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A cancer staging client library
{
"id" : "extension_bbp",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Extension",
"title" : "CS Extension",
"notes" : "**Note 1**: The parenchyma of the kidney includes the following structures: cortex (outer layer of kidney), renal columns; medulla, medullary rays, renal pyramids, and renal papillae; nephrons (renal corpuscle, loops of Henle, proximal and distal tubules, collecting duct); glomerulus and surrounding Bowman's capsule. The most common site for renal parenchymal cancer to develop is in the proximal convoluted tubule. Tumor extension from one of these structures into another is coded 100 in the absence of further involvement.\n\n**Note 2**: Gerota's fascia is a fibrous tissue sheath surrounding the kidney and suprarenal or adrenal gland. The perirenal fat, renal capsule, and renal parenchyma lie below the fascia.\n\n**Note 3**: Information about invasion beyond the capsule, venous involvement, and ipsilateral adrenal gland involvement is collected in this field for anatomic staging. This information is also collected in CS Site-Specific Factor 1, CS Site-Specific Factor 2, and CS Site-Specific Factor 3, as these factors may have an independent effect on prognosis.\n\n**Note 4**: AJCC considers \"in situ carcinoma of the renal parenchyma\" an impossible diagnosis. Any case so coded is mapped to TX for AJCC stage and in situ Summary Stage.\n\n**Note 5**: Use code 300 (Localized, NOS) only when no further information is available to assign code 100, 200, or 310-360.\n\n**Note 6**: The assignment of T1 and T2 categories for tumors limited to the kidney is based on tumor size. A physician's statement of the T category may be used to code CS Tumor Size and/or CS Extension if this is the only information in the medical record regarding one or both of these fields. However the two fields are coded independently: for example the record may document size but not extension, other than the physician's statement of the T category. Use codes 310-360, 605-625 or 810 as appropriate to code CS Extension based on a statement of T when no other extension information is available. \n\n**Note 7**: Direct extension to or other involvement of structures considered M1 in AJCC staging is coded in the data item CS Mets at DX. This includes: contralateral kidney; contralateral ureter; liver from left kidney; spleen from right kidney.",
"footnotes" : "- For CS Extension codes 100-360 ONLY, the T category for AJCC 7 is assigned based on the value of CS Tumor Size, as shown in the Extension Size AJCC 7 Table for this site. \n- For CS Extension codes 100-360 ONLY, the T category for AJCC 6 is assigned based on the value of CS Tumor Size, as shown in the Extension Size AJCC 6 Table for this site.",
"last_modified" : "2015-05-27T16:19:08.055Z",
"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", "VALUE:TX", "VALUE:TX", "VALUE:IS", "VALUE:IS" ], [ "100", "Invasive cancer confined to kidney cortex and/or medulla", "JUMP:extension_size_table_ajcc7_xek", "JUMP:extension_size_table_ajcc6_xal", "VALUE:L", "VALUE:L" ], [ "200", "Invasion of renal capsule\nRenal pelvis or calyces involved\nSeparate focus of tumor in renal pelvis/calyx", "JUMP:extension_size_table_ajcc7_xek", "JUMP:extension_size_table_ajcc6_xal", "VALUE:L", "VALUE:L" ], [ "300", "Localized, NOS", "JUMP:extension_size_table_ajcc7_xek", "JUMP:extension_size_table_ajcc6_xal", "VALUE:L", "VALUE:L" ], [ "310", "Stated as T1a with no other information on extension", "JUMP:extension_size_table_ajcc7_xek", "JUMP:extension_size_table_ajcc6_xal", "VALUE:L", "VALUE:L" ], [ "320", "Stated as T1b with no other information on extension", "JUMP:extension_size_table_ajcc7_xek", "JUMP:extension_size_table_ajcc6_xal", "VALUE:L", "VALUE:L" ], [ "330", "Stated as T1 [NOS] with no other information on extension", "JUMP:extension_size_table_ajcc7_xek", "JUMP:extension_size_table_ajcc6_xal", "VALUE:L", "VALUE:L" ], [ "340", "Stated as T2a with no other information on extension", "JUMP:extension_size_table_ajcc7_xek", "JUMP:extension_size_table_ajcc6_xal", "VALUE:L", "VALUE:L" ], [ "350", "Stated as T2b with no other information on extension", "JUMP:extension_size_table_ajcc7_xek", "JUMP:extension_size_table_ajcc6_xal", "VALUE:L", "VALUE:L" ], [ "360", "Stated as T2 [NOS] with no other information on extension", "JUMP:extension_size_table_ajcc7_xek", "JUMP:extension_size_table_ajcc6_xal", "VALUE:L", "VALUE:L" ], [ "390", "OBSOLETE DATA CONVERTED V0200 \nSee code 625\n\nStated as T3, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "400", "OBSOLETE DATA RETAINED V0200\nAdrenal (suprarenal gland), ipsilateral reclassified in AJCC 7; see codes 450 and 630 \n\nAdrenal (suprarenal) gland, ipsilateral\nPerirenal (perinephric) tissue/fat\nRenal (Gerota's) fascia\nRenal sinus fat\nRetroperitoneal soft tissue ", "ERROR:", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "450", "OBSOLETE DATA REVIEWED V0203\nSee codes 460 and 660\n\nPerirenal (perinephric) tissue/fat\nRenal (Gerota's) fascia\nRenal sinus fat\nRetroperitoneal soft tissue", "VALUE:T3a", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "460", "Perirenal (perinephric) tissue/fat\nRenal (Gerota's) fascia\nRenal sinus fat", "VALUE:T3a", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "600", "OBSOLETE DATA RETAINED V0200\nBlood vessels reclassified in AJCC 7th Edition; see codes 601 and 610\n\nBlood vessels:\n Extrarenal portion of renal vein or segmental (muscle containing) branches\n Hilar blood vessel\n Inferior vena cava below diaphragm\n Perirenal vein\n Renal artery\n Renal vein, NOS\n Tumor thrombus in a renal vein, NOS", "ERROR:", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "601", "Blood vessels:\n Extrarenal portion of renal vein or segmental (muscle containing) branches\n Hilar blood vessel\n Perirenal vein\n Renal artery\n Renal vein, NOS\n Tumor thrombus in a renal vein, NOS", "VALUE:T3a", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "605", "Stated as T3a with no other information on extension", "VALUE:T3a", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "610", "Inferior vena cava (IVC) below diaphragm\n\nStated as T3b with no other information on extension", "VALUE:T3b", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "620", "IVC above diaphragm or invades wall of IVC\n\nStated as T3c with no other information on extension", "VALUE:T3c", "VALUE:T3c", "VALUE:RE", "VALUE:RE" ], [ "625", "IVC, NOS\n\nStated as T3 [NOS] with no other information on extension", "VALUE:T3NOS", "VALUE:T3NOS", "VALUE:RE", "VALUE:RE" ], [ "630", "Ipsilateral adrenal (suprarenal) gland \n(Noncontiguous ipsilateral adrenal gland involvement coded in CS Mets at DX)", "VALUE:T4", "VALUE:T3a", "VALUE:RE", "VALUE:RE" ], [ "640", "630 + (601 and/or 610) \n\nIpsilateral adrenal gland plus blood vessels listed in code 601 and/or IVC below diaphragm", "VALUE:T4", "VALUE:T3b", "VALUE:RE", "VALUE:RE" ], [ "645", "630 + 620\n\nIpsilateral adrenal gland plus IVC above diaphragm or wall of IVC ", "VALUE:T4", "VALUE:T3c", "VALUE:RE", "VALUE:RE" ], [ "650", "Extension beyond Gerota's fascia to:\n Ascending colon from right kidney\n Descending colon from left kidney\n Diaphragm\n Duodenum from right kidney\n Peritoneum\n Tail of pancreas\n Ureter, including implant(s), ipsilateral\nBeyond Gerota's fascia, NOS", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "660", "Retroperitoneal soft tissue", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "665", "660 + any of (460, 601, 610, 620, 625, 630, 640, 645, 650)", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "670", "Extension beyond Gerota's fascia to:\n Psoas muscle\n Quadratus lumborum muscle", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:RE" ], [ "700", "Ribs", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "750", "Liver from right kidney\nSpleen from left kidney\nStomach ", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "800", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 460, 601, 610-750, 801, CS Mets at DX codes 20, 55\n\nFurther contiguous extension:\n Aorta\n Other direct extension", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "801", "Further contiguous extension:\n Aorta\n Other direct extension (except to structures specified in CS Mets at DX code 20)", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "810", "Stated as T4 with no other information on extension", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "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", "VALUE:TX", "VALUE:TX", "VALUE:U", "VALUE:U" ] ]
}