Breast Radiology Reporting - 1st for comment ballot

Breast Radiology Reporting - 1st for comment ballot

This page is part of the Breast Radiology Report (v0.1.0: Comment Draft) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

LymphNodeQualifiersVS

LymphNodeQualifiersVS ValueSet

Lymph Node Qualifiers

Defining URL:

http://hl7.org/fhir/us/breast-radiology/ValueSet/breastrad-LymphNodeQualifiersVS

Version:

0.1.0

Name:

LymphNodeQualifiersVS

Definition:

Lymph Node Qualifiers

Publisher:

Hl7 - Clinical Interoperability Council

Source Resource:

XML / JSON / Turtle

Downloads: XML, JSON, Turtle

Expansion

This value set contains 8 concepts

Expansion based on http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-LymphNodeQualifiersCS version 0.1.0

All codes from system http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-LymphNodeQualifiersCS

Code	Display	Definition
LevelILymphNode	Level I is the bottom level, below the lower edge of the pectoralis minor muscle.	Level I is the bottom level, below the lower edge of the pectoralis minor muscle.
LevelIILymphNode	Level II is lying underneath the pectoralis minor muscle.	Level II is lying underneath the pectoralis minor muscle.
LevelIIILymphNode	Level III is above the pectoralis minor muscle.	Level III is above the pectoralis minor muscle.
NormalLymphNode	Nodes are generally considered to be normal if they are up to 1 cm in diameter; however, some authors suggest that epitrochlear nodes larger than 0.5 cm or inguinal nodes larger than 1.5 cm should be considered abnormal.7,8 Little information exists to suggest that a specific diagnosis can be based on node size.	Nodes are generally considered to be normal if they are up to 1 cm in diameter; however, some authors suggest that epitrochlear nodes larger than 0.5 cm or inguinal nodes larger than 1.5 cm should be considered abnormal.7,8 Little information exists to suggest that a specific diagnosis can be based on node size.
WithEccentricThickeningCortex	Eccentric en- largement with focal thickening of the cortex is a strong indicator of malignant transformation. Indentation of the hilum, and especially ob- literation of the hilum, is highly suggestive of malignancy (4). ... Enlargement of lymph nodes can be due to a variety of benign and malignant causes.	Eccentric en- largement with focal thickening of the cortex is a strong indicator of malignant transformation. Indentation of the hilum, and especially ob- literation of the hilum, is highly suggestive of malignancy (4). ... Enlargement of lymph nodes can be due to a variety of benign and malignant causes.
WithEnlargementOfNode	When cancer has spread to the axillary lymph nodes, the nodes may feel enlarged, or there may be a noticeable lump. A breast cancer prognosis is better when the cancer is only in the breast, and the lymph nodes are not affected. Most people who have enlarged axillary lymph nodes do not have cancer at all.	When cancer has spread to the axillary lymph nodes, the nodes may feel enlarged, or there may be a noticeable lump. A breast cancer prognosis is better when the cancer is only in the breast, and the lymph nodes are not affected. Most people who have enlarged axillary lymph nodes do not have cancer at all.
WithFocalThickeningCortex	Currently many studies utilize cortical thickening and hilum absence as criteria for definition of the risk for metastasis(11,12-16). ... Metastatic deposits accumulate in the lymph node peripheral area, causing enlargement of the cortex, usually focal (at early stages), or uniform.	Currently many studies utilize cortical thickening and hilum absence as criteria for definition of the risk for metastasis(11,12-16). ... Metastatic deposits accumulate in the lymph node peripheral area, causing enlargement of the cortex, usually focal (at early stages), or uniform.
WithUniformThickeningCortex	Lymph node cortical thickness and uniformity are the most important criteria for distinguishing between normal and abnormal nodes. Normal lymph nodes have a reniform shape, a uniformly hypoechoic cortex with a maximal thickness of 3 mm, smooth margins, and a central fatty hilum (Fig 1). Findings of cortical thickness in excess of 3 mm, eccentric thickening, irregular margins, and encroachment on or displacement of the fatty hilum are suggestive of a pathologic process.	Lymph node cortical thickness and uniformity are the most important criteria for distinguishing between normal and abnormal nodes. Normal lymph nodes have a reniform shape, a uniformly hypoechoic cortex with a maximal thickness of 3 mm, smooth margins, and a central fatty hilum (Fig 1). Findings of cortical thickness in excess of 3 mm, eccentric thickening, irregular margins, and encroachment on or displacement of the fatty hilum are suggestive of a pathologic process.

References

This value set is used by the following logical models, profiles and extensions:

breastrad-BreastAbnormality