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{
  "id" : "extension_bei",
  "algorithm" : "cs",
  "version" : "02.05.50",
  "name" : "Extension",
  "title" : "CS Extension",
  "notes" : "**Note 1**:  AJCC does not include a Tis or TX category for melanoma of mucosa of head and neck sites. CS Extension codes of 000 and 999 are mapped to NA and AJCC stage group is derived as NA.\n\n**Note 2**:  AJCC does not include a T1 or T2 category for mucosal melanoma of head and neck sites.\n\n**Note 3**:  The bones of the lateral wall of the nasal cavity include the maxilla, the perpendicular plate of the palatine bone, the medial pterygoid plate, the labyrinth and inferior concha of the ethmoid. The roof of the nasal cavity is formed by the nasal bone. The floor of the nasal cavity, which forms the roof of the mouth, is composed of the bones of the hard palate: the horizontal plate of the palatine bone posteriorly and the palatine process of the maxilla anteriorly.\n\n**Note 4**:  \"Bony invasion\" does not include extension to palate, cribriform plate, or pterygoid plates.  Extension to these structures is coded separately.\n\n**Note 5**:  Use codes 330 and 340 for extension involving the mucosa only of adjacent sites.  Use higher codes for extension involving the deeper tissues of the primary or adjacent sites.\n\n**Note 6**:  Use code 300 for localized tumor only if no information is available to assign code 105, 110, 200, 350, or 380.\n\n**Note 7**:  Use code 350, 725, 810, or 815 if the physician's assignment of T category is the only information available about the extent of the tumor.",
  "last_modified" : "2015-05-27T16:19:11.745Z",
  "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:NA", "VALUE:NA", "VALUE:IS", "VALUE:IS" ], [ "100", "OBSOLETE DATA RETAINED V0200\n\nInvasive tumor confined to site of origin\nMeatus (superior, middle, inferior)\nNasal chonchae (superior, middle, inferior)\nSeptum\nTympanic membrane", "ERROR:", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "105", "Tumor confined to mucosa of one of the following subsites:\n    Septum\n    Floor\n    Lateral wall, including:\n        Meatus (superior, middle, inferior) \n        Nasal conchae (superior, middle, inferior)\n    Vestibule (edge of naris to mucocutaneous junction)", "VALUE:T3", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "110", "Confined to mucosa of nasal cavity, NOS ", "VALUE:T3", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "200", "Tumor confined to mucosa of two or more subsites listed in code 105 ", "VALUE:T3", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "300", "Localized, NOS", "VALUE:T3", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "330", "Extension involving mucosa only:\n    Ethmoid sinus\n    Choana\n    Frontal sinus\n    Nasopharynx", "VALUE:T3", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "340", "Extension involving mucosa only:\n     Maxillary sinus\n    Sphenoid sinus", "VALUE:T3", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "350", "Stated as T3 with no other information on extension", "VALUE:T3", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "380", "Involvement of deep tissues of any structure in code 105 or 110", "VALUE:T4a", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "385", "380 + 330\n\nInvolvement of deep tissues of any structure in code 105 or 110 plus mucosal involvement of any structure in code 330", "VALUE:T4a", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "390", "Involvement of any structure in code 105, 110 \nWITH bony invasion", "VALUE:T4a", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "400", "Extending to adjacent connective tissue within the nasoethomoidal complex\nNasolacrimal duct", "VALUE:T4a", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "450", "Hard palate", "VALUE:T4a", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "490", "(385 - 450) + 340 \n\nInvolvement of any structure in codes 385 - 450 plus mucosal involvement of any structure in code 340", "VALUE:T4a", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "500", "Involvement of deep tissues or bony involvement of any structure in code 340", "VALUE:T4a", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "600", "OBSOLETE DATA REVIEWED AND CHANGED V0203\nExtension to frontal sinus and extension to nasopharynx were each included in two codes in CSv1.  All structures in code 600 should be reviewed and recoded to 610 or 690 as appropriate.\n            \nAdjacent organs/structures including:\n    Bone of skull\n    Choana\n    Frontal sinus\n    Hard palate\n    Nasopharynx", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "610", "OBSOLETE DATA RETAINED V0203\n\nAdjacent organs/structures including:\n    Bone of skull\n    Choana\n    Frontal sinus\n    Hard palate", "ERROR:", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "650", "OBSOLETE DATA CONVERTED V0200\nSee code 750\n\nCribiform plate", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "660", "OBSOLETE DATA RETAINED V0200 \n\nMaxillary sinus", "ERROR:", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "670", "Medial wall or floor of the orbit", "VALUE:T4a", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "690", "OBSOLETE DATA RETAINED V0203\n\nNasopharynx", "ERROR:", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "700", "OBSOLETE DATA REVIEWED AND CHANGED V0203\nFrontal sinus included in codes 600 and 700 in CSv1.  Review and recode involvement of frontal sinus to code 610, other structures to code 705.\n\nTumor invades:\n    Anterior orbital contents\n    Skin of nose\n    Skin of cheek\nMinimal extension to:\n    Anterior cranial fossa\n    Pterygoid plates\n    Sphenoid or frontal sinuses", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "705", "OBSOLETE DATA RETAINED V0203\n\nAnterior orbital contents\nSkin of nose\nSkin of cheek\nAnterior cranial fossa (minimal extension)\nPterygoid plates\nSphenoid sinus", "ERROR:", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "710", "OBSOLETE DATA REVIEWED AND CHANGED V0203\nNasopharynx included in codes 600 and 710 in CSv1.  Review and recode involvement of nasopharynx to code 690, other structures to code 750 or 795\n\nTumor invades:\nOrbital apex\nDura\nBrain\nMiddle cranial fossa\nCranial nerves other than (V2), nasopharynx, or clivus", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "715", "Anterior orbital contents\nSkin of nose\nSkin of cheek\nPterygoid plates", "VALUE:T4a", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "725", "Stated as T4a with no other information on extension", "VALUE:T4a", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "750", "Anterior cranial fossa\nBase of skull\nCribriform plate\nClivus\nMiddle cranial fossa", "VALUE:T4b", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "760", "750 + (340, 500, 670, or 705)  \n\nInvolvement of structures in code 750 plus mucosal or deep involvement of structures in code 340 or involvement of structures in code 670 or 705  ", "VALUE:T4b", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "795", "Contiguous extension including:\n    Brain\n    Dura\n    Lower cranial nerves (IX, X, XI, XII)", "VALUE:T4b", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "800", "OBSOLETE DATA REVIEWED AND CHANGED V0203\nMiddle cranial fossa included in codes 750 and 800 in CSv2:V0201, V0202.  Review and recode involvement of middle cranial fossa to code 750 or 760, other structures to code 795. \n\nContiguous extension including:\n    Brain\n    Dura\n    Lower cranial nerves (IX, X, XI, XII)\n    Middle cranial fossa\n    Orbital apex  ", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "801", "Further contiguous extension including:\n    Carotid artery (encased)\n    Masticator space\n    Mediastinal structures\n    Prevertebral space", "VALUE:T4b", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "810", "Stated as T4b with no other information on extension", "VALUE:T4b", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "815", "Stated as T4 [NOS] with no other information on extension", "VALUE:T4NOS", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "950", "OBSOLETE DATA RETAINED V0200\n\nNo evidence of primary tumor", "ERROR:", "VALUE:NA", "VALUE:U", "VALUE:U" ], [ "999", "Unknown; extension not stated\nPrimary tumor cannot be assessed\nNot documented in patient record", "VALUE:NA", "VALUE:NA", "VALUE:U", "VALUE:U" ] ]
}




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