--- In cancerregistrargroup@yahoogroups.com, afoster1115
<no_reply@y...> wrote:
> My pathologist called me with a question (how cool is that, isn't
it
> ususally us calling them?!) Anyway, he wanted to know how to
> designate the N in the path report of a patient that had colon
cancer
> that had invaded a lymph node by direct extension, not by the
normal
> mets route. The T is T3.
>
> Help!!

I don't think it matters how the met got into the node (lymph
drainage or direct extension). I would code it a T3N1.

Regards
Robo