Collaborative Stage

Collaborative Stage for TNM 7 - Revised 11/22/2010 [ Schema ]

Vagina

CS Lymph Nodes

Note 1: Code only regional nodes and nodes, NOS, in this field. Distant nodes are coded in CS Mets at DX. For the lower third of vagina, iliac (common, external, internal (hypogastric), and NOS), and pelvic, NOS lymph nodes are coded in CS Mets at DX. For the upper two thirds of vagina, inguinal and femoral lymph nodes are coded in CS Mets at DX.
Note 2: When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and regional lymph node detail are available, record the code with regional lymph node detail in preference to a statement of FIGO stage. FIGO Stage III is assigned based on tumor extension and/or regional lymph node involvement. Code CS Lymph Nodes based on a physician's statement of FIGO Stage III based on regional lymph node involvement or if the basis is not stated.

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 REVIEWED AND CHANGED V0200 The specified nodes are coded to 150 if the primary is in the upper two thirds of the vagina; coded to 425 if unknown if the primary is in the upper two thirds or lower one third; and coded to 20 in CS Mets at DX if the primary is in the lower third. All parts of vagina, regional nodes: Pelvic lymph nodes: Iliac, NOS: Common External Internal (hypogastric) Obturator Middle sacral (promontorial) (Gerota's node)	ERROR	ERROR	ERROR	ERROR
150	Upper two thirds of vagina, regional nodes: Pelvic lymph nodes: Iliac, NOS: Common External Internal (hypogastric) Obturator Middle sacral (promontorial) (Gerota's node)	N1	N1	RN	RN
200	Lower third of vagina, regional nodes: Ipsilateral: Inguinal, NOS: Superficial inguinal (femoral)	N1	N1	D	RN
300	Lower third of vagina, regional nodes: Bilateral: Inguinal, NOS: Superficial inguinal (femoral)	N1	N1	D	RN
400	Upper two-thirds of vagina, regional nodes: Pelvic lymph node(s), NOS	N1	N1	D	RN
425	Unknown whether primary is in upper two-thirds or lower third of vagina: Pelvic lymph nodes: Iliac, NOS: Common External Internal (hypogastric) Obturator Middle sacral (promontorial) (Gerota's node)	N1	N1	RN	RN
430	Unknown whether primary is in upper two-thirds or lower third of vagina: Ipsilateral: Inguinal, NOS: Superficial inguinal (femoral)	N1	N1	RN	RN
450	Unknown whether primary is in upper or lower vagina: Bilateral: Inguinal, NOS: Superficial inguinal (femoral)	N1	N1	RN	RN
475	Unknown whether primary is in upper two-thirds or lower third of vagina: Pelvic lymph nodes, NOS	N1	N1	D	RN
500	OBSOLETE DATA RETAINED AND REVIEWED V0203 See codes 510, 520, 530 Regional lymph node(s), unknown whether primary is in upper or lower vagina Regional lymph node(s), NOS	N1	N1	RN	RN
510	Primary is in upper two-thirds of vagina: Regional lymph node(s), NOS	N1	N1	RN	RN
520	Primary is in lower third of vagina: Regional lymph node(s), NOS	N1	N1	RN	RN
530	Unknown whether primary is in upper two-thirds or lower third of vagina: Regional lymph node(s), NOS	N1	N1	RN	RN
600	FIGO Stage III based on lymph node involvement	N1	N1	RN	RN
620	FIGO Stage III not stated if based on extension or lymph nodes	N1	N1	RN	RN
800	Lymph nodes, NOS	N1	N1	RN	RN
999	Unknown; regional lymph nodes not stated Regional lymph node(s) cannot be assessed Not documented in patient record	NX	NX	U	U