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A cancer staging client library
{
"id" : "extension_bfi",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "Extension",
"title" : "CS Extension",
"notes" : "**Note 1**: AJCC does not include a Tis category for Neuroendocrine Tumors (NET) of the colon. CS Extension code 000 is mapped to TX for AJCC 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 the T1 categories for NETs of the colon/rectum is based on tumor size. A physician's statement of the T category may be used to code both 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,. Use codes 170, 180, 190, 210, 410, and 810 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 300 for localized tumor only if no information is available to assign a more specific code.\n\n**Note 5**: 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 adhesions upon microscopic examination, use lower codes to describe the microscopically confirmed depth of tumor invasion for these cases.",
"footnotes" : "- For CS Extension codes 100-190 and 300 ONLY, the T category for AJCC7 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" : "2015-05-27T16:19:13.178Z",
"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:Tis", "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:Tis", "VALUE:IS", "VALUE:IS" ], [ "100", "Invasive tumor confined to mucosa, NOS including intramucosal, NOS", "JUMP:extension_size_ajcc7_xkg", "VALUE:Tis", "VALUE:L", "VALUE:L" ], [ "110", "Invades lamina propria, including lamina propria in the stalk of a polyp", "JUMP:extension_size_ajcc7_xkg", "VALUE:Tis", "VALUE:L", "VALUE:L" ], [ "120", "Confined to and not through the muscularis mucosae, including muscularis mucosae in the stalk of a polyp.", "JUMP:extension_size_ajcc7_xkg", "VALUE:Tis", "VALUE:L", "VALUE:L" ], [ "130", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 110, 120, 160\n\nConfined to head of polyp, NOS", "JUMP:extension_size_ajcc7_xkg", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "140", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 110, 120, 160\n\nConfined to stalk of polyp, NOS", "JUMP:extension_size_ajcc7_xkg", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "150", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 110, 120, 160\n\nInvasive tumor in polyp, NOS", "JUMP:extension_size_ajcc7_xkg", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "160", "Invades submucosa (superficial invasion), including submucosa in the stalk of a polyp", "JUMP:extension_size_ajcc7_xkg", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "170", "Stated as T1a with no other information on extension", "JUMP:extension_size_ajcc7_xkg", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "180", "Stated as T1b with no other information on extension", "JUMP:extension_size_ajcc7_xkg", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "190", "Stated as T1 [NOS] with no other information on extension", "JUMP:extension_size_ajcc7_xkg", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "200", "Muscularis propria invaded", "VALUE:T2", "VALUE:T2", "VALUE:L", "VALUE:L" ], [ "210", "Stated as T2 with no other information on extension", "VALUE:T2", "VALUE:T2", "VALUE:L", "VALUE:L" ], [ "300", "Localized, NOS \nConfined to colon, NOS", "JUMP:extension_size_ajcc7_xkg", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "400", "Extension through wall, NOS\nThrough muscularis propria or muscularis, NOS\nNon-peritonealized pericolic tissues invaded\nPerimuscular tissue invaded\nSubserosal tissue/(sub)serosal fat invaded\nTransmural, NOS", "VALUE:T3", "VALUE:T3", "VALUE:L", "VALUE:L" ], [ "410", "Stated as T3 with no other information on extension", "VALUE:T3", "VALUE:T3", "VALUE:L", "VALUE:L" ], [ "420", "OBSOLETE DATA CONVERTED V0203\nSee code 458\n\nFat, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "450", "Extension to:\n All colon sites:\n Adjacent tissue(s), NOS\n Connective tissue\n Mesenteric fat\n Mesentery \n Mesocolon\n Pericolic fat\n Ascending and descending colon:\n Retroperitoneal fat \n Transverse colon/flexures:\n Gastrocolic ligament\n Greater omentum", "VALUE:T3", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "458", "Fat, NOS", "VALUE:T3", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "460", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee Note 5, code 570\n\nAdherent to other organs or structures, but no microscopic tumor found in adhesion(s)", "VALUE:T3", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "490", "OBSOLETE DATA CONVERTED V0203\nSee code 810\n\nStated as T4, NOS with no other information on extension", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "500", "Invasion of/through serosa (mesothelium) (visceral peritoneum)", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "550", "500 + (450, 458)\n\nInvasion of/through serosa with extension to tissues listed in code 450 or to fat", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "570", "Adherent to other organs or structures, NOS", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "600", "All colon sites:\n Small intestine\nCecum:\n Greater omentum\nAscending colon:\n Greater omentum\n Liver, right lobe\nTransverse colon and flexures:\n Gallbladder/bile ducts\n Kidney\n Liver\n Pancreas\n Spleen\n Stomach\nDescending colon:\n Greater omentum\n Pelvic wall\n Spleen\nSigmoid colon:\n Greater omentum\n Pelvic wall", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "650", "All colon sites:\n Abdominal wall \n Retroperitoneum (excluding fat) ", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "660", "Ascending colon:\n Right kidney\n Right ureter\nDescending colon:\n Left kidney\n Left ureter", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "700", "Cecum, ascending, descending and sigmoid colon:\n Fallopian tube\n Ovary\n Uterus", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "750", "All colon sites unless otherwise stated above:\n Adrenal (suprarenal) gland\n Bladder\n Diaphragm\n Fistula to skin\n Gallbladder\n Other segment(s) of colon via serosa", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "800", "Further contiguous extension:\n Cecum:\n Kidney\n Liver\n Ureter\n Transverse colon and flexures:\n Ureter\n Sigmoid colon:\n Cul de sac (rectouterine pouch)\n Ureter\nOther contiguous extension", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "810", "Stated as T4 with no other information on extension", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "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" ] ]
}