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A cancer staging client library
{
"id" : "extension_bdr",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Extension",
"title" : "CS Extension",
"notes" : "**Note 1**: For this site, AJCC defines Tis as high-grade dysplasia, which includes \"all non-invasive neoplastic epithelium that was previously called carcinoma in situ.\" Cancers stated to be noninvasive or in situ are classified as Tis. High-grade dysplasia is generally not reportable in cancer registries, but if a registry does collect it, code 000 should be used.\n\n**Note 2**: Use codes 110, 120, and 160 in preference to code 150 if information about the depth of invasion into the layers of the polyp is available.\n\n**Note 3**: Ignore intraluminal extension to adjacent segment(s) of esophagus or to more distal parts of stomach and code depth of invasion or extra-gastric spread as indicated.\n\n**Note 4**: If the diagnosis states linitis plastica and no other information regarding extension is available, use code 350. Linitis plastica is defined as diffuse involvement of the entire stomach wall.\n\n**Note 5**: Codes 600-700 are used for contiguous extension from the site of origin. Discontinuous involvement is coded in CS Mets at DX, except for implants within the stomach (code 300).",
"last_modified" : "2015-05-27T16:19:10.917Z",
"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, non-invasive; high-grade dysplasia", "VALUE:Tis", "VALUE:Tis", "VALUE:IS", "VALUE:IS" ], [ "050", "(Adeno)carcinoma, noninvasive, in a polyp", "VALUE:Tis", "VALUE:Tis", "VALUE:IS", "VALUE:IS" ], [ "100", "Invasive tumor confined to mucosa, NOS, (including intramucosal, NOS)", "VALUE:T1a", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "110", "Invades lamina propria", "VALUE:T1a", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "120", "Invades muscularis mucosae", "VALUE:T1a", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "125", "Stated as T1a with no other information on extension", "VALUE:T1a", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "130", "OBSOLETE DATA RETAINED V0200\nCardia/GE Junction (EGJ), and the proximal 5 cm of the fundus and body of the stomach have been moved into this schema from the Stomach schema in CSv2, and the detailed polyp information is not required\n\nConfined to head of polyp\nExtension to stalk", "ERROR:", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "140", "OBSOLETE DATA RETAINED V0200\nCardia/EGJ and the proximal 5 cm of the fundus and body of the stomach have been moved into this schema from Stomach schema in CSv2, and detailed polyp information is not required\n\nConfined to stalk of polyp", "ERROR:", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "150", "Tumor in polyp NOS", "VALUE:T1NOS", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "160", "Invades submucosa (superficial invasion)\n\nStated as T1b with no other information on extension", "VALUE:T1b", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "170", "Stated as T1 [NOS] with no other information on extension", "VALUE:T1NOS", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "200", "Invades into but not through muscularis propria", "VALUE:T2", "VALUE:T2a", "VALUE:L", "VALUE:L" ], [ "300", "Implants inside stomach \nLocalized, NOS", "VALUE:T1NOS", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "350", "Linitis plastica (and no other information regarding extension available) \n(See Note 4)", "VALUE:T2", "VALUE:T2a", "VALUE:RE", "VALUE:L" ], [ "360", "Stated as T2 with no other information on extension", "VALUE:T2", "VALUE:T2NOS", "VALUE:L", "VALUE:L" ], [ "400", "Extension through wall, NOS \nInvasion through muscularis propria or muscularis, NOS\nPerimuscular tissue invaded\nSubserosal tissue/(sub)serosal fat invaded", "VALUE:T3", "VALUE:T2b", "VALUE:L", "VALUE:L" ], [ "420", "Adventitia and/or soft tissue invaded\nEsophagus is described as \"FIXED\"", "VALUE:T3", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "430", "OBSOLETE DATA CONVERTED V0203 See code 480 Stated as T3 [NOS]", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "450", "Extension to adjacent (connective) tissue \nWITHOUT perforation of visceral peritoneum covering these structures:\n Gastric artery\n Ligaments: \n Gastrocolic\n Gastrohepatic\n Gastrosplenic\n Omentum, NOS\n Greater\n Lesser\n Perigastric fat", "VALUE:T3", "VALUE:T2b", "VALUE:RE", "VALUE:RE" ], [ "480", "Stated as T3 with no other information on extension", "VALUE:T3", "VALUE:T2b", "VALUE:L", "VALUE:RE" ], [ "500", "Invasion of/through serosa (mesothelium) (tunica serosa) (visceral peritoneum), including perforation of visceral peritoneum covering the gastric ligaments or the omentum WITHOUT invasion of adjacent structures", "VALUE:T4a", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "550", "500 + 450", "VALUE:T4a", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "570", "Pericardium\nPleura\nDiaphragm", "VALUE:T4a", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "580", "Stated as T4a with no other information on extension", "VALUE:T4a", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "600", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 570, 605, and 615\n\nDiaphragm\nDuodenum via serosa or NOS\nEsophagus via serosa\nIleum\nJejunum\nLiver\nPancreas\nSmall intestine, NOS\nSpleen\nTransverse colon (including flexures)", "VALUE:T4a", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "605", "Duodenum via serosa \nDuodenum, NOS\nEsophagus via serosa\nIleum\nJejunum\nLiver\nPancreas\nSmall intestine, NOS\nSpleen\nTransverse colon (including flexures)", "VALUE:T4b", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "610", "OBSOLETE DATA REVIEWED V0203\nSee codes 570 and 615\n\nPleura \nPericardium", "VALUE:T4a", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "615", "605 + 570", "VALUE:T4b", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "700", "Abdominal wall\nAdrenal gland\nKidney\nRetroperitoneum", "VALUE:T4a", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "710", "OBSOLETE DATA CONVERTED V0203\nSee code 810\n\nStated as T4 [NOS]", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "720", "OBSOLETE DATA CONVERTED V0203\nSee code 580\n\nStated as T4a [NOS]", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "800", "Further contiguous extension including but not limited to:\n Aorta\n Vertebral body\n Trachea\nStated as unresectable, NOS", "VALUE:T4b", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "805", "Stated as T4b with no other information on extension", "VALUE:T4b", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "810", "Stated as T4 [NOS] with no other information on extension", "VALUE:T4NOS", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "820", "OBSOLETE DATA CONVERTED V0203\nSee code 805\n\nStated as T4b [NOS]", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "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" ] ]
}