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A cancer staging client library
{
"id" : "extension_bbh",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Extension",
"title" : "CS Extension",
"notes" : "**Note 1**: When both Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and extension detail are available, record the code with extension detail in preference to a statement of FIGO stage. FIGO Stage IIIC is assigned based on tumor extension and/or regional lymph node involvement. Code CS Extension based on a physician's statement of FIGO Stage IIIC only if it is known that the stage value is assigned because of tumor extension.\n\n**Note 2**: FIGO no longer includes a Stage 0 (Tis) for this schema.\n\n**Note 3**: Liver capsule metastases are coded in CS Extension; liver parenchymal metastases are coded in CS Mets at DX.\n\n**Note 4**: Both extension to and discontinuous metastasis to any of the following pelvic organs are considered FIGO Stage II and coded in the range 400-660: adnexa, NOS; bladder, bladder serosa; broad ligament (mesovarium); cul de sac; contralateral fallopian tube; parametrium; pelvic peritoneum; pelvic wall; rectum; sigmoid colon; sigmoid mesentery; ureter; uterus; uterine serosa.\n\n**Note 5**: Both extension to and discontinuous metastasis to any of the following abdominal organs are considered FIGO Stage III and coded in the range 685-795: abdominal mesentery; diaphragm; gallbladder; infracolic omentum; kidneys; large intestine except rectum and sigmoid colon; liver (peritoneal surface); omentum; pancreas; pericolic gutter; peritoneum, NOS; small intestine; spleen; stomach; ureters.\n\n**Note 6**: From the AJCC Manual 7th Edition (page 430): \"It may be preferable to classify a patient as TX (primary tumor cannot be assessed) if inadequate staging biopsies and/or a lack of peritoneal cytology make it inaccurate to classify the patient with confidence as early stage (Stage T3a/IIIA has not been excluded by adequate staging biopsies).\"\n\n**Note 7**: Since \"malignant ascites or malignant peritoneal washings\" was not specifically categorized in the 1977 Summary Staging Guide, it is unclear to which stage pre-2001 cases may have been coded.",
"last_modified" : "2015-05-27T16:19:07.515Z",
"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\nLimited to tubal mucosa", "VALUE:Tis", "VALUE:Tis", "VALUE:IS", "VALUE:IS" ], [ "100", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 200, 320\n\nConfined to fallopian tube, NOS\nFIGO Stage I", "VALUE:T1NOS", "VALUE:T1NOS", "VALUE:L", "VALUE:L" ], [ "110", "Confined to one fallopian tube \nWITHOUT penetrating serosal surface\nWITHOUT ascites\n\nFIGO Stage IA", "VALUE:T1a", "VALUE:T1a", "VALUE:L", "VALUE:L" ], [ "120", "Confined to both fallopian tubes \nWITHOUT penetrating serosal surface\nWITHOUT ascites\n\nFIGO Stage IB", "VALUE:T1b", "VALUE:T1b", "VALUE:L", "VALUE:L" ], [ "130", "Extension onto or through tubal serosa\nMalignant ascites\nMalignant peritoneal washings\n\nFIGO Stage IC", "VALUE:T1c", "VALUE:T1c", "VALUE:L", "VALUE:L" ], [ "200", "Confined to fallopian tube, NOS", "VALUE:T1NOS", "VALUE:T1NOS", "VALUE:L", "VALUE:L" ], [ "300", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 310, 320\n\nLocalized, NOS\nFIGO Stage I", "VALUE:T1NOS", "VALUE:T1NOS", "VALUE:L", "VALUE:L" ], [ "310", "Localized, NOS", "VALUE:T1NOS", "VALUE:T1NOS", "VALUE:L", "VALUE:L" ], [ "320", "FIGO Stage I [NOS]", "VALUE:T1NOS", "VALUE:T1NOS", "VALUE:L", "VALUE:L" ], [ "350", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee code 655, 670\n\nPelvic extension, NOS with no malignant cells in ascites or peritoneal washings\nFIGO Stage II", "VALUE:T2NOS", "VALUE:T2NOS", "VALUE:RE", "VALUE:RE" ], [ "400", "Extension or metastasis to:\n