Collaborative Stage for TNM 7 - Revised 11/13/2010  [ Schema ]

Colon

CS Mets at DX

CodeDescriptionTNM 7 MapTNM 6 MapSS77 MapSS2000 Map
00No distant metastasisM0M0NONENONE
08Metastasis limited to a single distant lymph node chain:
For cecum, ascending, hepatic flexure and transverse colon:
    Superior mesentric lymph nodes only		M1aM1RND
10OBSOLETE DATA RETAINED V0200
See codes 15 and 25

Distant lymph node(s) other than code 08
For all colon sites:
    Common iliac
    Distant lymph node(s), NOS
    External iliac
    Para-aortic
    Retroperitoneal
For cecum,
appendix,
ascending
colon,
transverse colon,
and hepatic flexure;
    Inferior mesenteric
For splenic flexure,
descending colon, and
sigmoid colon:
    Superior mesenteric		ERRORM1DD
15OBSOLETE DATA CONVERTED V0203
See code 16

Metastasis to a single distant lymph node chain other than code 08
For all colon sites:
    Common iliac
    Distant lymph node(s), NOS
    External iliac
    Para-aortic
    Retroperitoneal
For cecum, ascending colon, transverse colon, and hepatic flexure:
    Inferior mesenteric
For splenic flexure, descending colon, and sigmoid colon:
    Superior mesenteric		ERRORERRORERRORERROR
16Metastasis limited to a single distant lymph node chain:     For all colon sites:
        Common iliac
        Distant lymph node(s), NOS
        External iliac
        Para-aortic
        Retroperitoneal
    For cecum, ascending colon, transverse colon, and hepatic flexure:
        Inferior mesenteric
    For splenic flexure, descending colon, and sigmoid colon:
        Superior mesenteric		M1aM1DD
18Metastasis limited to a single distant lymph node chain, NOSM1aM1RND
20OBSOLETE DATA CONVERTED V0203
See code 26

Metastasis to a single distant organ		ERRORERRORERRORERROR
22OBSOLETE DATA CONVERTED V0203
See code 27

Stated as M1a with no other information on distant metastases		ERRORERRORERRORERROR
25OBSOLETE DATA CONVERTED V0203
See code 31

Metastasis to more than one distant lymph node chain other than code 08
For all colon sites:
    Common iliac
    Distant lymph node(s), NOS
    External iliac
    Para-aortic
    Retroperitoneal
For cecum, ascending colon, transverse colon, and hepatic flexure:
    Inferior mesenteric
   Superior mesenteric
For splenic flexure, descending colon, and sigmoid colon:
    Superior mesenteric		ERRORERRORERRORERROR
26Metastasis limited to a single distant organ except peritoneumM1aM1DD
27Stated as M1a with no other information on distant metastasisM1aM1DD
29Metastases to multiple distant lymph node chains included in code 08 onlyM1bM1DD
30OBSOLETE DATA CONVERTED V0203
See code 36

Metastases to more than one distant organ
Metastases to the peritoneum
Carcinomatosis		ERRORERRORERRORERROR
31Metastases to multiple distant lymph node chains listed in code 16, with or without distant lymph node chains listed in code 08M1bM1DD
33Metastases to multiple distant lymph node chains, NOSM1bM1DD
35OBSOLETE DATA CONVERTED V0203
See code 45

(08 or 15 or 25) PLUS (20 or 30)
Distant lymph nodes plus other distant metastases		ERRORERRORERRORERROR
36Metastases to more than one distant organ except distant lymph node(s)
Metastasis to peritoneum
Carcinomatosis		M1bM1DD
38OBSOLETE DATA CONVERTED V0203
See code 48

Stated as M1b with no other information on distant metastases		ERRORERRORERRORERROR
40OBSOLETE DATA RETAINED V0200
See codes 20, 30 and 60

Distant metastases except distant lymph node(s)(codes 08-10)
Carcinomatosis		ERRORM1DD
45(26 or 36) + any of (08, 16, 18,  29, 30, or 31)

Metastases to distant organs plus distant nodes		M1bM1DD
48Statged as M1b with no other information on distant metastasisM1bM1DD
50OBSOLETE DATA RETAINED V0200
See code 35

(40) + ((08) or (10))
Distant lymph node(s) plus other distant metastases		ERRORM1DD
60Distant metastasis, NOS

Stated as M1 [NOS] with no other information on distant metastases		M1NOSM1DD
99Unknown; distant metastasis not stated
Distant metastasis cannot be assessed
Not documented in patient record		M0MXUU