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6123003: pT4 category (finding)


Status: current, Necessary but not sufficient concept definition status (core metadata concept). Date: 31-Jan 2002. Module: SNOMED CT core

Descriptions:

Id Description Lang Type Status Case? Module Reference Sets
11170019 pT4 stage en Synonym (core metadata concept) Active Entire term case sensitive (core metadata concept) SNOMED CT core GB English: Acceptable (foundation metadata concept)
2836641019 pT4 category (finding) en Fully specified name Active Entire term case sensitive (core metadata concept) SNOMED CT core GB English: Preferred (foundation metadata concept)
2841484014 pT4 category en Synonym (core metadata concept) Active Entire term case sensitive (core metadata concept) SNOMED CT core GB English: Preferred (foundation metadata concept)

68 descendants. Search Descendants:

Expanded Value Set


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

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 pT4 category (finding) Inferred relationship Some
T4 (IVA): Endometrial tumor invades bladder mucosa and/or bowel mucosa Is a False pT4 category (finding) Inferred relationship Some
T4: Lip: Tumor invades adjacent structures (cortical bone, inferior alveolar nerve, floor of mouth, skin of face) Is a False pT4 category (finding) Inferred relationship Some
T4: Oral Cavity: Tumor invades adjacent structures (cortical bone, deep (extrinsic) muscle of tongue, maxillary sinus, skin) Is a False pT4 category (finding) Inferred relationship Some
T4: Aerodigestive tract tumor invades adjacent structures (pterygoid muscles, mandible, hard palate, deep muscle of tongue, larynx) Is a False pT4 category (finding) 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) (finding) Is a False pT4 category (finding) Inferred relationship Some
T4: Aerodigestive tumor invades base of skull, seventh nerve, and/or exceeds 6 cm in greatest dimension Is a False pT4 category (finding) 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 pT4 category (finding) 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 pT4 category (finding) 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 pT4 category (finding) 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 pT4 category (finding) Inferred relationship Some
T4: Aerodigestive tract tumor with intracranial extension and/or involvement of cranial nerves, infratemporal fossa, hypopharynx or orbit Is a False pT4 category (finding) 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 pT4 category (finding) 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 pT4 category (finding) Inferred relationship Some
T4: Lung tumor of any size with a malignant pleural effusion Is a False pT4 category (finding) Inferred relationship Some
T4: Lung tumor of any size with separate tumor nodule(s) in same lobe Is a False pT4 category (finding) Inferred relationship Some
T4: Renal tumor invades beyond Gerota's fascia Is a False pT4 category (finding) Inferred relationship Some
T4: Breast tumor of any size with direct extension to chest wall or skin Is a False pT4 category (finding) Inferred relationship Some
T4a: Breast tumour with extension to chest wall Is a False pT4 category (finding) 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 pT4 category (finding) Inferred relationship Some
T4c: Breast tumor, both T4a and T4b Is a False pT4 category (finding) Inferred relationship Some
T4d: Inflammatory carcinoma (breast) Is a False pT4 category (finding) Inferred relationship Some
T4: Tumor directly invades adjacent structures Is a False pT4 category (finding) Inferred relationship Some
T4a: Colon/rectum tumor directly invades other organs or structures Is a False pT4 category (finding) Inferred relationship Some
T4b: Colon/rectum tumor penetrates the visceral peritoneum Is a False pT4 category (finding) Inferred relationship Some
T4: Ampulla tumour invades >2 cm into pancreas and/or into other adjacent organs Is a False pT4 category (finding) Inferred relationship Some
T4: Pancreas tumor extends directly to any of the following: stomach; spleen; colon; adjacent large vessels Is a False pT4 category (finding) Inferred relationship Some
T4: Urinary bladder tumor invades any of the following: prostate, uterus, vagina, pelvic wall abdominal wall Is a False pT4 category (finding) Inferred relationship Some
T4: Renal pelvis/ureter tumor invades adjacent organs, or through the kidney into the perinephric fat Is a False pT4 category (finding) Inferred relationship Some
T4a: Bladder tumor invades prostate or uterus or vagina Is a False pT4 category (finding) Inferred relationship Some
T4b: Bladder tumor invades pelvic wall or abdominal wall Is a False pT4 category (finding) Inferred relationship Some
T4: Testicular tumor invades scrotum with or without vascular/lymphatic invasion Is a False pT4 category (finding) 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 pT4 category (finding) Inferred relationship Some
T4: Thyroid tumor of any size extending beyond the thyroid capsule Is a False pT4 category (finding) Inferred relationship Some
pT4: Tumour of any size with direct extension to chest wall or skin (breast) Is a True pT4 category (finding) Inferred relationship Some
pT4a: Tumor directly invades other organs or structures (colon/rectum) Is a False pT4 category (finding) Inferred relationship Some
pT4b: Tumor penetrates visceral peritoneum (colon/rectum) Is a False pT4 category (finding) Inferred relationship Some
pT4: Tumour of lung as per AJCC 6th Edition definition (lung) Is a True pT4 category (finding) Inferred relationship Some
