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{
  "id" : "prostate_path_extension_70758",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "Prostate Path Extension",
  "title" : "Prostate Pathological Extension",
  "notes" : "**Note 1:** Only use histologic information from prostatectomy, including simple prostatectomy with negative margins, and autopsy in this field.  Information from biopsy of extraprostatic sites is coded in EOD Primary Tumor.\n\n**Note 2:** Code 900 if there is no prostatectomy performed within the first course of treatment.\n\n**Note 3:** Limit information in this field to first course of treatment in the absence of disease progression. \n\n**Note 4:** When prostate cancer is an incidental finding during a prostatectomy for other reasons (for example, a cystoprostatectomy for bladder cancer), use the appropriate code for the extent of disease found. \n\n**Note 5:** Involvement of the prostatic urethra does not alter the extension code. \n\n**Note 6:** \"Frozen pelvis\" is a clinical term which means tumor extends to pelvic sidewall(s).  In the absence of a more detailed statement of involvement, assign this to code 700.",
  "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) Buyyounouski, M.K., Lin, D.W., et al. **Prostate**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 715-726",
  "last_modified" : "2018-04-19T21:51:25.504Z",
  "definition" : [ {
    "key" : "prostate_path_extension",
    "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", "VALUE:88", "VALUE:IS" ], [ "250", "Invasion into (but not beyond) prostatic capsule\n\nIntracapsular involvement only\nNo extracapsular extension", "VALUE:T2", "VALUE:L" ], [ "300", "Confined to prostate, NOS \nLocalized, NOS", "VALUE:T2", "VALUE:L" ], [ "350", "Bladder neck, microscopic invasion\n\nExtraprostatic extension (beyond prostatic capsule), unilateral, bilateral, or NOS\nWITHOUT invasion of the seminal vesicles\n\nExtension to periprostatic tissue WITHOUT invasion of the seminal vesicles", "VALUE:T3a", "VALUE:RE" ], [ "400", "Tumor invades seminal vesicle(s)", "VALUE:T3b", "VALUE:RE" ], [ "500", "Extraprostatic tumor that is not fixed \nWITHOUT invasion of adjacent structures\n\nPeriprostatic extension, NOS (unknown if seminal vesicle(s) involved)\n\nExtraprostatic extension, NOS (unknown if seminal vesicle(s) involved)\n\nThrough capsule, NOS", "VALUE:T3", "VALUE:RE" ], [ "600", "Bladder neck, except microscopic bladder neck involvement \nBladder, NOS\nExternal sphincter\nExtraprostatic urethra (membranous urethra)\nFixation, NOS\nLevator muscles\nRectovesical (Denonvillier's) fascia\nRectum\nSkeletal muscle\nUreter(s)", "VALUE:T4", "VALUE:RE" ], [ "700", "Extension to or fixation to pelvic wall or pelvic bone\n\"Frozen pelvis\", NOS \n\nFurther contiguous extension including\n- Bone\n- Other organs\n- Penis\n- Sigmoid colon\n- Soft tissue other than periprostatic", "VALUE:T4", "VALUE:D" ], [ "800", "No evidence of primary tumor", "VALUE:T0", "VALUE:U" ], [ "900", "No prostatectomy or autopsy performed", "VALUE:TX", "VALUE:U" ], [ "950", "Prostatectomy performed, but not first course of treatment \nfor example performed after disease progression", "VALUE:TX", "VALUE:U" ], [ "999", "Unknown; extension not stated\nUnknown if prostatectomy done\nPrimary tumor cannot be assessed\nNot documented in patient record", "VALUE:TX", "VALUE:U" ] ]
}




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