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A cancer staging client library
{
"id" : "extension_bfh",
"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; code depth of invasion or extra-appendiceal spread as indicated.\n\n**Note 3**: The assignment of T categories for gastrointestinal stromal tumors (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 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.\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.",
"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" : "2015-05-27T16:19:13.121Z",
"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 (including intramucosal, NOS)", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "110", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nLamina propria, including lamina propria in the stalk of a polyp", "JUMP:extension_size_ajcc7_xet", "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, including muscularis mucosae in the stalk of a polyp", "JUMP:extension_size_ajcc7_xet", "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_xet", "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_xet", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "150", "Invasive tumor in polyp, NOS", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "155", "Tumor confined to muscular wall", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "160", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 155 and 165\n\nInvades submucosa (superficial invasion), including submucosa in the stalk of a polyp", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "165", "Tumor invades through submucosa and muscularis mucosae to involve mucosa", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "170", "Stated as T1 with no other information on extension", "JUMP:extension_size_ajcc7_xet", "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_xet", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "210", "Stated as T2 with no other information on extension", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "250", "Stated as T3 with no other information on extension", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "270", "Stated as T4 with no other information on extension", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "300", "Confined to appendix, NOS\nLocalized, NOS", "JUMP:extension_size_ajcc7_xet", "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_xet", "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 See code 458 Fat, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "450", "Extension to:\n Adjacent tissue(s), NOS\n Connective tissue\n Mesenteric fat\n Mesentery \n Mesoappendix\n Pericolic fat", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "458", "Fat, NOS", "JUMP:extension_size_ajcc7_xet", "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_xet", "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_xet", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "550", "500 + (420 and or 450) ", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "560", "Invasion of/through serosa with invasion of/through mucosa", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "570", "Adherent to liver capsule\nAdherent to other organs or structures, NOS", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "600", "Greater omentum\nSmall intestine", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "650", "Abdominal wall \nRetroperitoneum (excluding fat)", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "660", "OBSOLETE DATA RETAINED V0200\n\nAscending colon:\nRight kidney\nRight ureter\nDescending colon:\nLeft kidney\nLeft ureter", "ERROR:", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "700", "Fallopian tube\nOvary\nUterus", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "750", "Adrenal (suprarenal) gland\nBladder\nDiaphragm\nFistula to skin\nGallbladder\nOther segment(s) of colon via serosa", "JUMP:extension_size_ajcc7_xet", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "800", "Other contiguous extension including:\n Kidney\n Liver\n Ureter", "JUMP:extension_size_ajcc7_xet", "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" ] ]
}