pT4: Invasion of bladder AND/OR rectum (prostate) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Tumor of any size invades adjacent organ(s), e.g., vagina, urethra, bladder (anal canal) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Tumor directly invades other organs or structures and/or perforates visceral peritoneum (colon/rectum) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Tumor invades beyond Gerota's fascia (kidney) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Tumor invades peripancreatic soft tissues or other adjacent organs or structures (ampulla of Vater) (finding) Is a True pT4 category (finding) 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) (finding) Is a True pT4 category (finding) 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) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4 (IVA): Tumor invades bladder mucosa and/or bowel mucosa (TNM category and FIGO stage) (corpus uteri) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Melanoma greater than 4.0 mm in thickness, with or without ulceration (melanoma of the skin) (finding) Is a True pT4 category (finding) 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) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4a: Tumor invades the larynx, deep/extrinsic muscle of tongue, medial pterygoid muscle, hard palate, or mandible (oropharynx) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4b: Tumor invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases carotid artery (oropharynx) (finding) Is a False pT4 category (finding) 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) (finding) Is a False pT4 category (finding) 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) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4b: Tumor involves masticator space, pterygoid plates, or skull base and/or encases internal carotid artery (lip and oral cavity) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4: Tumor with intracranial extension, and/or involvement of cranial nerves, infratemporal fossa, hypopharynx, orbit, or masticator space (nasopharynx) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4a: Tumor invades thyroid/cricoid cartilage, hyoid bone, thyroid gland, esophagus or central compartment of soft tissue (hypopharynx) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4b: Tumor invades prevertebral fascia, encases carotid artery, or involves mediastinal structures (hypopharynx) (finding) Is a False pT4 category (finding) 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) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, supraglottis) (finding) Is a False pT4 category (finding) 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) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, glottis) (finding) Is a False pT4 category (finding) 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) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, subglottis) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4a: Tumor invades anterior orbital contents, skin of cheek, pterygoid plates, infratemporal fossa, cribriform plate, sphenoid or frontal sinuses (maxillary sinus) (finding) Is a False pT4 category (finding) 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) (finding) Is a False pT4 category (finding) 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) (finding) Is a False pT4 category (finding) 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) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4a: Tumor invades skin, mandible, ear canal, and/or facial nerve (major salivary glands) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4b: Tumor invades skull base and/or pterygoid plates and/or encases carotid artery (major salivary glands) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4: Tumor invades any of the following: prostate, uterus, vagina, pelvic wall, abdominal wall (urinary bladder) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Tumor invades adjacent organs, or through the kidney into the perinephric fat (renal pelvis and ureter) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Tumor invades the scrotum with or without vascular/lymphatic invasion (testis) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Tumor involves the celiac axis or the superior mesenteric artery (exocrine pancreas) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Extraocular tumour extension which includes sites as per AJCC 6th Edition definition (retinoblastoma) Is a True pT4 category (finding) Inferred relationship Some
pT4: Tumor invades adjacent structures (esophagus) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Tumor perforates the visceral peritoneum or directly invades other organs or structures (small intestine) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Tumor invades main portal vein or hepatic artery or invades two or more extrahepatic organs or structures (gallbladder) (finding) Is a True pT4 category (finding) 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) (finding) Is a True pT4 category (finding) 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) (finding) Is a True pT4 category (finding) 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) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4: Tumour involves any of the ipsilateral pleural surfaces plus additional sites as by AJCC 6th Edition definition (thoracic mesothelioma) Is a True pT4 category (finding) Inferred relationship Some
pT4b: Tumor invades prevertebral fascia or encases carotid artery or mediastinal vessels (thyroid) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4b: Extrathyroidal anaplastic carcinoma - surgically unresectable (anaplastic carcinoma) (thyroid) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4a: Intrathyroidal anaplastic carcinoma - surgically resectable (anaplastic carcinoma) (thyroid) (finding) Is a False pT4 category (finding) 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) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4b: Tumor involves masticator space, pterygoid plates, or skull base and/or encases internal carotid artery (oropharynx) Is a False pT4 category (finding) Inferred relationship Some
pT4: Tumor with extraocular extension (iris) (uveal melanoma) (finding) Is a True pT4 category (finding) 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) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4b: Tumor invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases internal carotid artery (oropharynx) (finding) Is a False pT4 category (finding) Inferred relationship Some
pT4: Tumor directly invades other organs or structures and/or perforates visceral peritoneum (appendix) (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4b category (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4a category (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4c category (finding) Is a True pT4 category (finding) Inferred relationship Some
pT4d category (finding) Is a True pT4 category (finding) Inferred relationship Some

This concept is not in any reference sets

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