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{
  "id" : "extension_bbs",
  "algorithm" : "cs",
  "version" : "02.05.50",
  "name" : "Extension",
  "title" : "CS Extension",
  "notes" : "**Note 1**:  Over 90% of penile cancers are squamous cell carcinomas arising in the skin.  Other cancers arising in the skin include adenocarcinomas (5%) arising in sweat glands, melanomas (2%, included in the Melanoma schema), and basal cell carcinoma (2%).  About 1% of penile cancers are sarcomas, arising in subcutaneous connective tissues.\n\n**Note 2**:  Verrucous carcinoma (M-8051) is a locally aggressive, exophytic, low grade carcinoma with minimal metastatic potential. \n\n**Note 3**: If verrucous carcinoma is described as noninvasive or as having a broad pushing border or penetration, assign code 050. If verrucous carcinoma is not so characterized, assign code 070, Verrucous carcinoma, NOS. If there is destructive invasion of verrucous carcinoma into structures in code 100 or greater, assign the appropriate higher code.\n\n**Note 4**:  Information about involvement of the corpus spongiosum or corpus cavernosum is collected in this field for anatomic staging.  This information is also collected in CS Site-Specific Factor 10 because involvement of these structures may have an independent effect on prognosis.",
  "footnotes" : "- For CS Extension codes 100-320 ONLY, the T category is assigned based on Grade and Lymph-vascular Invasion, as shown in the Extension Grade LVI Table for this schema.",
  "last_modified" : "2015-05-27T16:19:08.248Z",
  "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, intraepidermal, intraepithelial, noninvasive\nBowen disease\nErythroplasia of Queyrat", "VALUE:Tis", "VALUE:Tis", "VALUE:IS", "VALUE:IS" ], [ "050", "Noninvasive verrucous carcinoma \n(See Note 3)", "VALUE:Ta", "VALUE:Ta", "VALUE:IS", "VALUE:IS" ], [ "070", "Verrucous carcinoma, NOS \n(See Note 1)", "VALUE:Ta", "VALUE:Ta", "VALUE:L", "VALUE:L" ], [ "100", "Invasive tumor limited to subepithelial connective tissue, but not involving corpus spongiosum or cavernosum \n\nIf primary is skin: invasive tumor limited to skin of penis, prepuce (foreskin) and/or glans\n\nStated as T1 [NOS] with no other information on extension", "JUMP:extension_grade_lvi_xdm", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "300", "Localized, NOS", "JUMP:extension_grade_lvi_xdm", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "305", "Satellite nodules on prepuce or glans", "JUMP:extension_grade_lvi_xdm", "VALUE:T1", "VALUE:RE", "VALUE:RE" ], [ "310", "Stated as T1a with no other information on extension", "JUMP:extension_grade_lvi_xdm", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "320", "Stated as T1b with no other information on extension", "JUMP:extension_grade_lvi_xdm", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "350", "For body of penis ONLY:\n    Corpus cavernosum\n    Corpus spongiosum\n    Tunica albuginea of corpus spongiosum", "VALUE:T2", "VALUE:T2", "VALUE:L", "VALUE:L" ], [ "360", "350 + 305\n\nTumors in body of penis plus satellite nodules on prepuce or glans", "VALUE:T2", "VALUE:T2", "VALUE:RE", "VALUE:RE" ], [ "400", "Corpus cavernosum except for tumor in body of penis\nCorpus spongiosum except for tumor in body of penis\nTunica albuginea of corpus spongiosum except for tumor in body of penis", "VALUE:T2", "VALUE:T2", "VALUE:RE", "VALUE:RE" ], [ "460", "400 + 305", "VALUE:T2", "VALUE:T2", "VALUE:RE", "VALUE:RE" ], [ "500", "OBSOLETE DATA CONVERTED V0203\nSee code 305\n\nSatellite nodule(s) on prepuce or glans", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "550", "OBSOLETE DATA REVIEWED V0203\nSee code 360 and 460\n\n500 + (350 or 400)", "VALUE:T2", "VALUE:T2", "VALUE:RE", "VALUE:RE" ], [ "560", "Stated as T2 with no other information on extension", "VALUE:T2", "VALUE:T2", "VALUE:L", "VALUE:L" ], [ "600", "OBSOLETE DATA RETAINED V0200\nProstate reclassified as T4 in AJCC 7th Edition, see codes 620 and 650\n\nProstate\nUrethra", "ERROR:", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "620", "Urethra\n\nStated as T3 with no other information on extension", "VALUE:T3", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "650", "Prostate", "VALUE:T4", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "700", "Adjacent structures:\nMuscle, NOS:\n    Bulbospongiosus\n    Ischiocavernosus\n    Superficial transverse perineal\nSkin:\n    Abdominal\n    Perineum\n    Pubic\n    Scrotal", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "800", "Further contiguous extension\n        Testis", "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\nPrimary tumor cannot be assessed \nNot documented in patient record", "VALUE:TX", "VALUE:TX", "VALUE:U", "VALUE:U" ] ]
}




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