Collaborative Stage

Collaborative Stage for TNM 7 - Revised 11/08/2010 [ Schema ]

Vulva

CS Extension

Note 1: When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and extension detail are available, record the code with extension detail in preference to a statement of FIGO stage. FIGO Stage IVA is assigned based on tumor extension and/or regional lymph node involvement. Code CS Extension based on a physician's statement of FIGO Stage IVA if it is based on tumor extension or the basis is unknown.
Note 2: FIGO no longer includes Stage 0 (Tis) for this site.
Note 3: FIGO Stage I, IA and IB are defined by size of tumor, involvement of vulva OR vulva and perineum, and depth of stromal invasion.
Note 4: The depth of invasion is defined as the measurement of the tumor from the epithelial-stromal junction of the adjacent most superficial dermal papilla to the deepest point of invasion.
Note 5: Use codes 110, and 120 in preference to 125 and 125 in preference to code 200.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
000	In situ, intraepidermal, intraepithelial, preinvasive, noninvasive Bowen disease	Tis	Tis	IS	IS
100	OBSOLETE DATA CONVERTED V0203 See code 200 Invasive cancer (no stromal invasion) confined to: Musculature Submucosa Vulva including skin	ERROR	ERROR	ERROR	ERROR
105	OBSOLETE DATA CONVERTED V0203 See code 125 Vulva only: Stromal invasion but level of invasion in mm not stated	ERROR	ERROR	ERROR	ERROR
110	Vulva only: Stromal invasion less than or equal to 1 mm	^	*	L	L
120	Vulva only: Stromal invasion greater than 1 mm	T1b	*	L	L
125	Vulva only: Stromal invasion but depth of invasion in mm not stated	^	*	L	L
200	Invasive carcinoma confined to: Musculature Submucosa Vulva including skin	^	*	L	L
300	Localized, NOS	^	*	L	L
320	OBSOLETE DATA CONVERTED V0203 See code 470 FIGO Stage I [NOS]	ERROR	ERROR	ERROR	ERROR
330	OBSOLETE DATA CONVERTED V0203 See code 450 FIGO Stage IA	ERROR	ERROR	ERROR	ERROR
340	OBSOLETE DATA CONVERTED V0203 See code 460 FIGO Stage IB	ERROR	ERROR	ERROR	ERROR
400	OBSOLETE DATA CONVERTED V0203 See code 425 Vulva and perineum, level of invasion in mm not stated	ERROR	ERROR	ERROR	ERROR
410	Vulva and perineum: Stromal invasion less than or equal to 1 mm	^	*	RE	RE
420	Vulva and perineum: Stromal invasion greater than 1 mm	T1b	*	RE	RE
425	Vulva and perineum: Stromal invasion but depth of invasion in millimeters not stated	^	*	RE	RE
450	FIGO Stage IA	^	*	L	L
460	FIGO Stage IB	T1b	*	L	L
470	FIGO Stage I [NOS]	^	*	L	L
600	OBSOLETE DATA RETAINED V0200 Anus Perianal skin Urethra (See code 750 for upper urethral mucosa) Vagina FIGO Stage III	ERROR	T3	RE	RE
605	Anus Perianal skin Urethra: Lower/distal one-third Urethra, NOS (See code 750 for upper urethra)	T2	T3	RE	RE
610	Vagina (lower/distal 1/3 vagina)	T2	T3	RE	RE
612	Vagina NOS	T2	T3	RE	RE
615	FIGO Stage II	T2	T2	RE	RE
618	Vagina: Upper/proximal two-thirds	T3	T3	RE	RE
620	Bladder wall or bladder, NOS excluding mucosa Rectal wall or rectum, NOS excluding mucosa	T3	T3	D	RE
700	Perineal body Rectal mucosa	T3	T4	D	D
750	OBSOLETE DATA RETAINED V0200 Bladder mucosa Fixed to pubic bone Upper urethral mucosa FIGO Stage IVA	ERROR	T4	D	RE
760	Bladder mucosa Fixed to pubic bone Urethra Upper/proximal two-thirds	T3	T4	D	D
800	Further contiguous extension	T3	T4	D	D
850	FIGO Stage IVA based on extension or unknown whether based on extension or nodes	T3	T4	D	D
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

^ For CS Extension codes 110, 125-410, 425-450, and 470 ONLY, the T category for AJCC 7 staging is assigned based on the value of CS Tumor Size and CS Extension, as shown in the Extension Size AJCC 7 Table for this schema.
* For CS Extension codes 110-470 ONLY, the T category for AJCC 6 staging is assigned based on the value of CS Tumor Size and CS Extension, as shown in the Extension Size AJCC 6 Table for this schema.