 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 oesophagus) (larynx, glottis) |
Preferred (foundation metadata concept) |
| pT4a: Tumour invades thyroid/cricoid cartilage, hyoid bone, thyroid gland, oesophagus or central compartment of soft tissue (hypopharynx) |
Preferred (foundation metadata concept) |
| pT4a: Tumour of any size extending beyond the thyroid capsule to invade subcutaneous soft tissues, larynx, trachea, oesophagus, or recurrent laryngeal nerve (thyroid) |
Preferred (foundation metadata concept) |
| pT4a: Tumour of any size with extension to chest wall, not including pectoralis muscle (breast) |
Preferred (foundation metadata concept) |
| pT4a: Tumour penetrates to surface of visceral peritoneum (colon/rectum) |
Preferred (foundation metadata concept) |
| pT4b |
Preferred (foundation metadata concept) |
| pT4b - Used with permission of the American College of Surgeons, Chicago, Illinois. The original source for this information is the AJCC Cancer Staging System (2022) https://www.facs.org/quality-programs/cancer/ajcc/cancer-staging. |
Preferred (foundation metadata concept) |
| pT4b category |
Preferred (foundation metadata concept) |
| pT4b category (finding) |
Preferred (foundation metadata concept) |
| pT4b: Extrathyroidal anaplastic carcinoma - surgically unresectable (anaplastic carcinoma) (thyroid) |
Preferred (foundation metadata concept) |
| pT4b: Extrathyroidal anaplastic carcinoma - surgically unresectable (anaplastic carcinoma) (thyroid) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Melanoma greater than 4.0 mm in thickness, with ulceration (melanoma of the skin) |
Preferred (foundation metadata concept) |
| pT4b: Melanoma greater than 4.0 mm in thickness, with ulceration (melanoma of the skin) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor directly invades or is adherent to other organs or structures (colon/rectum) (finding) |
Preferred (foundation metadata concept) |
| 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) (finding) |
Preferred (foundation metadata concept) |
| 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) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) greater than 6mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases carotid artery (oropharynx) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases internal carotid artery (oropharynx) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor invades pelvic wall or abdominal wall (urinary bladder) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor invades prevertebral fascia or encases carotid artery or mediastinal vessels (thyroid) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor invades prevertebral fascia, encases carotid artery, or involves mediastinal structures (hypopharynx) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, glottis) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, subglottis) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, supraglottis) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor invades skull base and/or pterygoid plates and/or encases carotid artery (major salivary glands) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor involves masticator space, pterygoid plates, or skull base and/or encases internal carotid artery (lip and oral cavity) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor involves masticator space, pterygoid plates, or skull base and/or encases internal carotid artery (oropharynx) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor of any size with edema (including peau d'orange) or ulceration of the skin of the breast or satellite skin nodules confined to the same breast (breast) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumor penetrates visceral peritoneum (colon/rectum) (finding) |
Preferred (foundation metadata concept) |
| pT4b: Tumour directly invades or is adherent to other organs or structures (colon/rectum) |
Preferred (foundation metadata concept) |
| pT4b: Tumour 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) |
Preferred (foundation metadata concept) |
| pT4b: Tumour 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) |
Preferred (foundation metadata concept) |
| pT4b: Tumour invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) greater than 6mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas) |
Preferred (foundation metadata concept) |
| pT4b: Tumour invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases carotid artery (oropharynx) |
Preferred (foundation metadata concept) |
| pT4b: Tumour invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases internal carotid artery (oropharynx) |
Preferred (foundation metadata concept) |
| pT4b: Tumour invades pelvic wall or abdominal wall (urinary bladder) |
Preferred (foundation metadata concept) |
| pT4b: Tumour invades prevertebral fascia or encases carotid artery or mediastinal vessels (thyroid) |
Preferred (foundation metadata concept) |
| pT4b: Tumour invades prevertebral fascia, encases carotid artery, or involves mediastinal structures (hypopharynx) |
Preferred (foundation metadata concept) |
| pT4b: Tumour invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, glottis) |
Preferred (foundation metadata concept) |
| pT4b: Tumour invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, subglottis) |
Preferred (foundation metadata concept) |
| pT4b: Tumour invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, supraglottis) |
Preferred (foundation metadata concept) |
| pT4b: Tumour invades skull base and/or pterygoid plates and/or encases carotid artery (major salivary glands) |
Preferred (foundation metadata concept) |
| pT4b: Tumour involves masticator space, pterygoid plates, or skull base and/or encases internal carotid artery (lip and oral cavity) |
Preferred (foundation metadata concept) |
FHIR