Collaborative Stage Data Set - Revised 08/07/2013 FINAL
CS Site-Specific Factor 2
Pleural/Elastic Layer Invasion (PL) by H and E or Elastic Stain
- Note 1: AJCC Staging Manual 7th Edition includes a standardized and precise definition of pleural/elastic layer invasion (PL). There are four categories:
PL0 - Tumor that is surrounded by lung parenchyma or invades superficially into the pleural connective tissue beneath the elastic layer but falls short of completely traversing the elastic layer of the pleura
PL1 - Tumor that invades beyond the elastic layer
PL2 - Tumor that extends to the surface of the visceral pleura
PL3 - Tumor that invades the parietal pleura
Categories PL1 and PL2 are considered pleural invasion for staging and are classified as at least a T2. PL3 is classified as at least a T3. PL0 is not considered pleural invasion for TNM staging, and the T category is assigned based on other criteria. Other criteria can also raise the T category for PL1-3 tumors.
When pathologists have difficulty assessing the relationship of the tumor to the elastic layer on routine hematoxylin and eosin (H and E) stains, they may perform a special elastic stain to make the determination.
- Note 2: Code results as stated on the pathology report. Code 998 if no histologic examination of pleura to assess pleural layer invasion.
- Note 3: If pleural/elastic layer invasion (PL) is not mentioned on the pathology report, code 999.
- Note 4: An FNA is not a histologic specimen and is not adequate to assess pleural layer invasion. If only an FNA is available, use code 998.
- Note 5: Metastasis to the pleura, that is pleural tumor foci or nodules separate from direct invasion, are coded in CS Mets at DX (code 24).
No evidence of visceral pleural invasion (PL)
Tumor does not completely traverse the elastic layer
Invasion beyond the visceral elastic pleura, but limited to the pulmonary pleura
Tumor extends through the elastic layer
Invasion to the surface of the pulmonary pleura
Tumor extends to the surface of the visceral pleura
Tumor extends to the parietal pleura
|040||Invasion of pleura, NOS|
|888||OBSOLETE DATA CONVERTED V0200|
See code 988
Not applicable for this site
|988||Not applicable: Information not collected for this case|
(May include cases converted from code 888 used in CSv1 for "Not applicable" or when the item was not collected. If this item is required to derive T, N, M, or any stage, use of code 988 may result in an error.)
|998||No histologic examination of pleura to assess pleural layer invasion|
|999||Unknown if PL present|
PL/elastic layer cannot be assessed
Not documented in patient record