Corpus uteri\n Ovary, ipsilateral\n Uterus, NOS\nWITHOUT malignant cells in ascites or peritoneal washings", "VALUE:T2a", "VALUE:T2a", "VALUE:RE", "VALUE:RE" ], [ "450", "Extension or metastasis to:\n Ovary, contralateral \nWITHOUT malignant cells in ascites or peritoneal washings", "VALUE:T2a", "VALUE:T2a", "VALUE:D", "VALUE:RE" ], [ "460", "FIGO Stage IIA", "VALUE:T2a", "VALUE:T2a", "VALUE:RE", "VALUE:RE" ], [ "500", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 510, 620, and 658\n\nExtension or metastasis to (but no malignant cells in ascites or peritoneal washings):\n Broad ligament, ipsilateral\n Mesosalpinx, ipsilateral\n Adjacent peritoneum\nFIGO Stage IIB", "VALUE:T2b", "VALUE:T2b", "VALUE:RE", "VALUE:RE" ], [ "510", "Extension or metastasis to:\n Broad ligament, ipsilateral\n Mesosalpinx, ipsilateral\n Adjacent peritoneum\nWITHOUT malignant cells in ascites or peritoneal washings", "VALUE:T2b", "VALUE:T2b", "VALUE:RE", "VALUE:RE" ], [ "600", "OBSOLETE DATA RETAINED V0200\nSee codes 450, 460\n\nOvary, contralateral (but no malignant cells in ascites or peritoneal washings)\nFIGO Stage IIA", "ERROR:", "VALUE:T2a", "VALUE:D", "VALUE:RE" ], [ "610", "OBSOLETE DATA RETAINED V0200 (600) + (500)", "ERROR:", "VALUE:T2b", "VALUE:D", "VALUE:RE" ], [ "620", "51 0 + 450\n\nExtension to any site in 510 plus extension to contralateral ovary\n WITHOUT malignant cells in ascites or peritoneal washings", "VALUE:T2b", "VALUE:T2b", "VALUE:D", "VALUE:RE" ], [ "650", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 652, 658\n\nExtension or metastasis to (but no malignant cells in ascites or peritoneal washings):\n Broad ligament, contralateral\n Cul de sac (rectouterine pouch)\n Mesosalpinx, contralateral\n Rectosigmoid\n Sigmoid\nFIGO IIB", "VALUE:T2b", "VALUE:T2b", "VALUE:D", "VALUE:RE" ], [ "652", "Extension or metastasis to (but no malignant cells in ascites or peritoneal washings): \n Broad ligament, contralateral\n Cul de sac (rectouterine pouch)\n Mesosalpinx, contralateral\n Rectosigmoid\n Sigmoid", "VALUE:T2b", "VALUE:T2b", "VALUE:D", "VALUE:RE" ], [ "655", "Pelvic extension, NOS with no malignant cells in ascites or peritoneal washings", "VALUE:T2NOS", "VALUE:T2NOS", "VALUE:RE", "VALUE:RE" ], [ "658", "FIGO Stage IIB", "VALUE:T2b", "VALUE:T2b", "VALUE:RE", "VALUE:RE" ], [ "660", "Pelvic extension (codes 400-655)\nWITH malignant cells in ascites or peritoneal washings\n\nFIGO Stage IIC", "VALUE:T2c", "VALUE:T2c", "VALUE:D", "VALUE:D" ], [ "670", "FIGO Stage II [NOS]", "VALUE:T2NOS", "VALUE:T2NOS", "VALUE:RE", "VALUE:RE" ], [ "680", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee code 790, 820\n\nPeritoneal implants or metastasis (size of metastases not stated; unknown if microscopic or macroscopic)\n Omentum \n Small intestine\nFIGO Stage III", "VALUE:T3NOS", "VALUE:T3NOS", "VALUE:D", "VALUE:D" ], [ "685", "Microscopic peritoneal implants or metastasis:\n Omentum\n Small intestine", "VALUE:T3a", "VALUE:T3a", "VALUE:D", "VALUE:RE" ], [ "688", "685 + 660", "VALUE:T3a", "VALUE:T3a", "VALUE:D", "VALUE:D" ], [ "690", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 685, 698\n\nMicroscopic peritoneal implants or metastasis:\n Omentum\n Small intestine\nFIGO Stage IIIA", "VALUE:T3a", "VALUE:T3a", "VALUE:D", "VALUE:D" ], [ "695", "Microscopic peritoneal metastasis outside the pelvis, excluding organs in code 685 \n(See Note 5)", "VALUE:T3a", "VALUE:T3a", "VALUE:D", "VALUE:D" ], [ "698", "FIGO Stage IIIA", "VALUE:T3a", "VALUE:T3a", "VALUE:D", "VALUE:D" ], [ "700", "OBSOLETE DATA CONVERTED V0102\nSee code 680\n\nExtension or metastasis to:\n Omentum\nFIGO Stage IIB", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "710", "OBSOLETE DATA CONVERTED V0102\nSee code 660\n\nPelvic extension (codes 