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{
"id" : "extension_bbc",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Extension",
"title" : "CS Extension",
"notes" : "**Note 1**: In codes 390, 400, and 440, \"multiple (satellite) nodules/tumors\" includes satellitosis, multifocal tumors, and intrahepatic metastases.\n\n**Note 2**: Major vascular invasion (code 630) is defined as invasion of the branches of the main portal vein (right or left portal vein, not including sectoral or segmental branches) or as invasion of one or more of the three hepatic veins (right, middle, or left). Invasion of hepatic artery or vena cava is coded to 660.",
"footnotes" : "- For CS Extension codes 390, 400, 420, and 440 ONLY, the T category for AJCC 7 staging is assigned based on the value of CS Tumor Size, as shown in the Extension Size AJCC 7 Table for this schema.\n- For CS Extension codes 390, 400, 420, and 440 ONLY, the T category for AJCC 6 staging is assigned based on the value of CS Tumor Size, as shown in the Extension Size AJCC 6 Table for this schema.",
"last_modified" : "2015-05-27T16:19:07.139Z",
"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" : [ [ "100", "Single lesion (one lobe)\nWITHOUT intrahepatic vascular invasion, including vascular invasion not stated", "VALUE:T1", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "150", "More than one lobe involved by contiguous growth (single lesion)\nWITHOUT intrahepatic vascular invasion, including vascular invasion not stated", "VALUE:T1", "VALUE:T1", "VALUE:RE", "VALUE:RE" ], [ "170", "Confined to liver, NOS\nLocalized, NOS", "VALUE:T1", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "200", "OBSOLETE DATA CONVERTED V0200\nSee code 350\n\nSingle lesion (one lobe) WITH intrahepatic vascular invasion", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "250", "Single lesion \nWITH involvement of one or more lobes of liver or extension within liver not stated, \nWITH extension to gallbladder\nWITHOUT vascular invasion, including vascular invasion not stated", "VALUE:T1", "VALUE:T1", "VALUE:RE", "VALUE:RE" ], [ "270", "Stated as T1 with no other information on extension", "VALUE:T1", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "300", "OBSOLETE DATA CONVERTED V0200\nSee code 390\n\nMultiple (satellite) nodules/tumors (one lobe)\nWITHOUT\nintrahepatic vascular invasion, including vascular invasion not stated", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "350", "Single lesion (one lobe ) \nWITH intrahepatic vascular invasion", "VALUE:T2", "VALUE:T2", "VALUE:L", "VALUE:L" ], [ "370", "More than one lobe involved by contiguous growth (single lesion)\nWITH vascular invasion", "VALUE:T2", "VALUE:T2", "VALUE:RE", "VALUE:RE" ], [ "380", "Single lesion \nWITH involvement of one or more lobes of liver or extension within liver not stated\nWITH extension to gallbladder\nWITH intrahepatic vascular invasion", "VALUE:T2", "VALUE:T2", "VALUE:RE", "VALUE:RE" ], [ "390", "Multiple (satellite) nodules/tumors (one lobe)\nWITHOUT intrahepatic vascular invasion, including vascular invasion not stated", "JUMP:extension_size_ajcc7_xev", "JUMP:extension_size_ajcc6_xak", "VALUE:L", "VALUE:L" ], [ "400", "Multiple (satellite) nodules/tumors (one lobe)\nWITH intrahepatic vascular invasion", "JUMP:extension_size_ajcc7_xev", "JUMP:extension_size_ajcc6_xak", "VALUE:L", "VALUE:L" ], [ "420", "Multiple (satellite) nodules/tumors (one lobe) \nWITH extension to gallbladder\nWITH or WITHOUT intrahepatic vascular invasion", "JUMP:extension_size_ajcc7_xev", "JUMP:extension_size_ajcc6_xak", "VALUE:RE", "VALUE:RE" ], [ "440", "Multiple (satellite) nodules/tumors in more than one lobe of liver or on surface of parenchyma\nSatellite nodules, NOS", "JUMP:extension_size_ajcc7_xev", "JUMP:extension_size_ajcc6_xak", "VALUE:D", "VALUE:RE" ], [ "460", "Stated as T2 with no other information on extension", "VALUE:T2", "VALUE:T2", "VALUE:L", "VALUE:L" ], [ "500", "OBSOLETE DATA CONVERTED V0200\nSee code 170\n\nConfined to liver, NOS\nLocalized, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "510", "OBSOLETE DATA CONVERTED V0200\nSee code 150\n\nMore than one lobe involved by contiguous growth (single lesion)\nWITHOUT vascular invasion, including