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{
"id" : "extension_bao",
"algorithm" : "eod_public",
"version" : "1.0",
"name" : "EOD Primary Tumor",
"title" : "EOD Primary Tumor",
"notes" : "**Note 1:** Code 000 (behavior code 2) includes cancer cells confined within the glandular basement membrane (intraepithelial); includes in situ plus intramucosal carcinoma (involvement of the lamina propria and may involve but not penetrate through the muscularis mucosa) (penetration through the muscularis mucosa is behavior code 3.)\n\n**Note 2:** Ignore intraluminal extension to adjacent segment(s) of colon/rectum or to the ileum from the cecum; code depth of invasion or extracolonic spread as indicated.\n\n**Note 3:** Tumor that is adherent to other organs or structures, macroscopically, is coded as 600 or 700. However, if no tumor is present in the adhesion, microscopically, the classification should be coded to 100-500.\n\n**Note 4:** Tumors characterized by involvement of the serosal surface (visceral peritoneum) by direct extension or perforation in which the tumor cells are continuous with the serosal surface through inflammation are coded to 500.",
"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) Jessup, J.M., Goldberg, R.M., et al. **Colon and Rectum**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 251-274",
"last_modified" : "2018-03-12T16:39:56.466Z",
"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: Noninvasive; intraepithelial\n(Adeno)carcinoma in a polyp or adenoma, noninvasive", "VALUE:Tis", "VALUE:IS" ], [ "050", "Intramucosal, NOS\nLamina propria\nMucosa, NOS\n\nConfined to, but not through muscularis mucosa", "VALUE:Tis", "VALUE:L" ], [ "100", "Submucosa (superficial invasion)\n- Rectum: WITH or WITHOUT intraluminal extension to colon and/or anal canal/anus\n\nThrough the muscularis mucosa but not into the muscularis propria\n\nConfined to polyp (head, stalk, NOS)\nConfined to colon, rectum, rectosigmoid, NOS\nLocalized, NOS", "VALUE:T1", "VALUE:L" ], [ "200", "Muscularis propria invaded\n- Rectum: WITH or WITHOUT intraluminal extension to colon and/or anal canal/anus", "VALUE:T2", "VALUE:L" ], [ "300", "Extension through wall, NOS\nInvasion through muscularis propria or muscularis, NOS\n- Rectum: WITH or WITHOUT intraluminal extension to colon and/or anal canal/anus\n\nNon-peritonealized pericolic/perirectal tissues invaded\nPerimuscular tissue invaded\nSubserosal tissue/(sub)serosal fat invaded\nTransmural, NOS\nWall, NOS", "VALUE:T3", "VALUE:L" ], [ "400", "Adjacent (connective) tissue(s), NOS\nFat, NOS\nGastrocolic ligament (transverse colon and flexures)\nGreater omentum (transverse colon and flexures)\nMesentery (including mesenteric fat, mesocolon)\nPericolic fat\nPerirectal fat\nRectovaginal septum (rectum)\nRetroperitoneal fat (ascending and descending colon only)", "VALUE:T3", "VALUE:RE" ], [ "500", "Mesothelium\nSerosa\nTunica serosa\n\nInvasion through the visceral peritoneum", "VALUE:T4a", "VALUE:RE" ], [ "600", "Adherent to other organs or structures clinically with no microscopic examination\nTumor found in adhesion(s) if microscopic examination performed\nAll Colon subsites\n- Abdominal wall\n- Retroperitoneum (excluding fat)\n- Small intestine\n\nCecum (C180)\n- Greater omentum\n\nAscending colon (C182)\n- Greater omentum\n- Kidney, right\n- Liver, right lobe\n- Ureter, right\n\nTransverse colon and flexures (C183, C184, C185)\n- Bile ducts\n- Gallbladder\n- Kidney\n- Liver\n- Pancreas\n- Spleen\n- Stomach\n\nDescending colon (C186)\n- Greater omentum\n- Kidney, left\n- Pelvic wall\n- Spleen\n- Ureter, left\n\nSigmoid colon (C187)\n- Greater omentum\n- Pelvic wall\n\nRectosigmoid (C199)\n- Cul de sac (rectouterine pouch)\n- Pelvic wall/pelvic plexuses\n- Small intestine\n\nRectum (C209)\n- Anus/anal canal\n- Bladder (males only)\n- Cul de sac (rectouterine pouch)\n- Ductus deferens\n- Pelvic wall\n- Prostate\n- Rectovaginal septum\n- Rectovesical fascia (males only)\n- Seminal vesicle(s)\n- Skeletal muscles of pelvic floor\n- Vagina", "VALUE:T4b", "VALUE:RE" ], [ "700", "All Colon subsites\n- Adrenal (suprarenal) gland\n- Bladder\n- Diaphragm\n- Fallopian tube\n- Fistula to skin\n- Gallbladder\n- Other segment(s) of colon via serosa\n- Ovary(ies)\n- Uterus\n\nCecum (C180)\n- Greater omentum\n- Kidney\n- Liver\n- Ureter\n\nTransverse colon and flexures\n- Ureter\n\nSigmoid colon\n- Cul de sac (rectouterine pouch)\n- Ureter\n\nRectosigmoid\n- Bladder\n- Colon via serosa\n- Fallopian tube(s)\n- Ovary(ies)\n- Prostate\n- Skeletal muscles of pelvic floor\n- Ureter(s)\n- Vagina\n\nRectum\n- Bladder (females only)\n- Bone(s) of pelvis\n- Cervix\n- Perineum, perianal skin\n- Sacrum\n- Sacral plexus\n- Urethra\n\nFurther contiguous extension", "VALUE:T4b", "VALUE:D" ], [ "800", "No evidence of primary tumor", "VALUE:T0", "VALUE:U" ], [ "999", "Unknown; extension not stated\nPrimary tumor cannot be assessed\nNot documented in patient record\n\nDeath Certificate Only", "VALUE:TX", "VALUE:U" ] ]
}
