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A cancer staging client library
{
"id" : "extension_bfc",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Extension",
"title" : "CS Extension",
"notes" : "**Note 1**: AJCC does not include a Tis category for gastrointestinal stromal tumors (GIST). Any case with a CS Extension code of 000 is mapped to TX for AJCC 7 stage and in situ Summary Stage.\n\n**Note 2**: Intraluminal or intramural extension to esophagus and duodenum is classified by the depth of greatest invasion in any of these sites, including stomach.\n\n**Note 3**: The assignment of T categories for GISTs 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 340, 390, 395, and 398 as appropriate to code CS Extension based on a statement of T when no other extension information is available.\n\n**Note 4**: Use code 150 only if GIST is described as arising in a polyp. Do not use this code for GIST described as arising in the wall of the appendix and extending into the lumen with a polypoid appearance.\n\n**Note 5**: Use code 300 for localized cases only if no information is available to assign a more specific code.",
"footnotes" : "- For CS Extension codes -100-800 ONLY, the T category is assigned based on the value of CS Tumor Size, as shown in the Extension Size AJCC 7 Table for this schema.",
"last_modified" : "2015-05-27T16:19:12.810Z",
"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:NA", "VALUE:IS", "VALUE:IS" ], [ "050", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee code 000\n\n(Adeno)carcinoma, noninvasive, in a polyp", "VALUE:TX", "VALUE:NA", "VALUE:IS", "VALUE:IS" ], [ "100", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nInvasive tumor confined to mucosa, NOS (including intramucosal, NOS)", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "110", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nInvades lamina propria", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "120", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nInvades muscularis mucosae", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "130", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nConfined to head of polyp\nExtension to stalk of polyp", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "140", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nConfined to stalk of polyp", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "150", "Invasive tumor in polyp, NOS", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "155", "Tumor confined to muscular wall", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "160", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nInvades submucosa (superficial invasion)", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "165", "Tumor invades through submucosa and muscularis mucosae to involve mucosa", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "200", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nInvades into but not through muscularis propria", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "300", "Implants inside stomach\nLocalized, NOS", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "340", "Stated as T1 with no other information on extension", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "350", "OBSOLETE DATA RETAINED V0200\n\nLinitis plastica and no other information regarding extension is available", "ERROR:", "VALUE:NA", "VALUE:RE", "VALUE:L" ], [ "390", "Stated as T2 with no other information on extension", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "395", "Stated as T3 with no other information on extension", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "398", "Stated as T4 with no other information on extension", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "400", "Invasion through muscularis propria or muscularis, NOS\nExtension through wall, NOS\nPerimuscular tissue invaded\nSubserosal tissue/(sub)serosal fat invaded\n\nNote: In V0203 ONLY, code 400 had a different meaning, but the original description of the code has been restored in V0204.", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "440", "Intraluminal extension to esophagus or duodenum", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:RE", "VALUE:L" ], [ "450", "Extension to adjacent (connective) tissue \nWITHOUT perforation of visceral peritoneum:\n Gastric artery\n Ligaments: \n Gastrocolic\n Gastrohepatic\n Gastrosplenic\n Omentum, NOS:\n Greater\n Lesser\n Perigastric fat", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "458", "Fat, NOS", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "480", "OBSOLETE DATA CONVERTED V0203\nSee code 395\n\nStated as T3 with no other information on extension", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "490", "OBSOLETE DATA CONVERTED V0203\nSee code 398\n\nStated as T4 with no other information on extension", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "500", "Invasion of/through serosa (mesothelium) \n(tunica serosa) (visceral peritoneum), including perforation of visceral peritoneum covering the gastric ligaments or the omentum \nWITHOUT invasion of adjacent structures", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "550", "500 + 450", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "560", "Invasion of/through serosa with invasion of/through mucosa", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "600", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 610 and 650\n\nDiaphragm\nDuodenum via serosa or NOS\nEsophagus via serosa\nIleum\nJejunum\nLiver\nPancreas\nSmall intestine, NOS\nSpleen\nTransverse colon/mesocolon (including flexures)\nCeliac axis \nAorta", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "610", "Diaphragm\nDuodenum via serosa Duodenum, NOS\nEsophagus via serosa\nIleum\nJejunum\nLiver\nPancreas\nSmall intestine, NOS\nSpleen\nTransverse colon/mesocolon (including flexures)", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "650", "Aorta\nCeliac axis", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "700", "Abdominal wall\nAdrenal gland\nKidney\nRetroperitoneum", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "800", "Further contiguous extension", "JUMP:extension_size_ajcc7_xed", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "950", "No evidence of primary tumor", "VALUE:T0", "VALUE:NA", "VALUE:U", "VALUE:U" ], [ "999", "Unknown; extension not stated\nPrimary tumor cannot be assessed\nNot documented in patient record", "VALUE:TX", "VALUE:NA", "VALUE:U", "VALUE:U" ] ]
}