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{
  "id" : "extension_bfe",
  "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**:  Ignore intraluminal extension to adjacent segment(s) of colon/rectum or to the ileum from the cecum; code depth of invasion or extracolonic spread as indicated.\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 170, 210, 250, and 270 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 colon 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.\n\n**Note 6**:  Use code 570 for tumor with macroscopic adhesions to other organs or structures and for pathologically confirmed tumor in adhesions.  However, if no tumor is present in adhesion(s) upon microscopic examination, use lower codes to describe the microscopically confirmed depth of tumor invasion for these cases (excluding adherence to liver, see Note 7).\n\n**Note 7**:  Adherence to the liver capsule is not considered distant metastasis.  Use code 570 for any adherence to the liver capsule.\n\n**Note 8**:  Codes 600-800 are used for contiguous extension from the site of origin.  Discontinuous involvement is coded in CS Mets at DX.Code",
  "footnotes" : "- For CS Extension codes 100-800 ONLY, the T category for AJCC 7 staging is assigned based on the value of CS Tumor Size, as shown in the Extension Size AJCC 7 Table for this schema.",
  "last_modified" : "2015-05-27T16:19:12.927Z",
  "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 in a polyp or adenoma noninvasive", "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 (includes intramucosal, NOS)", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "110", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nLamina propria", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "120", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nConfined to and not through the muscularis mucosae", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "130", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nConfined to head of polyp, NOS", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "140", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nConfined to stalk of polyp, NOS", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "150", "Invasive tumor in polyp, NOS", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "155", "Tumor confined to muscular wall", "JUMP:extension_size_ajcc7_xeb", "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_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "165", "Tumor invades through submucosa and muscularis mucosae to involve mucosa", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "170", "Stated as T1 with no other information on extension", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "200", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee code 155 and 165\n\nMuscularis propria invaded", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "210", "Stated as T2 with no other information on extension", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "250", "Stated as T3 with no other information on extension", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "270", "Stated as T4 with no other information on extension", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "300", "Confined to colon, NOS\nLocalized, NOS ", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "400", "Extension through wall, NOS\nInvasion through muscularis propria or muscularis, NOS\nNon-peritonealized pericolic tissues invaded\nPerimuscular tissue invaded\nSubserosal tissue/(sub)serosal fat invaded\nTransmural, NOS\nWall, NOS", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "410", "OBSOLETE DATA CONVERTED V0203\nSee code 250\n\nStated as T3, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "420", "OBSOLETE DATA CONVERTED V0203\nSee code 458\n\nFat, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "450", "For all colon sites:\n    Adjacent tissue(s), NOS\n    Connective tissue\n    Mesenteric fat\n    Mesentery \n    Mesocolon\n    Pericolic fat\nFor ascending and descending colon :\n    Retroperitoneal fat \nFor transverse colon and flexures :\n    Gastrocolic ligament\n    Greater omentum", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "458", "Fat, NOS", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "460", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee Note 6 and code 570\n\nAdherent to other organs or structures, but no microscopic tumor found in adhesion(s)", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "490", "OBSOLETE DATA CONVERTED V0203\nSee code 270\n\nStated as T4, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "500", "Invasion of/through serosa (mesothelium) (visceral peritoneum)", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "550", "500 + (420 or 450)", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "560", "Invasion of/through serosa with invasion of/through mucosa", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "570", "Adherent to liver capsule\nAdherent to other organs or structures, NOS", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "600", "For all colon sites:\n    Small intestine\nFor cecum:\n    Greater omentum\nFor ascending colon:\n    Greater omentum\n    Liver, right lobe\nFor transverse colon and flexures:\n    Bile ducts\n    Gallbladder\n    Kidney\n    Liver\n    Pancreas\n    Spleen\n    Stomach\nFor descending colon:\n    Greater omentum\n    Pelvic wall\n    Spleen\nFor sigmoid colon:\n    Greater omentum\n    Pelvic wall", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "650", "    Abdominal wall \n    Retroperitoneum (excluding fat) ", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "660", "For ascending colon:\n    Kidney, right\n    Ureter, right\nFor descending colon:\n    Kidney, left\n    Ureter, left", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "700", "For cecum, ascending colon, descending colon , and sigmoid colon:\n    Fallopian tube\n    Ovary\n    Uterus", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "750", "For all colon sites unless otherwise listed above:\n    Adrenal (suprarenal) gland\n    Bladder\n    Diaphragm\n    Fistula to skin\n    Gallbladder\n    Other segment(s) of colon via serosa", "JUMP:extension_size_ajcc7_xeb", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "800", "Further contiguous extension including:\n    For cecum:\n        Kidney, right\n        Liver\n        Ureter, right\n    For transverse colon and flexures:\n        Ureter\n    For sigmoid colon:\n        Cul de sac (rectouterine pouch)\n        Ureter", "JUMP:extension_size_ajcc7_xeb", "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" ] ]
}




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