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{
"id" : "extension_bcs",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Extension",
"title" : "CS Extension",
"notes" : "**Note 1**: The substantia propria is the stromal tissue of the conjunctiva underlying the epithelium. The bulbar conjunctiva covers the eyeball, the palpebral conjunctiva lines the eyelids, and the forniceal conjunctiva covers the junction of the eyelid and eyeball. The caruncle is the fleshy prominence at the inner corner of the eye lined by conjunctival epithelium.\n\n**Note 2**: Tumors confined to the epithelium are staged as Tis in AJCC 7th Edition. Unless corneal extension is present, they are staged as T1 in AJCC 6th Edition.\n\n**Note 3**: Quadrants of involvement are coded in CS Site-Specific Factor 2.",
"footnotes" : "- For CS Extension codes 300-335, 445-450, and 470-500, the pathologic T category for AJCC 7 staging is assigned based on the value of CS Tumor Size/Ext Eval and thickness recorded in CS Site-Specific Factor 1, as shown in the Pathologic Eval Extension Thickness AJCC 7 Table (eval codes 2, 3, 6, 8). The Pathologic Eval Extension Thickness AJCC 7 Table is also used if the CS Tumor Size/Ext Eval code is blank and CS Site-Specific Factor 1 does not equal 998. The clinical T category is assigned based on the value of CS TS/Ext Eval and quadrants recorded in CS Site-Specific Factor 2, as shown in the Clinical Eval Extension Quadrants AJCC 7 Table (eval codes 0, 1, 5, 9). The Clinical Eval Extension Quadrants AJCC 7 Table is also used if the CS Tumor Size/Ext Eval code is blank and CS Site-Specific Factor 1 equals 998.\n- For CS Extension codes 710- 740, the T category for AJCC 7 staging is assigned based on the value of CS Tumor Size/Ext Eval as shown in the Eval Extension T3 AJCC 7 Table for this schema.\n- For CS Extension codes 005, 305-335, 415, and 425-435, the pathologic T category for AJCC 6 staging is assigned based on the value of CS Tumor Size/Ext Eval and thickness recorded in CS Site-Specific Factor 1 as shown in the Pathologic Eval Extension Thickness AJCC 6 Table (eval codes 2, 3, 6, 8). The Pathologic Eval Extension Thickness AJCC 6 Table is also used if the CS Tumor Size/Ext Eval code is blank and CS Site-Specific Factor 1 does not equal 998. The clinical T category for AJCC 6 staging is assigned based on the value of CS Tumor Size/Ext Eval as shown in the Clinical Eval Extension AJCC 6 Table (eval codes 0,1, 5, 9) for this schema. The Clinical Eval Extension AJCC 6 Table is also used if the CS Tumor Size/Ext Eval code is blank and CS Site-Specific Factor 1 equals 998.",
"last_modified" : "2015-05-27T16:19:09.655Z",
"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\nMelanoma confined to conjunctival epithelium", "VALUE:Tis", "VALUE:T1", "VALUE:IS", "VALUE:IS" ], [ "005", "Melanoma confined to conjunctival epithelium with corneal extension", "VALUE:Tis", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:RE", "VALUE:RE" ], [ "100", "OBSOLETE DATA RETAINED V0200\nSS1977 and SS2000 derivation changed to In situ \n\nTumor(s) of bulbar conjunctiva confined to the epithelium occupying one quadrant or less", "ERROR:", "VALUE:T1", "VALUE:IS", "VALUE:IS" ], [ "120", "OBSOLETE DATA RETAINED V0200\nSS1977 and SS2000 derivation changed to In situ\n\nTumor(s) of bulbar conjunctiva confined to the epithelium occupying more than one quadrant", "ERROR:", "VALUE:T1", "VALUE:IS", "VALUE:IS" ], [ "150", "OBSOLETE DATA CONVERTED V0200\nSee code 330\n\nTumor(s) of bulbar conjunctiva, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "300", "Localized, NOS", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:L", "VALUE:L" ], [ "310", "Stated as T1a with no other information on extension ", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:L", "VALUE:L" ], [ "315", "Stated as T1b with no other information on extension", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:L", "VALUE:L" ], [ "320", "Stated as T1c with no other information on extension", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:L", "VALUE:L" ], [ "325", "Stated as T1d with no other information on extension", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:L", "VALUE:L" ], [ "330", "Tumor(s) of bulbar conjunctiva NOS\n\nStated as T1 NOS with no other information on extension", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:L", "VALUE:L" ], [ "335", "Tumor(s) of bulbar conjunctiva, NOS WITH corneal extension", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:RE", "VALUE:RE" ], [ "400", "OBSOLETE DATA REVIEWED AND CHANGED V0200\nRecoded to 330 or 335 depending on corneal involvement\n\nTumor of bulbar conjunctiva, thickness not stated, \nWITH invasion of substantia propria (or with corneal extension, NOS)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "410", "OBSOLETE DATA REVIEWED AND CHANGED V0200\nRecoded to 415 or 425 depending on corneal involvement\n\nTumor of bulbar conjunctiva, not more than 0.8 mm in thickness, \nWITH invasion of substantia propria (or with corneal