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A cancer staging client library
{
"id" : "extension_bfj",
"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 rectum/rectosigmoid. CS Extension code 000 is mapped to TX for AJCC stage and in situ Summary Stage.\n\n**Note 2**: For rectosigmoid, ignore intraluminal extension to adjacent segment(s) of colon and rectum; code depth of invasion or rectosigmoidal 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 code 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 CSExtension codes 000-190 and 300 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" : "2015-05-27T16:19:13.234Z",
"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_xkh", "VALUE:Tis", "VALUE:L", "VALUE:L" ], [ "110", "Invades lamina propria, including lamina propria in the stalk of a polyp", "JUMP:extension_size_ajcc7_xkh", "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_xkh", "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_xkh", "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_xkh", "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_xkh", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "160", "Submucosa (superficial invasion), including submucosa in the stalk of a polyp", "JUMP:extension_size_ajcc7_xkh", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "165", "For rectum:\n Intraluminal extension to rectosigmoid\n Intraluminal extension to anal canal/anus", "JUMP:extension_size_ajcc7_xkh", "VALUE:T1", "VALUE:RE", "VALUE:L" ], [ "170", "Stated as T1a with no other information on extension", "JUMP:extension_size_ajcc7_xkh", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "180", "Stated as T1b with no other information on extension", "JUMP:extension_size_ajcc7_xkh", "VALUE:T1", "VALUE:L", "VALUE:L" ], [ "190", "Stated as T1 [NOS] with no other information on extension", "JUMP:extension_size_ajcc7_xkh", "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 rectum, NOS", "JUMP:extension_size_ajcc7_xkh", "VALUE:T1", "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", "VALUE:T3", "VALUE:T3", "VALUE:L", "VALUE:L" ], [ "405", "(200 or 400) +165", "VALUE:T3", "VALUE:T3", "VALUE:RE", "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", "OBSOLETE DATA RETAINED AND REVIEWED V0203 \nSee codes 165, 405, 455, and 610\n\nAdjacent (connective) tissue:\n For all sites:\n Perirectal fat\n For rectosigmoid:\n Mesentery (including mesenteric fat, mesocolon)\n Pericolic fat\n For rectum:\n Extension to anus\n Rectovaginal septum", "VALUE:T3", "VALUE:T3", "VALUE:RE", "VALUE:RE" ], [ "455", "Adjacent (connective) tissue:\n For all sites:\n Perirectal fat\n For rectosigmoid:\n Mesentery (including mesenteric fat, mesocolon)\n Pericolic fat\n For rectum:\n Rectovaginal septum", "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", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee codes 555, 610\n\n(500) with [(420 or (450)]", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "555", "500 + (165, 405, 455, or 458)", "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", "OBSOLETE DATA CONVERTED V0203\nSee code 610\n\nRectosigmoid:\n Cul de sac (rectouterine pouch)\n Pelvic wall\n Small intestine\nRectum:\n Bladder for males only\n Cul de sac (rectouterine pouch)\n Ductus deferens\n Pelvic wall\n Prostate\n Rectovesical fascia for male only\n Seminal vesicle(s)\n Skeletal muscle of pelvic floor\n Vagina", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "610", "For all sites:\n Cul de sac (rectouterine pouch)\n Pelvic wall\nFor rectosigmoid:\n Pelvic plexuses\n Small intestine\nFor rectum:\n Anus (excluding intraluminal extension)\n Bladder for males only\n Ductus deferens\n Prostate\n Rectovesical fascia for males only\n Seminal vesicle(s)\n Skeletal muscle of pelvic floor\n Vagina", "VALUE:T4", "VALUE:T4", "VALUE:RE", "VALUE:RE" ], [ "700", "For rectosigmoid:\n Bladder\n Colon via serosa\n Fallopian tube(s)\n Ovary(ies)\n Prostate\n Ureter(s)\n Uterus\nFor rectum:\n Bladder for females only\n Bone(s) of pelvis\n Urethra\n Uterus", "VALUE:T4", "VALUE:T4", "VALUE:D", "VALUE:D" ], [ "800", "Further contiguous extension including:\n For all sites:\n Other segments of colon via serosa\n For rectosigmoid:\n Skeletal muscles of pelvic floor\n Vagina\n For rectum:\n Sacral plexus\n Sacrum\n Ovary(ies)\n Perineum, perianal skin", "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" ] ]
}