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{
"id" : "extension_bfa",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Extension",
"title" : "CS Extension",
"notes" : "**Note 1**: \"Multiple (satellite) nodules/tumors\" include satellitosis, multifocal tumors, and intrahepatic metastases.\n\n**Note 2**: Major vascular invasion 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 the hepatic artery or vena cava is coded to 660. \n\n**Note 3**: Extension to gallbladder is not considered in AJCC staging for intrahepatic bile ducts but does affect Summary Stage. Use appropriate combination codes when gallbladder is involved.\n\n**Note 4**: All tumors with a periductal infiltrating growth pattern, a diffuse longitudinal growth pattern along the bile duct, are considered T4 by AJCC. For tumors with periductal infiltrating growth pattern, code the most specific information available about the extent of the tumor in CS Extension, and code periductal infiltrating growth pattern in CS Site-Specific Factor 10.",
"footnotes" : "- For CS Extension codes 100-520, 580, 620, 631-650, 660-665, 675-755, 765-800, and 999 ONLY, the T category for AJCC 7 staging is assigned based on the value of CS Site-Specific Factor 10, as shown in the Extension Periductal Invasion AJCC 7 Table for this schema. \n- For CS Extension codes 300, 400, 420, 460, 465, 560, and 650 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" : "2015-05-27T16:19:12.746Z",
"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 \n", "VALUE:Tis", "VALUE:TX", "VALUE:IS", "VALUE:IS" ], [ "100", "Single lesion in one lobe of liver\nWITHOUT intrahepatic vascular invasion, including vascular invasion not stated", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "120", "Single lesion in more than one lobe of liver (contiguous growth) \nWITHOUT vascular invasion, including vascular invasion not stated", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T1", "VALUE:RE", "VALUE:RE" ], [ "140", "Extension to gallbladder, extent within liver not stated", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T1", "VALUE:RE", "VALUE:RE" ], [ "160", "140 + (100 or 120) \n\nExtension to gallbladder plus single lesion in one or more lobes of liver (contiguous growth)\nWITHOUT vascular invasion ", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T1", "VALUE:RE", "VALUE:RE" ], [ "170", "Stated as T1 with no other information on extension", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "200", "Single lesion in one lobe of liver \nWITH intrahepatic vascular invasion", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T2", "VALUE:L", "VALUE:L" ], [ "220", "Single lesion in more than one lobe of liver (contiguous growth) \nWITH vascular invasion", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T2", "VALUE:RE", "VALUE:RE" ], [ "240", "(200 or 220) + 140\n\nSingle lesion in one or more lobes of liver (contiguous growth) \nWITH vascular invasion plus extension to gallbladder", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T2", "VALUE:RE", "VALUE:RE" ], [ "250", "Single tumor \nWITH major vascular invasion: major branch(es) of portal or hepatic vein(s)\n(See Note 2)", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "260", "250 + 140\n\nSingle tumor with major vascular invasion plus extension to gallbladder", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "270", "Stated as T2a with no other information on extension", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T2", "VALUE:L", "VALUE:L" ], [ "300", "Multiple (satellite) nodules/tumors in one lobe of liver \nWITHOUT intrahepatic vascular invasion, including vascular invasion not stated", "JUMP:extension_periductal_invasion_ajcc7_xks", "JUMP:extension_size_ajcc6_xda", "VALUE:L", "VALUE:L" ], [ "400", "Multiple (satellite) nodules/tumors in one lobe of liver( \nWITH intrahepatic vascular invasion", "JUMP:extension_periductal_invasion_ajcc7_xks", "JUMP:extension_size_ajcc6_xda", "VALUE:L", "VALUE:L" ], [ "420", "(300 or 400) + 140\n\nMultiple (satellite) nodules/tumors in one lobe of liver \nWITH or WITHOUT intrahepatic vascular invasion plus extension to gallbladder", "JUMP:extension_periductal_invasion_ajcc7_xks", "JUMP:extension_size_ajcc6_xda", "VALUE:RE", "VALUE:RE" ], [ "450", "Multiple (satellite) nodules/tumor(s) \nWITH major vascular invasion: major branch(es) of portal or hepatic vein(s) \n(See Note 2)", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "455", "450 + 140\n\nMultiple (satellite) nodules/tumor(s) with major vascular invasion plus extension to gallbladder", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "460", "Multiple (satellite) nodules/tumors in more than one lobe of liver\nSatellite nodules, NOS", "JUMP:extension_periductal_invasion_ajcc7_xks", "JUMP:extension_size_ajcc6_xda", "VALUE:D", "VALUE:RE" ], [ "465", "460 + 140\n\nMultiple (satellite) nodules/tumors in more than one lobe of liver plus extension to gallbladder", "JUMP:extension_periductal_invasion_ajcc7_xks", "JUMP:extension_size_ajcc6_xda", "VALUE:D", "VALUE:RE" ], [ "470", "(460 or 465) + any of (250, 260, 450, 455)", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T3", "VALUE:D", "VALUE:RE" ], [ "475", "Stated as T2b with no other information on extension", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T2", "VALUE:L", "VALUE:L" ], [ "480", "Stated as T2 [NOS] with no other information on extension", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T2", "VALUE:L", "VALUE:L" ], [ "500", "Confined to liver, NOS\nLocalized, NOS", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "510", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee code 120 and 160\n\nMore than one lobe involved by contiguous growth (single lesion)\nWITHOUT vascular invasion, including