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{
"id" : "extension_bam",
"algorithm" : "eod_public",
"version" : "1.0",
"name" : "EOD Primary Tumor",
"title" : "EOD Primary Tumor",
"notes" : "**Note 1:** The intrinsic muscles of tongue are four paired muscles within the tongue which control its shape. The extrinsic muscles originate from structures outside the tongue and control its positioning.\n\n**Note 2:** Parapharyngeal involvement denotes postero-lateral infiltration of tumor beyond the pharyngobasilar fascia. The pharyngobasilar fascia is the fibrous layer of the pharyngeal wall between the mucosa and the muscular layer, attached superiorly to the basilar part of the occipital bone and diminishing in thickness as it descends.\n\n**Note 3:** The masticator space primarily consists of the muscles of mastication, the medial and lateral pterygoid, masseter, and temporalis muscles. The space also includes the ramus of the mandible and the third division of cranial nerve V as it passes through the foramen ovale into the suprahyoid neck.",
"footnotes" : "(1) Fritz AG, Ries LAG (eds). **SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998)**, National Cancer Institute, NIH Pub. No. 98-2313, Bethesda, MD, 1998\n\n(2) Young JL Jr, Roffers SD, Ries LAG, Fritz AG, Hurlbut AA (eds.). **SEER Summary Staging Manual-2000: Codes and Coding Instructions**, National Cancer Institute, NIH Pub. No. 01-4969, Bethesda, MD, 2001.\n\n(3) Collaborative Stage Work Group of the American Joint Committee on Cancer. **Collaborative Stage Data Collection System User Documentation and Coding Instructions, version 02.05**. American Joint Committee on Cancer (Chicago, IL)\n\n(4) Gress, D.M., Edge, S.B., Gershenwald, J.E., et al. **Principles of Cancer Staging**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 3-30\n\n(5) Lydiatt, W.M., Patel, S.G., Shah, J.P., et al. **Staging Head and Neck Cancers**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 55-65\n\n(6) Lydiatt, W.M., Ridge, J.A., Shah, J.P., et al. **Oropharynx (p16-) and Hypopharynx**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 123-135",
"last_modified" : "2018-03-12T16:39:58.205Z",
"definition" : [ {
"key" : "eod_primary_tumor",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "eod_2018_t",
"name" : "EOD 2018 T",
"type" : "ENDPOINT"
}, {
"key" : "ss2018_t",
"name" : "SS2018 T",
"type" : "ENDPOINT"
} ],
"rows" : [ [ "000", "In situ, intraepithelial, noninvasive", "VALUE:Tis", "VALUE:IS" ], [ "100", "Any size tumor with extension to\n\nAll sites\n- Confined to site of origin\n- Localized, NOS\n\nOropharynx (C090-C091, C098-C099, C100, C102-C104, C108-C109)\n- Tonsil (palatine, NOS)\n- Tonsillar pillar/fossa\n- Wall (anterior [including vallecula], lateral, posterior)\n\nPharyngeal Tonsil (C111)\n- Adenoid \n- Nasopharynx (inferior wall, superior surface of soft palate)\n- Pharyngeal tonsil (nasopharyngeal tonsil) \n- Posterior superior wall (vault)\n\nSoft Palate (C051, C052)\n- Invasion of \n + Lamina propria, submucosa, musculature\n- Tumor crosses midline\n\nTongue Base (C019, C024)\n- Invasion of \n + Lamina propria, submucosa, musculature (intrinsic)\n- Tumor crosses midline", "JUMP:tumor_size_with_primary_tumor_for_ajcc_t_84410", "VALUE:L" ], [ "200", "Any size tumor with extension to\n\nOropharynx (C090-C091, C098-C099, C100, C102-C104, C108-C109)\n- Base of tongue (including lingual tonsil)\n- Buccal mucosa\n- Floor of mouth\n- Gum (gingiva)\n - Lateral walls (both) through soft palate or base of tongue\n - Soft palate (inferior surface including uvula, superior [nasopharyngeal] surface, NOS)\n\nPharyngeal Tonsil (C111)\n- Nasal cavity\n- Oropharynx\n- Pterygopalatine fossa \n- Soft palate, inferior surface including uvula\n\nSoft Palate (C051, C052)\n- Buccal mucosa (inner cheek)\n- Gum (gingiva), upper\n - Lateral pharyngeal wall\n - Tonsils, including tonsillar pillars and fossae\n\nTongue Base (C019, C024)\n- Anterior two-thirds of tongue for base of tongue\n- Base of tongue tumor crosses midline\n- Floor of mouth\n- Glossoepiglottic fold\n- Glossopharyngeal fold\n- Lateral pharyngeal wall\n- Lingual tonsil for base of tongue\n- Lower gingiva\n- Pharyngoepiglottic fold\n- Soft palate, inferior surface or NOS including uvula\n- Sublingual gland\n- Tonsil, tonsillar pillars and fossae", "JUMP:tumor_size_with_primary_tumor_for_ajcc_t_84410", "VALUE:RE" ], [ "300", "Epiglottis, lingual surface", "VALUE:T3", "VALUE:L" ], [ "400", "Epiglottis, lingual surface plus both lateral walls through soft palate or base of tongue\n\nEpiglottis WITH fixation", "VALUE:T3", "VALUE:RE" ], [ "500", "Oropharynx (C090-C091, C098-C099, C100, C102-C104, C108-C109)\n- Hypopharynx, NOS\n- Larynx, NOS\n- Posterior surface of epiglottis\n- Pyriform sinus\n- Soft tissue of neck\n\nPharyngeal Tonsil (C111)\n- Hard Palate\n- Mandible\n- Paranasal Sinuses\n- Soft Palate (C051, C052)\n- Hard Palate\n- Mandible", "VALUE:T4a", "VALUE:RE" ], [ "550", "All Sites\n- Deep (extrinsic) muscle of tongue\n + Genioglossus\n + Geniohyoid\n + Hyoglossus\n + Mylohyoid\n + Palatoglossus\n + Styloglossus\n- Ramus of mandible\n\nOropharynx (C090-C091, C098-C099, C100, C102-C104, C108-C109)\n- Hard palate\n- Mandible, NOS\n\nPharyngeal Tonsil (C111)\n- Paranasal Sinus\n\nSoft Palate (C051, C052)\n- Hypopharynx\n- Maxilla\n- Maxilla sinus (antrum)\n- Nasal cavity \n- Palatine bone \n- Tongue\n\nTongue Base (C019, C024)\n- Hard palate\n- Hypopharynx\n- Larynx\n- Mandible", "VALUE:T4a", "VALUE:D" ], [ "600", "Oropharynx (C090-C091, C098-C099, C100, C102-C104, C108-C109)\n- Prevertebral fascia/muscle", "VALUE:T4b", "VALUE:RE" ], [ "700", "All Sites\n- Carotid artery (encasing)\n- Lateral nasopharynx\n- Masseter muscle\n- Masticator space\n + Cranial nerve V-third division\n + Muscles of mastication\n + Temporalis muscles\n- Parapharyngeal extension (pharyngeal space invasion)\n- Pterygoid plates\n- Skull (base, bone, NOS)\n\nOropharynx (C090-C091, C098-C099, C100, C102-C104, C108-C109)\n- Anterior 2/3 tongue\n- Parotid gland\n\nPharyngeal Tonsil (C111)\n- Brain\n- Cranial nerve involvement\n- Hypopharynx\n- Infratemporal fossa\n- Orbit (floor, NOS)\n- Soft tissues of next\n\nSoft Palate (C051, C052)\n- Nasopharynx (lateral, NOS)\n\nTongue Base (C019, C024)\n- Skin", "VALUE:T4b", "VALUE:D" ], [ "999", "Unknown; extension not stated\nPrimary tumor cannot be assessed\nNot documented in patient record\n\nDeath Certificate Only", "VALUE:TX", "VALUE:U" ] ]
}