vascular invasion not stated", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "520", "OBSOLETE DATA CONVERTED V0200\nSee code 370\n\nMore than one lobe involved by contiguous growth (single lesion)\nWITH vascular invasion", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "530", "OBSOLETE DATA CONVERTED V0200\nSee code 250\n\nExtension to gallbladder, extent within liver not stated", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "540", "OBSOLETE DATA CONVERTED V0200\nSee code 250\n\nExtension to gallbladder 530 + (100 or 510)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "550", "OBSOLETE DATA CONVERTED V0200\nSee code 380\n\nExtension to gallbladder 530 + (200 or 520)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "560", "OBSOLETE DATA CONVERTED V0200\nSee code 420\n\nExtension to gallbladder 530 + (300 or 400)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "580", "OBSOLETE DATA CONVERTED V0200\nSee code 645\n\nExtrahepatic bile ducts", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "600", "Stated as T3a with no other information regarding extension", "VALUE:T3a", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "630", "Single tumor (confined to one lobe) or multiple tumor(s) (confined to one lobe and not on surface of liver) \nWITH major vascular invasion: major branch(es) of portal or hepatic vein(s)\n(See Note 2)", "VALUE:T3b", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "635", "630 + 440\n\nSingle or multiple tumor(s) with major vascular invasion: major branch(es) of portal or hepatic vein(s) plus multiple nodules/tumors in more than one lobe of liver or on surface of parenchyma", "VALUE:T3b", "VALUE:T3", "VALUE:D", "VALUE:RE" ], [ "638", "Stated as T3b with no other information on extension", "VALUE:T3b", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "639", "Stated as T3 [NOS] with no other information on extension", "VALUE:T3NOS", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "640", "Direct extension/perforation of visceral peritoneum", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "645", "Extrahepatic bile ducts", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "650", "OBSOLETE DATA CONVERTED V0200\nSee code 440\n\nMultiple (satellite) nodules/tumors in more than one lobe of liver or on surface of parenchyma\nSatellite nodules, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "660", "Extension to hepatic artery or vena cava", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "670", "OBSOLETE DATA CONVERTED V0200\nSee code 635\n\n630+650", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "700", "Diaphragm", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "750", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nPerforation of visceral peritoneum included in 2 codes in CSv2: V0201, V0202. Any case coded 750 for perforation of visceral peritoneum should be recoded to 640. See codes 640, 755\n\nLesser omentum\nLigament(s):\n Coronary\n Falciform\n Hepatoduodenal\n Hepatogastric\n Round (of liver)\n Triangular\nPerforation of visceral peritoneum\nParietal peritoneum", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "755", "Lesser omentum\nLigament(s):\n Coronary\n Falciform\n Hepatoduodenal\n Hepatogastric\n Round (of liver)\n Triangular\nParietal peritoneum", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "760", "OBSOLETE DATA CONVERTED V0200\nSee code 770\n\n(650 or 670) + any of (640 or 660 or 700 or 750)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "770", "(640, 645, 660, 700, or 755) + (440 or 635)\n\nAny extension coded in (640, 645, 660, 700, or 755) plus multiple tumors/nodules in more than one lobe of liver or on surface of parenchyma", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:RE" ], [ "800", "Further contiguous extension:\n Pancreas\n Pleura\n Stomach\nOther contiguous extension", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "805", "OBSOLETE DATA CONVERTED V0203\nSee code 950\n\nNo evidence of primary tumor", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "810", "Stated as T4 with no other information on extension", "VALUE:T4", "VALUE:T4", "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", "VALUE:TX", "VALUE:TX", "VALUE:U", "VALUE:U" ] ]
}