extension, NOS)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "415", "OBSOLETE DATA RETAINED V0200\nCSv2 code, data recoded from code 410\n\nTumor of bulbar conjunctiva, not more than 0.8 mm in thickness, \nWITHOUT corneal extension", "ERROR:", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:L", "VALUE:L" ], [ "420", "OBSOLETE DATA REVIEWED AND CHANGED V0200\nRecoded to 430 or 435 depending on corneal involvement\n\nTumor of bulbar conjunctiva, more than 0.8 mm in thickness, \nWITH invasion of substantia propria (or with corneal extension, NOS)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "425", "OBSOLETE DATA RETAINED V0200\nCSv2 code, data recoded from code 410\n\nTumor of bulbar conjunctiva, not more than 0.8 mm in thickness, \nWITH corneal extension", "ERROR:", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:RE", "VALUE:RE" ], [ "430", "OBSOLETE DATA RETAINED V0200\nCSv2 code, data recoded from code 420\n\nTumor of bulbar conjunctiva, more than 0.8 mm in thickness, \nWITHOUT corneal extension", "ERROR:", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:L", "VALUE:L" ], [ "435", "OBSOLETE DATA RETAINED V0200\nCSv2 code, data recoded from code 420\n\nTumor of bulbar conjunctiva, more than 0.8 mm in thickness, \nWITH corneal extension", "ERROR:", "JUMP:determine_correct_table_for_ajcc6_t_ns16", "VALUE:RE", "VALUE:RE" ], [ "440", "OBSOLETE DATA RETAINED V0200\nCSv1 code, data recoded from code 460\n\nTumor involves:\n Caruncle \n Conjunctival fornix\n Palpebral conjunctiva", "ERROR:", "VALUE:T3", "VALUE:L", "VALUE:L" ], [ "445", "Tumor involves:\n Conjunctival fornix\n Palpebral conjunctiva", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "VALUE:T3", "VALUE:L", "VALUE:L" ], [ "450", "Tumor involves:\n Caruncle", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "VALUE:T3", "VALUE:L", "VALUE:L" ], [ "460", "OBSOLETE DATA REVIEWED AND CHANGED V0200\nTumors with involvement of sites in code 440 recoded to 440 or 465 depending on corneal involvement\n\n440 + any of (400 to 420)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "465", "OBSOLETE DATA RETAINED V0200\nCSv2 code, data recoded from code 460\n\n440 + Extension to cornea", "ERROR:", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "470", "445 + Extension to cornea\n\nInvolvement of conjunctival fornix or palpebral conjunctiva\nWITH extension to cornea", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "475", "450 + Extension to cornea\n\nInvolvement of caruncle\nWITH extension to cornea", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "480", "Stated as T2a with no other information on extension", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "VALUE:T3", "VALUE:L", "VALUE:L" ], [ "485", "Stated as T2b with no other information on extension", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "VALUE:T3", "VALUE:L", "VALUE:L" ], [ "490", "Stated as T2c with no other information on extension", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "VALUE:T3", "VALUE:L", "VALUE:L" ], [ "495", "Stated as T2d with no other information on extension", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "VALUE:T3", "VALUE:L", "VALUE:L" ], [ "500", "Tumor of non-bulbar conjunctiva, NOS\n\nStated as T2 [NOS] with no other information on extension", "JUMP:determine_correct_table_for_ajcc7_t_ns17", "VALUE:T3", "VALUE:L", "VALUE:L" ], [ "700", "OBSOLETE DATA RETAINED V0200\nSites separated for staging in V0200\n\nExtension to:\n Eyelid\n Globe\n Orbit", "ERROR:", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "710", "Extension to Globe \n\nStated as T3a with no other information on extension", "JUMP:eval_extension_t3_ajcc7_xgh", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "720", "Extension to:\n Eyelid \n Nasolacrimal system\n\nStated as T3b with no other information on extension", "JUMP:eval_extension_t3_ajcc7_xgh", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "730", "Extension to Orbit \n\nStated as T3c with no other information on extension", "JUMP:eval_extension_t3_ajcc7_xgh", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "740", "Extension to Sinus\n\nStated as T3d with no other information on extension", "JUMP:eval_extension_t3_ajcc7_xgh", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "750", "Conjunctival melanoma with local invasion NOS\n\nStated as T3 NOS with no other information on extension", "VALUE:T3", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "800", "OBSOLETE DATA RETAINED V0200\nExtension to sinus moved to code 740 in V0200\n\nFurther contiguous extension, including:\n Central nervous system", "ERROR:", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "810", "Tumor invades central nervous system\nFurther contiguous extension\n\nStated as T4 NOS with no other information on extension", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "950", "No evidence of primary tumor", "VALUE:T0", "VALUE:T0", "VALUE:U", "VALUE:U" ], [ "999", "Unknown; extension note stated\nPrimary tumor cannot be assessed \nNot documented in patient record", "VALUE:TX", "VALUE:TX", "VALUE:U", "VALUE:U" ] ]
}