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algorithms.eod_public.1.1.tables.extension_baj.json Maven / Gradle / Ivy

{
  "id" : "extension_baj",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "EOD Primary Tumor",
  "title" : "EOD Primary Tumor",
  "notes" : "**Note 1:** Bronchopneumonia is not the same thing as obstructive pneumonitis and should not be coded as such. \n* Bronchopneumonia is an acute inflammation of the walls of the bronchioles, usually a result of spread of infection from the upper to the lower respiratory tract\n* Obstructive pneumonitis is a combination of atelectasis, bronchiectasis with mucous plugging, and parenchymal inflammation that develops distal to an obstructing endobronchial lesion\n\n**Note 2:** Code 100 only applies to predominantly lepidic pattern (AIS) tumors with a small focus of invasion. \n\n**Note 3:** Atelectasis is the failure of the lung to expand (inflate) completely. This may be caused by a blocked airway, a tumor, general anesthesia, pneumonia or other lung infections, lung disease, or long-term bed rest with shallow breathing. Sometimes called a collapsed lung. \n* For staging purposes, atelectasis must present with an obstructing tumor\n\n**Note 4:** Specific information about visceral pleura invasion is captured in codes 450 (PL1 and PL2) and 500 (PL3).  Elastic layer involvement has prognostic significance for lung cancer. \n\n**Note 5:** Penetration of the visceral pleura indicates a progression of invasion, even in small (≤ 3cm) tumors, and indicates a less favorable prognosis. Visceral pleural invasion is considered present both in tumors that extend to the visceral pleural surface (type PL2 invasion), and in tumors that penetrate beyond the elastic layer of the visceral pleura (type PL1 invasion). Further invasion, which extends to the parietal pleura, is also described as type PL3 invasion.\n\n**Note 6:** Separate ipsilateral tumor nodules of the same histopathological type (intrapulmonary metastases) are coded either 500 (same lobe) or 700 (different ipsilateral lobe). Separate tumor nodules in the contralateral lung are assigned in EOD Mets.\n\n**Note 7:** Occult carcinoma occurs when tumor is proven by the presence of malignant cells or bronchial washings, but there is no other evidence of the tumor. In these cases, assign EOD Primary Tumor 980, EOD Regional Nodes 000, and EOD Mets 00.",
  "footnotes" : "(1) Fritz AG, Ries LAG (eds). **SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998)**, National Cancer Institute, NIH Pub. No. 98-2313, Bethesda, MD, 1998\n\n(2) Young JL Jr, Roffers SD, Ries LAG, Fritz AG, Hurlbut AA (eds.). **SEER Summary Staging Manual-2000: Codes and Coding Instructions**, National Cancer Institute, NIH Pub. No. 01-4969, Bethesda, MD, 2001.\n\n(3) Collaborative Stage Work Group of the American Joint Committee on Cancer. **Collaborative Stage Data Collection System User Documentation and Coding Instructions, version 02.05**. American Joint Committee on Cancer (Chicago, IL)\n\n(4) Gress, D.M., Edge, S.B., Gershenwald, J.E., et al. **Principles of Cancer Staging**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 3-30\n\n(5) Rami-Porta, R., Asamura, H., Travis, W.D., Rusch, V.W. **Lung**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 431-456",
  "last_modified" : "2018-04-19T21:51:25.416Z",
  "definition" : [ {
    "key" : "eod_primary_tumor",
    "name" : "Code",
    "type" : "INPUT"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  }, {
    "key" : "eod_2018_t",
    "name" : "EOD 2018 T",
    "type" : "ENDPOINT"
  }, {
    "key" : "ss2018_t",
    "name" : "SS2018 T",
    "type" : "ENDPOINT"
  } ],
  "rows" : [ [ "000", "In situ, Noninvasive, intraepithelial\n\nSquamous cell carcinoma in situ (SCIS) \n\nAdenocarcinoma in situ (AIS): adenocarcinoma with pure lepidic pattern,\nless than or equal to 3 cm in greatest dimension", "VALUE:Tis", "VALUE:IS" ], [ "100", "Minimally invasive adenocarcinoma\n- Adenocarcinoma tumor \n  + WITH predominantly lepidic pattern (AIS) measuring less than or equal to 3 cm in greatest dimension\n  + WITH invasive component measuring less than or equal to 5 mm in greatest dimension", "VALUE:T1mi", "VALUE:L" ], [ "200", "Superficial spreading tumor, any size \n- WITH invasive component limited to bronchial wall\n- WITH or WITHOUT proximal extension to main stem bronchus\n(these types of tumors are uncommon)", "VALUE:T1a", "VALUE:L" ], [ "300", "Any size tumor\n- Confined to lung, NOS\n- Localized, NOS", "JUMP:tumor_size_with_primary_tumor_for_ajcc_t_36016", "VALUE:L" ], [ "400", "Any size tumor\n- Adjacent ipsilateral lobe (direct tumor invasion)\n- Confined to hilus\n- Main stem bronchus, NOS (without involvement of the carina)\n  + Including extension from other part of lung", "JUMP:tumor_size_with_primary_tumor_for_ajcc_t_36016", "VALUE:L" ], [ "450", "Any size tumor\n- Atelectasis/obstructive pneumonitis\n  + Extends to hilar region, involving part or all of lung\n- Pleura, NOS\n- Pulmonary ligament\n- Visceral pleura (PL1 or PL2)", "JUMP:tumor_size_with_primary_tumor_for_ajcc_t_36016", "VALUE:RE" ], [ "500", "Any size tumor\n- Brachial plexus, inferior branches or NOS\n- Chest wall (thoracic wall) (separate lesion-see EOD Mets)\n- Pancoast tumor (superior sulcus syndrome), NOS\n- Parietal pericardium\n- Parietal pleura (PL3)\n- Pericardium, NOS\n- Phrenic nerve\n\nSeparate tumor nodule(s) in the same lobe as the primary", "JUMP:tumor_size_with_primary_tumor_for_ajcc_t_36016", "VALUE:RE" ], [ "550", "Any size tumor \n- Adjacent rib\n- Rib\n- Skeletal muscle\n- Sternum", "JUMP:tumor_size_with_primary_tumor_for_ajcc_t_36016", "VALUE:D" ], [ "600", "Tumor limited to the carina", "VALUE:T4", "VALUE:L" ], [ "650", "Blood vessel(s) (major)\n- Aorta\n- Azygos vein\n- Pulmonary artery or vein\n- Superior vena cava (SVC syndrome)\n\nCarina from lung\nCompression of esophagus or trachea not specified as direct extension\nEsophagus\nMediastinum, extrapulmonary or NOS\nNerve(s)\n- Cervical sympathetic (Horner’s syndrome)\n- Recurrent laryngeal (vocal cord paralysis)\n- Vagus\n\nTrachea", "VALUE:T4", "VALUE:RE" ], [ "700", "Heart\nInferior vena cava\nNeural foramina\nVertebra(e) (vertebral body)\nVisceral pericardium \n\nSeparate tumor nodule(s) in a different ipsilateral lobe \n\nFurther contiguous extension", "VALUE:T4", "VALUE:D" ], [ "800", "No evidence of primary tumor", "VALUE:T0", "VALUE:U" ], [ "980", "Tumor proven by presence of malignant cells in sputum or bronchial \nwashings but not visualized by imaging or bronchoscopy; \"occult\" carcinoma", "VALUE:TX", "VALUE:U" ], [ "999", "Unknown; extension not stated\nPrimary tumor cannot be assessed\nNot documented in patient record\n\nDeath Certificate Only", "VALUE:TX", "VALUE:U" ] ]
}