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{
"id" : "extension_bbl",
"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 no longer includes Stage 0 (Tis) for this site.\n\n**Note 3**: To assign a T2 category, stromal connective tissue of the cervix must be involved; endocervical glandular involvement only is not considered a T2 tumor in AJCC 7. Use 123, 133, 143, or 145 if endometrial or myometrial involvement is described.\n\n**Note 4**: FIGO IIIA and IIIB are extension, whereas FIGO IIIC is nodal involvement. FIGO IVA is extension, whereas FIGO IVB is distant metastasis. FIGO Stage III, NOS and FIGO Stage IV, NOS are assigned based on tumor extension and/or metastasis. Code CS Extension based on a physician's statement of FIGO Stage III, NOS or FIGO Stage IV, NOS only if it is known that the stage value is assigned because of tumor extension.\n\n**Note 5**: Positive cytology is reported separately (CS Site Specific Factor 2), and is not included as a staging element for AJCC 7 staging. It is included as a staging element for AJCC 6 and Summary Stage. Since \"cancer cells in ascites or in peritoneal washings\" was not specifically categorized in the 1977 Summary Staging Guide, it is unclear to which stage previous cases may have been coded in that staging system.\n\n**Note 6**: According to the AJCC, extension to the bowel or bladder mucosa must be proven by biopsy in order to rule out bullous edema.",
"footnotes" : "- For CS Extension codes 100-145, and 180-525 ONLY. If it is a CS Version 1 case, (CS Version Input Original equals 01XXXX and Year of Diagnosis is before 2010), the T category for AJCC 6 stages is assigned based on the value of CS Extension and peritoneal cytology coded in CS Site-Specific Factor 2 as shown in the Extension Cytology AJCC 6 Table CSv1. If it is a CS Version 2 case (CS Version Input Original equals 02XXXX or Year of Diagnosis is greater than 2009), the T category for AJCC 6 staging is based on the value of CS Extension and peritoneal cytology coded in CS Site-Specific Factor 2 as shown in the Extension Cytology AJCC 6 Table CSv2.\n- For CS Extension codes 100-120, 125-130, 135-140, 160-400, and 540 ONLY. The SS77 and SS2000 stages are assigned based on the value of CS Extension and peritoneal cytology status coded in CS Site-Specific Factor 2 as shown in the Extension Cytology Summary Stage Table.",
"last_modified" : "2015-05-27T16:19:07.772Z",
"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 ", "VALUE:Tis", "VALUE:Tis", "VALUE:IS", "VALUE:IS" ], [ "100", "Invasive cancer confined to corpus uteri ", "VALUE:T1NOS", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "JUMP:extension_cytology_summary_stage_xqa", "JUMP:extension_cytology_summary_stage_xqa" ], [ "110", "Confined to endometrium (stroma)", "VALUE:T1a", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "JUMP:extension_cytology_summary_stage_xqa", "JUMP:extension_cytology_summary_stage_xqa" ], [ "120", "Tumor invades less than one-half of myometrium\nInvasion of inner half of myometrium", "VALUE:T1a", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "JUMP:extension_cytology_summary_stage_xqa", "JUMP:extension_cytology_summary_stage_xqa" ], [ "123", "Endocervical glandular involvement\nWITH tumor limited to endometrium or invading less than one-half of myometrium\n(See Note 3)", "VALUE:T1a", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "VALUE:RE", "VALUE:RE" ], [ "125", "FIGO Stage IA", "VALUE:T1a", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "JUMP:extension_cytology_summary_stage_xqa", "JUMP:extension_cytology_summary_stage_xqa" ], [ "130", "Tumor invades one-half or more of myometrium\nInvasion of outer half of myometrium\n (See Note 4)", "VALUE:T1b", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "JUMP:extension_cytology_summary_stage_xqa", "JUMP:extension_cytology_summary_stage_xqa" ], [ "133", "Endocervical glandular involvement \nWITH tumor invading one-half or more of myometrium\n(See Note 3)", "VALUE:T1b", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "VALUE:RE", "VALUE:RE" ], [ "135", "FIGO Stage IB", "VALUE:T1b", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "JUMP:extension_cytology_summary_stage_xqa", "JUMP:extension_cytology_summary_stage_xqa" ], [ "140", "Invasion of myometrium, NOS", "VALUE:T1NOS", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "JUMP:extension_cytology_summary_stage_xqa", "JUMP:extension_cytology_summary_stage_xqa" ], [ "143", "Endocervical glandular involvement WITH tumor invading myometrium, NOS", "VALUE:T1NOS", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "VALUE:RE", "VALUE:RE" ], [ "145", "Endocervical glandular involvement and involvement of myometrium not specified", "VALUE:T1NOS", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "VALUE:RE", "VALUE:RE" ], [ "160", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 540 and 545\n\nTunica serosa of the visceral peritoneum (serosa covering the corpus)", "VALUE:T1NOS", "VALUE:T3a", "JUMP:extension_cytology_summary_stage_xqa", "JUMP:extension_cytology_summary_stage_xqa" ], [ "180", "FIGO Stage I [NOS]", "VALUE:T1NOS", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "JUMP:extension_cytology_summary_stage_xqa", "JUMP:extension_cytology_summary_stage_xqa" ], [ "400", "Localized, NOS", "VALUE:T1NOS", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "JUMP:extension_cytology_summary_stage_xqa", "JUMP:extension_cytology_summary_stage_xqa" ], [ "500", "Cervix uteri, NOS, but not beyond uterus", "VALUE:T2", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "VALUE:RE", "VALUE:RE" ], [ "510", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee code 123, 133, 143, and 145\n\nEndocervical glandular involvement only", "VALUE:T1NOS", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "VALUE:RE", "VALUE:RE" ], [ "520", "Cervical stromal invasion", "VALUE:T2", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "VALUE:RE", "VALUE:RE" ], [ "525", "FIGO Stage II", "VALUE:T2", "JUMP:determine_correct_table_for_ajcc6_t_ns6", "VALUE:RE", "VALUE:RE" ], [ "540", "Extension or metastasis to tunica serosa (visceral peritoneum of corpus, serosa covering the corpus) \nWITHOUT involvement of cervix", "VALUE:T3a", "VALUE:T3a", "JUMP:extension_cytology_summary_stage_xqa", "JUMP:extension_cytology_summary_stage_xqa" ], [ "545", "Extension or metastasis to tunica serosa of corpus\nWITH involvement of cervix", "VALUE:T3a", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "550", "Extension or metastasis to:\n Adnexa:\n Fallopian tube(s)\n Ovary(ies)", "VALUE:T3a", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "600", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 550, 655, and 800\n\nExtension or metastasis within true pelvis:\n Adnexa\n Fallopian tube(s)\n Ligaments: Broad, round, uterosacral\n Ovary(ies)\n Parametrium\n Pelvic serosa\n Tunica serosa (parietal lining of the pelvic or abdominal cavity)", "VALUE:T3a", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "610", "OBSOLETE DATA RETAINED V0200 \nSee Note 5 and CS Site-Specific Factor 2\n\nCancer cells in ascites\nCancer cells in peritoneal washings \nFIGO Stage IIIA", "ERROR:", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "620", "OBSOLETE DATA CONVERTED V0200 \n(See code 645)\n\nUreter and vulva", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "630", "FIGO Stage IIIA", "VALUE:T3a", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "635", "Extension or metastasis to:\n Ligaments:\n Broad\n Round\n Parametrium, NOS\n Visceral peritoneum of pelvic organs excluding serosa of corpus", "VALUE:T3b", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "640", "Extension or metastasis to vagina", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:RE" ], [ "645", "Extension to:\n Ureter \n Vulva", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:RE" ], [ "650", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 655 and 662\n\nExtension or metastasis to pelvic wall(s)\nDescribed clinically as \"frozen pelvis\", NOS", "VALUE:T3b", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "655", "Extension or metastasis to:\n Pelvic wall(s)\n Parietal serosa of pelvic wall", "VALUE:T3b", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "660", "Extension or metastasis to:\n Bladder wall\n Bladder, NOS excluding mucosa\n Rectal wall\n Rectum, NOS excluding mucosa", "VALUE:T3b", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "662", "Described clinically as \"frozen pelvis\", NOS", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:RE" ], [ "663", "(660 or 662) + (640 or 645)", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:RE" ], [ "665", "FIGO Stage IIIB", "VALUE:T3b", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "670", "OBSOLETE DATA CONVERTED V0203\nSee code 663 \n\n(662 or 660) + (645 or 640)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "680", "FIGO Stage III [NOS] based on tumor extension\n(See Note 4.)", "VALUE:T3NOS", "VALUE:T3NOS", "VALUE:RE", "VALUE:RE" ], [ "700", "OBSOLETE DATA CONVERTED V0200 \n(See code 710)\n\nExtension to bowel mucosa or \nbladder mucosa (excluding bullous edema)\nFIGO Stage IVA\nFIGO Stage IV, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "710", "OBSOLETE DATA REVIEWED AND CHANGED V0203\nSee codes 715, 810, and 820\n\nExtension to bowel mucosa or bladder mucosa (excluding bullous edema)\n\nNote: On conversion of code 700 to 710, code 710 also included FIGO Stage IVA, FIGO Stage IV, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "715", "Extension to bowel mucosa or bladder mucosa (excluding bullous edema)", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "800", "Further contiguous extension\n Abdominal serosa (visceral or parietal peritoneum of abdomen)\n Cul de sac (rectouterine pouch or Pouch of Douglas)\n Sigmoid colon\n Small intestine", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "810", "FIGO Stage IVA", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "820", "FIGO Stage IV [NOS] based on tumor extension\n(See Note 4.)", "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" ] ]
}
