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{
"id" : "extension_bbk",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Extension",
"title" : "CS Extension",
"notes" : "**Note 1**: When both FIGO stage and extension detail are available, record the code with extension detail in preference to a statement of FIGO stage.\n\n**Note 2**: FIGO Stage IIIB is assigned based on tumor extension and/or regional lymph node involvement; FIGO Stage IV, NOS is assigned based on tumor extension and/or metastasis. Code CS Extension based on a physician's statement of FIGO Stage IIIB or FIGO Stage IV [NOS] only if it is known that the stage value is assigned because of tumor extension. Code a statement of FIGO Stage IIIB in CS Lymph Nodes if unknown if based on extension. Code a stage of FIGO Stage IV [NOS] in CS Mets at DX if unknown if based on extension.\n\n**Note 3**: FIGO no longer includes Stage 0 (Tis) for this site.\n\n**Note 4**: All macroscopically visible lesions, even with superficial invasion, are assigned toT1b/FIGO Stage IB.\n\n**Note 5**: Involvement of the anterior and/or posterior septum, the tissue between the vagina and bladder and between the vagina and rectum, is coded as involvement of the vaginal wall.",
"footnotes" : "- For CS Extension codes 200-310, 380-450, and 550 ONLY, the T category is assigned based on CS Tumor Size, as shown in the Extension Size AJCC 7 Table for for this schema.\n- For CS Extension codes 200-310, and 380-390 ONLY, the T category is assigned based on CS Tumor Size, as shown in the Extension Size AJCC 6 Table for this schema.",
"last_modified" : "2015-05-27T16:19:07.705Z",
"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, intraepithelial, noninvasive, preinvasive; \nCancer in situ WITH endocervical gland involvement\n(See Note 3)", "VALUE:Tis", "VALUE:Tis", "VALUE:IS", "VALUE:IS" ], [ "010", "Cervical intraepithelial neoplasia (CIN) Grade III", "VALUE:Tis", "VALUE:Tis", "VALUE:IS", "VALUE:IS" ], [ "110", "Minimal microscopic stromal invasion less than or equal to 3 mm in depth (measured from the base of the epithelium) and less than or equal to 7 mm in horizontal spread\n\nFIGO Stage IA1", "VALUE:T1a1", "VALUE:T1a1", "VALUE:L", "VALUE:L" ], [ "120", "Microscopic stromal invasion greater than 3 mm and less than or equal to 5 mm in depth, (measured from the base of the epithelium) and less than or equal to 7 mm in horizontal spread\n\nFIGO Stage IA2", "VALUE:T1a2", "VALUE:T1a2", "VALUE:L", "VALUE:L" ], [ "135", "Invasive carcinoma confined to cervix, microscopic size of stromal invasion and horizontal spread not specified", "VALUE:T1aNOS", "VALUE:T1aNOS", "VALUE:L", "VALUE:L" ], [ "140", "FIGO Stage IA [NOS]", "VALUE:T1aNOS", "VALUE:T1aNOS", "VALUE:L", "VALUE:L" ], [ "200", "Invasive carcinoma confined to cervix, tumor measurements greater than specified in code 120\n\nFIGO Stage IB", "JUMP:extension_size_ajcc7_xgi", "JUMP:csextension_size_tablefor_ajcc6th_xba", "VALUE:L", "VALUE:L" ], [ "210", "FIGO Stage IB1", "JUMP:extension_size_ajcc7_xgi", "JUMP:csextension_size_tablefor_ajcc6th_xba", "VALUE:L", "VALUE:L" ], [ "220", "FIGO Stage IB2", "JUMP:extension_size_ajcc7_xgi", "JUMP:csextension_size_tablefor_ajcc6th_xba", "VALUE:L", "VALUE:L" ], [ "250", "Invasive carcinoma confined to cervix, clinically visible lesion", "JUMP:extension_size_ajcc7_xgi", "JUMP:csextension_size_tablefor_ajcc6th_xba", "VALUE:L", "VALUE:L" ], [ "300", "Localized, NOS\nConfined to cervix uteri or uterus, NOS, except corpus uteri, NOS\n(Not clinically visible or unknown if clinically visible.)", "JUMP:extension_size_ajcc7_xgi", "JUMP:csextension_size_tablefor_ajcc6th_xba", "VALUE:L", "VALUE:L" ], [ "310", "FIGO Stage I [NOS]", "JUMP:extension_size_ajcc7_xgi", "JUMP:csextension_size_tablefor_ajcc6th_xba", "VALUE:L", "VALUE:L" ], [ "350", "Corpus uteri, NOS with no other information on extension", "VALUE:T1NOS", "VALUE:T1NOS", "VALUE:RE", "VALUE:RE" ], [ "360", "350 + 110", "VALUE:T1a1", "VALUE:T1a1", "VALUE:RE", "VALUE:RE" ], [ "370", "350 + 