Collaborative Stage

Collaborative Stage for TNM 7 - Revised 11/20/2010 [ Schema ]

Anus

CS Lymph Nodes

Note 1: Code only regional nodes and nodes, NOS in this field. Distant nodes are coded in CS Mets at DX.
Note 2: Use codes for anal canal unless tumor is stated to occur at the anus, arising just proximal to the squamous mucocutaneous junction or the anal verge.
Note 3: For codes 400 and 405, the combination of unilateral internal iliac nodes and unilateral inguinal nodes must be on the same side. Use code 530 for bilateral combinations of internal iliac nodes and inguinal nodes.
Note 4: Use codes for internal iliac nodes for combinations of perirectal and internal iliac nodes. Use codes 415, 425, and 440 for combinations of perirectal and superficial inguinal nodes.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
000	No regional lymph node involvement	N0	N0	NONE	NONE
100	OBSOLETE DATA RETAINED AND REVIEWED V0203 See codes 110, 120, 130, and 140 Unilateral and bilateral: For all subsites: Anorectal Inferior hemorrhoidal Lateral sacral (laterosacral) Perirectal Stated as N1 with no other information on regional lymph nodes	N1	N1	RN	RN
110	For anal canal: Unilateral or bilateral: Anorectal Inferior hemorrhoidal Lateral sacral (laterosacral) Perirectal	N1	N1	RN	RN
120	For anus: Unilateral or bilateral: Anorectal Inferior hemorrhoidal Perirectal	N1	N1	RN	RN
130	For anus: Unilateral or bilateral: Lateral sacral (laterosacral)	N1	N1	D	RN
140	Stated as N1 with no other information on regional lymph nodes	N1	N1	RN	RN
200	For anal canal: Unilateral: Internal iliac (hypogastric): Obturator	N2	N2	RN	RN
210	OBSOLETE DATA CONVERTED V0203 See code 330 Unilateral: For anus: Internal iliac (hypogastric): Obturator	ERROR	ERROR	ERROR	ERROR
300	For anal canal: Unilateral: Superficial inguinal (femoral))	N2	N2	D	RN
310	For anus: Unilateral: Superficial inguinal (femoral)	N2	N2	RN	RN
330	For anus: Unilateral: Internal iliac (hypogastric): Obturator	N2	N2	RN	RN
350	Stated as N2 with no other information on regional lymph nodes	N2	N2	RN	RN
400	300 + 200 For anal canal: Nodes in 300 plus nodes in 200	N2	N2	D	RN
405	330 + 310 For anus: Nodes in 330 plus nodes in 310	N2	N2	D	RN
410	OBSOLETE DATA RETAINED AND REVIEWED V0203 See code 415 100 + 300	N3	N3	D	RN
415	300 + 110 For anal canal: Nodes in 300 plus nodes in 110	N3	N3	D	RN
420	OBSOLETE DATA RETAINED AND REVIEWED V0203 See codes 425, 440 100 + 310	N3	N3	RN	RN
425	310 + 120 For anus: Nodes in 310 plus nodes in 120	N3	N3	D	RN
440	310 + 130 For anus: Nodes in 310 plus nodes in 130	N3	N3	D	RN
470	For anal canal: Bilateral: Internal iliac (hypogastric): Obturator	N3	N3	D	RN
490	For anus: Bilateral: Superficial inguinal (femoral)	N3	N3	D	RN
500	OBSOLETE DATA RETAINED AND REVIEWED V0203 See codes 470, 515 Bilateral: For anal canal: Internal iliac (hypogastric) Obturator Superficial inguinal (femoral)	N3	N3	RN	RN
510	OBSOLETE DATA RETAINED AND REVIEWED V0203 See codes 490, 520 Bilateral: For anus: Internal iliac (hypogastric) Obturator Superficial inguinal (femoral)	N3	N3	D	RN
515	For anal canal: Bilateral: Superficial inguinal (femoral)	N3	N3	D	RN
520	For anus: Bilateral: Internal iliac (hypogastric) Obturator	N3	N3	D	RN
530	For all subsites: Bilateral: Internal iliac (hypogastric): Obturator AND Superficial inguinal (femoral)	N3	N3	D	D
550	Stated as N3 with no other information on regional lymph nodes	N3	N3	RN	RN
600	Regional lymph node(s), NOS	N1	N1	RN	RN
800	Lymph nodes, NOS	N1	N1	RN	RN
999	Unknown; regional lymph nodes not stated Regional lymph nodes cannot be assessed Not documented in patient record	NX	NX	U	U