vascular invasion not stated", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T1", "VALUE:RE", "VALUE:RE" ], [ "520", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee code 220 and 240\n\nMore than one lobe involved by contiguous growth (single lesion)\nWITH vascular invasion", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T2", "VALUE:RE", "VALUE:RE" ], [ "530", "OBSOLETE DATA CONVERTED V0203\nSee code 140\n\nExtension to gallbladder, extent within liver not stated", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "540", "OBSOLETE DATA CONVERTED V0203\nSee code 160\n\nExtension to gallbladder 530 + (100 or 510)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "545", "OBSOLETE DATA CONVERTED V0203\nSee code 170\n\nStated as T1 [NOS]", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "550", "OBSOLETE DATA CONVERTED V0203\nSee code 240\n\nExtension to gallbladder 530 + (200 or 520)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "560", "OBSOLETE DATA CONVERTED V0203\nSee code 420\n\nExtension to gallbladder 530 + (300 or 400)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "570", "OBSOLETE DATA CONVERTED V0203\nSee code 480\n\nStated as T2 [NOS] with no other information on extension", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "580", "Extrahepatic bile ducts", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "590", "OBSOLETE DATA CONVERTED V0203\nSee code 270\n\nStated as T2a with no other information on extension", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "620", "580 + (460 or 465) \n\nExtrahepatic bile ducts plus satellite nodules in more than one lobe or multiple tumors with major vascular invasion", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:D", "VALUE:RE" ], [ "630", "OBSOLETE DATA RETAINED V0200 \nSee codes 631 and 632\n\nMajor vascular invasion: major branch(es) of portal or hepatic vein(s) (see Note 2)", "ERROR:", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "631", "OBSOLETE DATA REVIEWED V0203\nSee codes 250 and 260\n\nSingle tumor with major vascular invasion: major branch(es) of portal or hepatic vein(s) (see Note 2)", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "632", "OBSOLETE DATA REVIEWED V0203\nSee codes 450, 455, and 470\n\nMultiple tumor(s) with major vascular invasion: major branch(es) of portal or hepatic vein(s) (see Note 2)", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "640", "Direct extension/perforation of visceral peritoneum", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "643", "640 + (460, 465, 470)", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "645", "Multiple (satellite) nodules on surface of liver parenchyma", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "650", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 460, 465, 470, 620, 643, and 645 \n\nMultiple (satellite) nodules/tumors in more than one lobe of liver or on surface of parenchyma\nSatellite nodules, NOS", "JUMP:extension_periductal_invasion_ajcc7_xks", "JUMP:extension_size_ajcc6_xda", "VALUE:D", "VALUE:RE" ], [ "655", "OBSOLETE DATA CONVERTED V0203\nSee code 475\n\nStated as T2b with no other information on extension", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "660", "Extension to hepatic artery or vena cava", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "665", "660 + (460, 465, 470)", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:D", "VALUE:RE" ], [ "670", "OBSOLETE DATA RETAINED V0200 \nSee code 675\n\n650 + 630 ", "ERROR:", "VALUE:T3", "VALUE:D", "VALUE:RE" ], [ "675", "OBSOLETE DATA REVIEWED V0203\nSee codes 470, 643, and 665\n\n650 + (631 or 632)", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T3", "VALUE:D", "VALUE:RE" ], [ "700", "Diaphragm", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "750", "OBSOLETE DATA RETAINED AND REVIEWED V0204\nPerforation of visceral peritoneum included in 2 codes in CSv2: V0201, V0202. Any cases coded 750 for perforation of visceral peritoneum in V0201, V0202 should be recoded to 640. See codes 640, 755. The V0201, V0202 definition for code 750 is restored here. Code 750 did not include perforation of visceral peritoneum in V0203. Any cases coded 750 in V0203 should be recoded to 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", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "755", "Lesser omentum Ligament(s): \n Coronary \n Falciform \n Hepatoduodenal \n Hepatogastric \n Round (of liver) \n Triangular \n Parietal peritoneum", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "760", "OBSOLETE DATA RETAINED V0200 \nSee code 765\n\n(650 or 670) + any of [(640) or (660) or (700) or (750)]", "ERROR:", "VALUE:T4", "VALUE:D", "VALUE:RE" ], [ "765", "OBSOLETE DATA REVIEWED V0203\nSee codes 643, 665, 770\n\n(650 or 675) + any of [(640) or (660) or (700) or (750)]", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:D", "VALUE:RE" ], [ "770", "(700 or 750) + (460, 465, 470)", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:D", "VALUE:RE" ], [ "780", "Stated as T3 with no other information on extension", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "800", "Further contiguous extension:\n Pancreas\n Pleura\n Stomach\nOther contiguous extension", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "850", "OBSOLETE DATA REVIEWED AND CHANGED V0203\nSee Note 4 and CS Site-Specific Factor 10 code 010\n\nTumor(s) with periductal invasion \nDiffuse periductal infiltrating tumor", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "855", "Stated as T4 with no other information on extension", "VALUE:T4", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "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", "JUMP:extension_periductal_invasion_ajcc7_xks", "VALUE:TX", "VALUE:U", "VALUE:U" ] ]
}
