Collaborative Stage

Collaborative Stage for TNM 7 - Revised 11/09/2010 [ Schema ]

SinusEthmoid

CS Extension

Note 1: Involvement of or extension to bone includes any type of tumor extension to the bone, such as erosion, invasion, extension, penetration, or destruction.
Note 2: Extension to structures in codes 400 and higher may be from one or both ethmoid sinuses.
Note 3: In code 700, "minimal extension to anterior cranial fossa" implies tumor pushing through cribriform plate, but without invasion of the dura or brain.
Note 4: Code Base of skull NOS only if no information available to code to more specific bony structures in skull.
Note 5: Use code 300 for localized tumor only if no information is available to assign codes 100, 120, 160, or 315.
Note 6: Use code 315 410, 680, 725, 810, or 815 if the physician's assignment of T category is the only information available about the extent of the tumor.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
000	In situ, intraepithelial, noninvasive	Tis	Tis	IS	IS
120	Invasive tumor confined to left or right ethmoid sinus WITHOUT bony involvement	T1	T1	L	L
140	OBSOLETE DATA CONVERTED V0200 See code 320 Confined to both ethmoid sinuses without bone involvement	ERROR	ERROR	ERROR	ERROR
160	Confined to ethmoid sinus, NOS WITHOUT bony involvement	T1	T1	L	L
220	Invasive tumor confined to either left or right ethmoid WITH bony invasion (involvement of perpendicular plate of ethmoid bone or ethmoid air cells)	T1	T1	L	L
240	OBSOLETE DATA CONVERTED V0200 See code 340 Confined to both ethmoid sinuses WITH bony invasion (involvement of perpendicular plate of ethmoid bone or ethmoid air cells)	ERROR	ERROR	ERROR	ERROR
260	Confined to ethmoid sinus, NOS WITH bony invasion (involvement of perpendicular plate of ethmoid bone or ethmoid air cells)	T1	T1	L	L
300	Localized, NOS	T1	T1	L	L
315	Stated as T1 with no other information on extension	T1	T1	L	L
320	Confined to both ethmoid sinuses WITHOUT bony involvement	T2	T2	RE	RE
340	Confined to both ethmoid sinuses WITH bony invasion (involvement of perpendicular plate of ethmoid bone or ethmoid air cells)	T2	T2	RE	RE
400	Extension to nasal cavity with or without bony invasion (Involvement of perpendicular plate of ethmoid bone or ethmoid air cells): Floor Lateral wall Nasal vestibule Nasal cavity, NOS Septum Turbinates	T2	T2	RE	RE
410	Stated as T2 with no other information on extension	T2	T2	RE	RE
620	Base of skull, NOS	T3	T3	RE	RE
630	Cribriform plate	T3	T3	RE	RE
640	Medial wall or floor of orbit Orbital plate	T3	T3	RE	RE
650	Maxillary sinus	T3	T3	RE	RE
660	Hard palate	T3	T3	D	D
680	Stated as T3 with no other information on extension	T3	T3	RE	RE
700	Anterior orbital contents Skin of nose Skin of cheek Anterior cranial fossa (minimal extension) (see Note 3) Pterygoid plates Sphenoid sinus Frontal sinus	T4a	T4a	RE	RE
720	700 + 660 (Any structure in code 700 plus hard palate)	T4a	T4a	D	D
725	Stated as T4a with no other information on extension	T4a	T4a	RE	RE
760	Orbital apex Dura Brain Middle cranial fossa Cranial nerves (other than V2, maxillary division of trigeminal nerve) Nasopharynx Clivus	T4b	T4b	RE	RE
780	760 + 660 (Any structure in code 760 plus palate)	T4b	T4b	D	D
800	Further contiguous extension	T4b	T4b	D	D
810	Stated as T4b with no other information on extension	T4b	T4b	D	D
815	Stated as T4 [NOS] with no other information on extension	T4NOS	T4NOS	RE	RE
950	No evidence of primary tumor	T0	T0	U	U
999	Unknown; extension not stated Primary tumor cannot be assessed Not documented in patient record	TX	TX	U	U