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{
"id" : "extension_bez",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Extension",
"title" : "CS Extension",
"notes" : "**Note 1**: Ocular adnexal lymphomas (OAL) originate in conjunctiva, eyelids, lacrimal gland, lacrimal drainage apparatus, and other orbital tissues surrounding the eye. This schema should not be used for secondary lymphomatous involvement of ocular adnexa or for intraocular lymphomas.\n\n**Note 2**: Preseptal eyelid involvement includes infiltration of the outer three layers of the eyelid:skin, subcutaneous connective tissue, and orbicularis oculi muscle.\n\n**Note 3**: The orbit is the bony cavity containing the eye, lacrimal gland, lacrimal sac, nasolacrimal duct, extraocular muscles, fat. arteries, veins, and nerves, but no lymphatics.\n\n**Note 4**: Unknown extension is coded 989. Code 999, used for lymphoma staging in CS Version1, is an obsolete code for this schema.",
"footnotes" : "- Stage grouping for AJCC 6 staging of ocular adnexal lymphoma for cases using obsolete codes is derived directly from the CS Extension code as shown in the AJCC TNM 6 Stage CSv1 table. A or B classification is appended to Stage I-IV based on coding of CS Site-Specific Factor 2, Systemic Symptoms at Diagnosis.\n- Stage grouping for AJCC 6 staging of ocular adnexal lymphoma is derived from a combination of CS Extension, CS Lymph Nodes, and CS Mets at DX codes as shown in the AJCC TNM 6 Stage table. A or B classification is appended to Stage I-IV based on coding of CS Site-Specific Factor 2, Systemic Symptoms at Diagnosis.",
"last_modified" : "2015-05-27T16:19:12.695Z",
"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", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nInvolvement of a single lymph node region \nStage I", "ERROR:", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "105", "Lymphoma involving bulbar conjunctiva only\nWITHOUT orbital involvement\n \nStated as T1a with no other information on extension", "VALUE:T1a", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "110", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nLocalized involvement of a single extralymphatic organ/site in the absence of any lymph node involvement\nMultifocal involvement of one extralymphatic organ/site\nStage IE", "ERROR:", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "115", "Palpebral conjunctiva \nWITHOUT orbital involvement: \n With or without involvement of the fornix \n With or without involvement of the caruncle\n\nStated as T1b with no other information on extension", "VALUE:T1b", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "120", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nInvolvement of spleen only\nStage IS", "ERROR:", "VALUE:NA", "VALUE:RNOS", "VALUE:RNOS" ], [ "125", "Extensive conjunctival involvement\n\nStated as T1c with no other information on extension", "VALUE:T1c", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "150", "Conjunctiva alone \nWITHOUT orbital involvement, \nConjunctiva, NOS\n\nStated as T1[NOS] with no other information on extension", "VALUE:T1NOS", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "200", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nInvolvement of two or more lymph node regions on the SAME side of the diaphragm\nStage II", "ERROR:", "VALUE:NA", "VALUE:RNOS", "VALUE:RNOS" ], [ "210", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nLocalized involvement of a single extralymphatic organ/site \nWITH involvement of its regional lymph node(s) or \nWITH or without involvement of other lymph node(s) on the SAME site of the diaphragm\nDirect extension to adjacent organs or tissues\nStage IIE", "ERROR:", "VALUE:NA", "VALUE:RNOS", "VALUE:RNOS" ], [ "220", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nInvolvement of spleen PLUS lymph node(s) BELOW the diaphragm\nStage IIS", "ERROR:", "VALUE:NA", "VALUE:RNOS", "VALUE:RNOS" ], [ "230", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nInvolvement of spleen PLUS involvement of a single extralymphatic organ/site BELOW the diaphragm \nWITH/WITHOUT involvement of lymph node(s) BELOW the diaphragm\nStage IIES", "ERROR:", "VALUE:NA", "VALUE:RNOS", "VALUE:RNOS" ], [ "300", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nInvolvement of lymph node regions on BOTH sides of the diaphragm\nStage III", "ERROR:", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "305", "Anterior orbit \n With or without conjunctival involvement\n \nStated as T2a with no other information on extension", "VALUE:T2a", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "310", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nInvolvement of an extralymphatic organ/site PLUS involvement of lymph node(s) on the OPPOSITE side of the diaphragm\nStage IIIE", "ERROR:", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "315", "Anterior orbit\nWITH lacrimal involvement:\n With or without conjunctival involvement \n \nStated as T2b with no other information on extension", "VALUE:T2b", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "320", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nInvolvement of the spleen PLUS lymph node(s) ABOVE the diaphragm\nInvolvement of spleen PLUS lymph nodes on both sides of the diaphragm\nStage IIIS", "ERROR:", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "325", "Posterior orbit: \n With or without conjunctival involvement \n With or without anterior involvement\n With or without extraocular muscle involvement\n \nStated as T2c with no other information on extension", "VALUE:T2c", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "330", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\n(310 + 320) OR\nInvolvement of the spleen PLUS a single extralymphatic site ABOVE the diaphragm\nWITH/WITHOUT involvement of lymph node(s)\nInvolvement of the spleen PLUS involvement of lymph node region(s) ABOVE the diaphragm \nPLUS involvement of a single extralymphatic organ/site on either side of the diaphragm\nStage IIIES", "ERROR:", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "335", "Nasolacrimal drainage system: \n With or without conjunctival involvement\n Without nasopharynx involvement\n\nStated as T2d with no other information on extension", "VALUE:T2d", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "350", "Orbital involvement:\n With or without conjunctival involvement\n \nStated as T2 [NOS] with no other information on extension", "VALUE:T2NOS", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "500", "Pre-septal eyelid involvement:\n With or without orbital involvement\n With or without conjunctival involvement\n \nStated as T3 with no other information on extension", "VALUE:T3", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "700", "Nasopharynx\n \nStated as T4a with no other information on extension", "VALUE:T4a", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "710", "Osseous involvement including periosteum\n \nStated as T4b with no other information on extension", "VALUE:T4b", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "720", "Maxillofacial, ethmoidal, and/or frontal sinuses\n \nStated as T4c with no other information on extension", "VALUE:T4c", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "730", "Intracranial spread\n \nStated as T4d with no other information on extension", "VALUE:T4d", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "750", "Extension beyond orbit to adjacent structures, NOS\n \nStated as T4 [NOS] with no other information on extension", "VALUE:T4NOS", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "800", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nDiffuse or disseminated (multifocal) involvement of ONE OR MORE extralymphatic organ(s)/site(s) \nWITH OR WITHOUT associated lymph node involvement\nMultifocal involvement of MORE THAN ONE extralymphatic organ/site\nInvolvement of isolated extralymphatic organ in absence of involvement of adjacent lymph nodes, but in conjunction with disease in distant sites\nMetastasis/involvement:\n Bone marrow\n Liver\n Nodular involvement of lung(s)\nStage IV", "ERROR:", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "805", "Further contiguous extension beyond any structure in codes 700 - 730", "VALUE:T4NOS", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "950", "No evidence of primary tumor", "VALUE:T0", "VALUE:NA", "VALUE:U", "VALUE:U" ], [ "989", "Unknown; extension not stated\nPrimary tumor cannot be assessed\nNot documented in patient record", "VALUE:TX", "VALUE:NA", "VALUE:U", "VALUE:U" ], [ "999", "OBSOLETE DATA RETAINED V0200\nNew schema for site/histology V0200\n\nUnknown extension\nPrimary tumor cannot be assessed\nNot documented in patient record", "ERROR:", "VALUE:NA", "VALUE:U", "VALUE:U" ] ]
}
