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A cancer staging client library
{
"id" : "extension_bfn",
"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 esophagus or to cardia of stomach, and code depth of invasion or extra-esophageal 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.",
"footnotes" : "- For CS Extension codes 100-810 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" : "2015-05-27T16:19:13.467Z",
"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, intrapethelial, 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_xfd", "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_xfd", "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_xfd", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "155", "Tumor confined to muscular wall", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "160", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSEE codes 155 and 165\n\nInvades submucosa", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "165", "Tumor invades through submucosa and muscularis mucosae to involvew mucosa", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "170", "Stated as T1 with no other information on extension", "JUMP:extension_size_ajcc7_xfd", "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_xfd", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "210", "Stated as T2 with no other information on extension", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "250", "Stated as T3 with no other information on extension ", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "270", "Stated as T4 with no other information on extension", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "300", "Localized, NOS", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:L", "VALUE:L" ], [ "400", "Adventitia and/or soft tissue invaded\nEsophagus described as fixed", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "450", "OBSOLETE DATA CONVERTED V0203\nSee code 250\n\nStated as T3, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "560", "Invasion into adventitia with invasion of/through mucosa", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "600", "OBSOLETE DATA RETAINED V0200\nSee codes 610 and 730\n\nTumor invades adjacent structures\nCervical esophagus:\n Blood vessel(s): \n Carotid artery \n Jugular vein \n Subclavian artery \n Thyroid gland \nIntrathoracic, upper or mid-portion, esophagus:\n Blood vessel(s), major:\n Aorta \n Azygos vein \n Pulmonary artery/vein \n Vena cava \n Carina \n Diaphragm \n Main stem bronchus \n Trachea \nIntrathoracic, lower portion (abdominal), esophagus:\n Blood vessel(s): \n Aorta \n Gastric artery/vein \n Vena cava \n Diaphragm, not fixed, or NOS \n Stomach, cardia (via serosa)", "ERROR:", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "610", "Tumor invades adjacent structures:\n For cervical esophagus:\n Hypopharynx\n Jugular vein\n Larynx\n Thyroid gland \n For intrathoracic, upper or mid-portion, esophagus:\n Blood vessel(s), major:\n Azygos vein\n Diaphragm \n For intrathoracic, lower portion (abdominal), esophagus:\n Blood vessel(s), major:\n Gastric artery/vein\n Diaphragm, not fixed;diaphragm, NOS\n Stomach, cardia (via serosa)\n For intrathoracic esophagus, NOS:\n Pleura", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "650", "OBSOLETE DATA RETAINED V0200\nSee codes 610, 680, and 730\n\nCervical esophagus:\n Carina \n Cervical vertebra(e) \n Hypopharynx \n Larynx \n Trachea \nIntrathoracic esophagus:\n Lung via bronchus \n Mediastinal structure(s), NOS\n Pleura\n Rib(s) \n Thoracic vertebra(e)", "ERROR:", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "660", "For thoracic/middle esophagus:\n Pericardium", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:RE", "VALUE:D" ], [ "680", "For cervical/upper esophagus:\n Pleura \nFor abdominal/lower esophagus:\n Diaphragm fixed", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "700", "OBSOLETE DATA CONVERTED V0203\nSee code 270\n\nStated as T4 [NOS]", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "730", "Tumor invades adjacent structures:\nFor cervical esophagus:\n Blood vessel(s), major: \n Carotid artery \n Subclavian artery\n Carina \n Cervical vertebra(e) \n Trachea \nFor intrathoracic, upper or mid-portion, esophagus:\n Blood vessel(s), major:\n Aorta \n Pulmonary artery/vein \n Vena cava \n Carina \n Main stem bronchus \n Trachea \nFor intrathoracic, lower portion (abdominal), esophagus:\n Blood vessel(s), major: \n Aorta \n Vena cava \nFor intrathoracic esophagus, NOS:\n Adjacent Rib(s) \n Lung via bronchus\n Mediastinal structure(s), NOS \n Thoracic vertebra(e)", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:RE", "VALUE:RE" ], [ "740", "730 + 660\n\nAny structure in code 730 involving thoracic/middle esophagus plus pericardium", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:RE", "VALUE:D" ], [ "745", "730 + 680\n\nAny structure in code 730 involving cervical/upper esophagus plus pleura\nOR\nAny structure in code 730 involving abdominal /lower esophagus plus fixation of diaphragm", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "750", "For cervical/upper esophagus:\n Lung\n Main stem bronchus", "JUMP:extension_size_ajcc7_xfd", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "780", "OBSOLETE DATA RETAINED V0200\nSee code 660\n\nThoracic/middle esophagus:\n Pericardium", "ERROR:", "VALUE:NA", "VALUE:RE", "VALUE:D" ], [ "800", "OBSOLETE DATA RETAINED V0200\nSee codes 680 and 750\n\nFurther contiguous extension:\nCervical/upper esophagus:\n Lung\n Main stem bronchus\n Pleura\nAbdominal/lower esophagus:\n Diaphragm fixed", "ERROR:", "VALUE:NA", "VALUE:D", "VALUE:D" ], [ "810", "Further contiguous extension", "JUMP:extension_size_ajcc7_xfd", "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" ] ]
}