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{
"id" : "extension_ban",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Extension",
"title" : "CS Extension",
"notes" : "**Note 1**: If there is a discrepancy between the Clark level and the pathologic description of extent (invasion into the layers of the dermis), use the higher (more extensive) code.\n\n**Note 2**: Code the greatest extent of invasion from any procedure performed on the lesion, whether it is described as a biopsy or an excision. For example, if a punch biopsy with involvement of Clark level IV is followed by a re-excision with residual tumor involving Clark level II, use code 300 (Clark level IV).\n\n**Note 3**: Satellite lesions/nodules or in-transit metastases are coded in CS Lymph Nodes.\n\n**Note 4**: Ulceration of the melanoma is coded in CS Site-Specific Factor 2.",
"footnotes" : "- For CS Extension codes 100-300, 400-800, and 999 ONLY, the T category for AJCC 7staging is assigned based on the values of CS Site-Specific Factor 1, Measured Thickness, CS Site-Specific Factor 2, Ulceration, and for certain cases CS Site-Specific Factor 7, Primary Tumor Mitotic Count/Rate, as shown in the Thickness, Ulceration AJCC 7 Table.\n- For CS Extension codes 310-380 ONLY, the T category for AJCC 7 staging is assigned based on the values of CS Extension, CS Site-Specific Factor 1, Measured Thickness, CS Site-Specific Factor 2, Ulceration, and for certain cases CS Site-Specific Factor 7, Primary Tumor Mitotic Count/Rate, as shown in the ExtensionThickness Ulceration T Category AJCC 7 table.\n- For CS Extension codes 100-300, 400-800, and 999 ONLY, the T category for AJCC 6 staging is assigned based on the values of CS Site-Specific Factor 1, Measured Thickness, and CS Site-Specific Factor 2, Ulceration, as shown in the Thickness Ulceration AJCC 6 Table.\n- For CS Extension codes 310-380 ONLY, the T category for AJCC 6 staging is assigned based on the values of CS Extension, CS Site-Specific Factor 1, Measured Thickness, and CS Site-Specific Factor 2, Ulceration, as shown in the Extension, Thickness, Ulceration, T Category AJCC 6 Table.",
"last_modified" : "2015-05-27T16:19:06.192Z",
"definition" : [ {
"key" : "extension",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "ajcc7_t",
"name" : "AJCC 7 T",
"type" : "ENDPOINT"
}, {
"key" : "ajcc6_t",
"name" : "AJCC 6 T",
"type" : "ENDPOINT"
}, {
"key" : "t77",
"name" : "Summary Stage 1977 T",
"type" : "ENDPOINT"
}, {
"key" : "t2000",
"name" : "Summary Stage 2000 T",
"type" : "ENDPOINT"
} ],
"rows" : [ [ "000", "In situ, intraepidermal, intraepithelial, noninvasive \n(Basement membrane of the epidermis is intact)\nClark level I", "VALUE:Tis", "VALUE:Tis", "VALUE:IS", "VALUE:IS" ], [ "100", "Papillary dermis invaded\nClark level II", "JUMP:thickness_ulceration_ajcc7_xhu", "JUMP:thickness_ulceration_ajcc6_xbn", "VALUE:L", "VALUE:L" ], [ "200", "Papillary-reticular dermal interface invaded\nClark level III", "JUMP:thickness_ulceration_ajcc7_xhu", "JUMP:thickness_ulceration_ajcc6_xbn", "VALUE:L", "VALUE:L" ], [ "300", "Reticular dermis invaded\nClark level IV", "JUMP:thickness_ulceration_ajcc7_xhu", "JUMP:thickness_ulceration_ajcc6_xbn", "VALUE:L", "VALUE:L" ], [ "310", "Stated as T1a with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "315", "Stated as T1b with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "320", "Stated as T1 [NOS] with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "330", "Stated as T2a with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "335", "Stated as T2b with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "340", "Stated as T2 [NOS] with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "350", "Stated as T3a with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "355", "Stated as T3b with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "360", "Stated as T3 [NOS] with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "370", "Stated as T4a with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "375", "Stated as T4b with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "380", "Stated as T4 [NOS] with no other information on extension", "JUMP:extension_thickness_ulceration_tcategory_ajcc7_xkk", "JUMP:extension_thickness_ulceration_tcategory_ajcc6_xkj", "VALUE:L", "VALUE:L" ], [ "400", "Skin/dermis, NOS\nLocalized, NOS", "JUMP:thickness_ulceration_ajcc7_xhu", "JUMP:thickness_ulceration_ajcc6_xbn", "VALUE:L", "VALUE:L" ], [ "500", "Subcutaneous tissue invaded (through entire dermis)\nClark's level V", "JUMP:thickness_ulceration_ajcc7_xhu", "JUMP:thickness_ulceration_ajcc6_xbn", "VALUE:L", "VALUE:RE" ], [ "800", "Further contiguous extension:\nUnderlying cartilage, bone, skeletal muscle", "JUMP:thickness_ulceration_ajcc7_xhu", "JUMP:thickness_ulceration_ajcc6_xbn", "VALUE:D", "VALUE:D" ], [ "950", "No evidence of primary tumor", "VALUE:T0", "VALUE:T0", "VALUE:U", "VALUE:U" ], [ "999", "Unknown; extension not stated\nPrimary tumor cannot be assessed \nNot documented in patient record", "JUMP:thickness_ulceration_ajcc7_xhu", "JUMP:thickness_ulceration_ajcc6_xbn", "VALUE:U", "VALUE:U" ] ]
}