120", "VALUE:T1a2", "VALUE:T1a2", "VALUE:RE", "VALUE:RE" ], [ "380", "350 + (200 or 250)", "JUMP:extension_size_ajcc7_xgi", "JUMP:csextension_size_tablefor_ajcc6th_xba", "VALUE:RE", "VALUE:RE" ], [ "390", "350 + (300 or 310)", "JUMP:extension_size_ajcc7_xgi", "JUMP:csextension_size_tablefor_ajcc6th_xba", "VALUE:RE", "VALUE:RE" ], [ "400", "Extension to:\n Cul de sac (rectouterine pouch)\n Upper two-thirds of vagina including fornices\n Vagina, NOS\n Vaginal wall, NOS\nWITHOUT parametrial invasion", "JUMP:extension_size_ajcc7_xgi", "VALUE:T2a", "VALUE:RE", "VALUE:RE" ], [ "410", "Extension beyond uterus, NOS but not to pelvic wall (excluding lower third of vagina)\nWITHOUT parametrial invasion", "JUMP:extension_size_ajcc7_xgi", "VALUE:T2a", "VALUE:RE", "VALUE:RE" ], [ "420", "FIGO Stage IIA1", "JUMP:extension_size_ajcc7_xgi", "VALUE:T2a", "VALUE:RE", "VALUE:RE" ], [ "440", "FIGO Stage IIA2", "JUMP:extension_size_ajcc7_xgi", "VALUE:T2a", "VALUE:RE", "VALUE:RE" ], [ "450", "FIGO Stage IIA [NOS]", "JUMP:extension_size_ajcc7_xgi", "VALUE:T2a", "VALUE:RE", "VALUE:RE" ], [ "500", "Extension to:\n Ligament(s):\n Broad\n Cardinal\n Uterosacral\n Parametrium (paracervical soft tissue)\nFIGO Stage IIB", "VALUE:T2b", "VALUE:T2b", "VALUE:RE", "VALUE:RE" ], [ "550", "FIGO Stage II [NOS]", "JUMP:extension_size_ajcc7_xgi", "VALUE:T2NOS", "VALUE:RE", "VALUE:RE" ], [ "600", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 605 and 625\n\nExtension to:\n Bladder wall\n Bladder, NOS excluding mucosa\n Bullous edema of bladder mucosa\n Lower third of vagina\n Rectal wall\n Rectum, NOS excluding mucosa\nFIGO Stage IIIA", "VALUE:T3a", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "605", "Extension to:\n Bladder wall\n Bladder, NOS excluding mucosa\n Bullous edema of bladder mucosa\n Lower third of vagina\n Rectal wall\n Rectum, NOS excluding mucosa", "VALUE:T3a", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "620", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 622 and 625\n\nExtension to:\n Ureter, intra- and extramural\n Vulva\nFIGO Stage IIIA", "VALUE:T3a", "VALUE:T3a", "VALUE:D", "VALUE:RE" ], [ "622", "Extension to:\n Ureter, intra- and extramural\n Vulva", "VALUE:T3a", "VALUE:T3a", "VALUE:D", "VALUE:RE" ], [ "625", "FIGO Stage IIIA", "VALUE:T3a", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "630", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 635 and 660\n\nTumor causes hydronephrosis or nonfunctioning kidney \nFIGO Stage IIIB", "VALUE:T3b", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "635", "Tumor causes hydronephrosis or nonfunctioning kidney ", "VALUE:T3b", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "650", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 655 and 660\n\nExtension to pelvic wall(s)\n (Described clinically as \"frozen pelvis\", NOS)\nFIGO Stage IIIB", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:RE" ], [ "655", "Extension to pelvic wall(s)\n Described clinically as frozen pelvis", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:RE" ], [ "660", "FIGO Stage IIIB based on extension", "VALUE:T3b", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "680", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 685 and 690\n\nExtension to:\n Fallopian tube(s)\n Ovary(ies)\n Urethra\n\nFIGO Stage III [NOS]", "VALUE:T3NOS", "VALUE:T3NOS", "VALUE:D", "VALUE:RE" ], [ "685", "Extension to:\n Fallopian tube(s)\n Ovary(ies)\n Urethra", "VALUE:T3NOS", "VALUE:T3NOS", "VALUE:D", "VALUE:RE" ], [ "690", "FIGO Stage III [NOS]", "VALUE:T3NOS", "VALUE:T3NOS", "VALUE:D", "VALUE:RE" ], [ "700", "Extension to rectal or bladder mucosa \n(Note: for bullous edema of bladder mucosa, see code 600-605)", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "800", "Further contiguous extension beyond true pelvis\n Sigmoid colon\n Small intestine", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "850", "FIGO Stage IVA", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "860", "FIGO Stage IV [NOS] based 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" ] ]
}
