Collaborative Stage for TNM 7 - Revised 10/25/2011  [ Schema ]

Lung

CS Extension

CodeDescriptionTNM 7 MapTNM 6 MapSS77 MapSS2000 Map
000In situ, intraepithelial,  noninvasive^*#**
100Tumor confined to one lung
WITHOUT extension or conditions described in codes 200-800
EXCLUDING primary in main stem bronchus
EXCLUDING superficial tumor as described in code 110
^*L**
110Superficial tumor of any size with invasive component limited to bronchial wall, with or without proximal extension to the main stem bronchus^*L**
115Stated as T1a with no other information on extension^*L**
120Stated as T1b with no other information on extension^*L**
125Stated as T1[NOS] with no other information on extension^*L**
200Extension from other parts of lung to main stem  bronchus, NOS
EXCLUDING superficial tumor as described in code 110
Tumor involving main stem bronchus greater than or equal to 2.0 cm from carina (primary in lung or main stem bronchus)
^*L**
210Tumor involving main stem bronchus, NOS
(Distance from carina not stated and no surgery as described in Note 2)
^*L**
220Direct tumor invasion into an adjacent ipsilateral lobe^*L**
230Tumor confined to hilus^*L**
250OBSOLETE DATA CONVERTED V0204
See code 680

Tumor confined to carina
ERROR*ERROR**
300Localized, NOS^*L**
400Atelectasis/obstructive pneumonitis that extends to the hilar region but does not involve the entire lung
Or atelectasis/obstructive pneumonitis, NOS
^*RE**
410Extension to but not into pleura, including invasion of elastic layer
BUT not through the elastic layer.
^*RE**
420Invasion of pleura, including invasion through the elastic layer^*RE**
430Invasion of pleura, NOS^*RE**
440Pulmonary ligament^*RE**
450OBSOLETE DATA RETAINED V0200

Extension to:
    Pleura, visceral or NOS (WITHOUT pleural effusion)
    Pulmonary ligament
ERROR*RE**
455Stated as T2a with no other information on extension^*RE**
460Stated as T2b with no other information on extension^*RE**
465Stated as T2 [NOS] with no other information on size or  extension ^*RE**
500Tumor of/involving main stem bronchus less than 2.0 cm from carina^*L**
520500 + 400^*RE**
530OBSOLETE DATA RETAINED V0200

450 + 500
ERROR*RE**
540500 + any of (410-440)^*RE**
550Atelectasis/obstructive pneumonitis involving entire lung^*RE**
560Parietal pericardium or pericardium, NOS^*RE**
570Stated as T3 with no other information on extension^*RE**
590Invasion of phrenic nerve^*RE**
600Direct extension to:
    Brachial plexus, inferior branches or NOS, from superior sulcus
    Chest (thoracic) wall
    Diaphragm
    Pancoast tumor (superior sulcus syndrome), NOS
    Parietal pleura
Note:  For separate lesion in chest wall or diaphragm, see CS Mets at DX.
^*D**
610Superior sulcus tumor WITH encasement of subclavian vessels
OR WITH unequivocal involvement of superior branches of brachial plexus (C8 or above)
T4*D**
650OBSOLETE DATA RETAINED V0200
Separate tumor nodules reclassified in AJCC 7th Edition, coded in CS SSF 1

Multiple masses/separate tumor nodule(s) in the SAME lobe
"Satellite nodules" in SAME lobe
ERROR*L**
680Tumor confined to carinaT4*L**
700Blood vessel(s), major (EXCEPT aorta and  inferior vena cava, see codes 740 and 770)
    Azygos vein
    Pulmonary artery or vein
    Superior vena cava (SVC syndrome)
Carina from lung/mainstem bronchus
Compression of esophagus or trachea not specified as  direct extension
Esophagus
Mediastinum, extrapulmonary or NOS
Nerve(s):
    Cervical sympathetic (Horner syndrome)
    Recurrent laryngeal (vocal cord paralysis)
    Vagus
Trachea
T4*RE**
705700 + (600 or 610)T4*DD
710Heart
Visceral pericardium
T4*DD
720OBSOLETE DATA RETAINED V0200
Pleural effusion reclassified as distant metastasis in AJCC 7th Edition, see CS Mets at DX code 15


Malignant pleural effusion
Pleural effusion, NOS
ERROR*DD
730Adjacent rib
See also code 785
^*DD
740AortaT4*D**
745740 + 710T4*DD
748740 + 730T4*DD
750Vertebra(e)
Neural foramina
T4*DD
760OBSOLETE DATA RETAINED V0200
Separate pleural tumor foci reclassified as distant metastasis in AJCC 7th Edition, see CS Mets at DX code 24

Pleural tumor foci separate from direct pleural invasion
ERROR*DD
770Inferior vena cavaT4*DD
780OBSOLETE DATA RETAINED V0200

730 plus any of (610-720) or (740-770)
ERROR*DD
785730 + (700 or 710)T4*DD
790OBSOLETE DATA RETAINED V0200
Pericardial effusion reclassified as distant metastasis, see CS Mets at DX code 20

Pericardial effusion, NOS; malignant pericardial effusion
ERROR*DD
795OBSOLETE DATA CONVERTED V0204
See code 810

Stated as T4 with no other information on extension
ERROR*ERRORERROR
800Further contiguous extension
(Except to structures specified in CS Mets at DX codes 23 and 37)
T4*DD
810Stated as T4 with no other information on extensionT4*DD
950No evidence of primary tumor^*#**
980Tumor proven by presence of malignant cells in sputum or bronchial washings but not visualized by imaging or bronchoscopy; "occult" carcinoma^*#**
999Unknown; extension not stated
Primary tumor cannot be assessed
Not documented in patient record
^*#**