350-700) with malignant cells in ascites or peritoneal washings\nFIGO Stage IIC", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "720", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 722, 723, and 728\n\nMacroscopic peritoneal implants or metastasis less than or equal to 2cm:\n Omentum\n Small intestine\nFIGO Stage IIIB", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:D" ], [ "722", "Macroscopic peritoneal implants or metastasis less than or equal to 2cm:\n Omentum\n Small intestine", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:RE" ], [ "723", "722 + 695", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:D" ], [ "725", "Macroscopic peritoneal metastasis less than or equal to 2 cm outside the pelvis, excluding organs in code 722 \n(See Note 5)", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:D" ], [ "728", "FIGO Stage IIIB based on extension", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:D" ], [ "730", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 732, 733, and 740\n\nMacroscopic peritoneal implants or metastasis greater than 2cm:\n Omentum\n Small intestine\nFIGO Stage IIIC", "VALUE:T3c", "VALUE:T3c", "VALUE:D", "VALUE:RE" ], [ "732", "Macroscopic peritoneal implants or metastasis greater than 2cm:\n Omentum\n Small intestine", "VALUE:T3c", "VALUE:T3c", "VALUE:D", "VALUE:RE" ], [ "733", "732 + 725", "VALUE:T3c", "VALUE:T3c", "VALUE:D", "VALUE:D" ], [ "735", "Macroscopic peritoneal implants or metastases greater than 2 cm outside the pelvis, excluding organs in code 732 \n(See Note 5)", "VALUE:T3c", "VALUE:T3c", "VALUE:D", "VALUE:D" ], [ "740", "FIGO Stage IIIC based on extension", "VALUE:T3c", "VALUE:T3c", "VALUE:D", "VALUE:RE" ], [ "750", "OBSOLETE DATA CONVERTED V0203\nSee code 795\n\nPeritoneal implants outside the pelvis, NOS (size of metastases not stated; unknown if microscopic or macroscopic), except code 680 (See Note 5)", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "760", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 695 and 698\n\nMicroscopic peritoneal metastasis outside the pelvis, except code 690 (See Note 5)\nFIGO Stage IIIA", "VALUE:T3a", "VALUE:T3a", "VALUE:D", "VALUE:D" ], [ "770", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 725 and 728\n\nMacroscopic peritoneal metastasis less\n than or equal to 2 cm outside the pelvis, except code 720 (See Note 5)\nFIGO Stage IIIB", "VALUE:T3b", "VALUE:T3b", "VALUE:D", "VALUE:D" ], [ "780", "OBSOLETE DATA RETAINED AND REVIEWED V0200\nSee codes 735 and 740\n\nPeritoneal metastases greater than 2 cm, except code 730 (See Note 5)\nFIGO Stage IIIC", "VALUE:T3c", "VALUE:T3c", "VALUE:D", "VALUE:D" ], [ "790", "Peritoneal implants or metastasis outside the pelvis, size of metastasis not stated, unknown if microscopic or macroscopic:\n Omentum\n Small intestine", "VALUE:T3NOS", "VALUE:T3NOS", "VALUE:D", "VALUE:RE" ], [ "795", "Peritoneal implants or metastases outside the pelvis, size of metastasis not stated, unknown if microscopic or macroscopic, excluding organs in code 790 \n(See Note 5)", "VALUE:T3NOS", "VALUE:T3NOS", "VALUE:D", "VALUE:D" ], [ "800", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 810, 820\n\nFurther contiguous extension\nFIGO Stage III [NOS]", "VALUE:T3NOS", "VALUE:T3NOS", "VALUE:D", "VALUE:D" ], [ "810", "Further contiguous extension", "VALUE:T3NOS", "VALUE:T3NOS", "VALUE:D", "VALUE:D" ], [ "820", "FIGO Stage III [NOS] based on extension", "VALUE:T3NOS", "VALUE:T3NOS", "VALUE:D", "VALUE:D" ], [ "950", "No evidence of primary tumor", "VALUE:T0", "VALUE:T0", "VALUE:U", "VALUE:U" ], [ "999", "Unknown; extension not stated\nPrimary tumor cannot be assessed\n (See Note 6) \nNot documented in patient record", "VALUE:TX", "VALUE:TX", "VALUE:U", "VALUE:U" ] ]
}