Collaborative Stage

Collaborative Stage for TNM 7 - Revised 05/12/2011 [ Schema ]

Stomach

CS Extension

Note 1: Intraluminal or intramural extension to esophagus and duodenum is classified by the depth of greatest invasion in any of these sites, including stomach. (For extension to esophagus or duodenum via serosa, see code 600.)
Note 2: If the diagnosis states linitis plastica and no other information regarding extension is available, use code 350. Linitis plastic is defined as diffuse involvement of the entire thickness of the stomach wall.
Note 3: Codes 610, 650, and 700 are for contiguous extension from the site of origin. Discontinuous involvement is coded in CS Mets at DX, except for implants within the stomach (code 300). Malignant (positive) peritoneal cytology is coded in CS Mets at DX.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
000	In situ, intraepithelial, noninvasive	Tis	Tis	IS	IS
050	(Adeno)carcinoma, noninvasive, in a polyp	Tis	Tis	IS	IS
100	Invasive tumor confined to mucosa, NOS, including intramucosal, NOS	T1a	T1	L	L
110	Invades lamina propria	T1a	T1	L	L
120	Invades muscularis mucosae	T1a	T1	L	L
122	Mucosal tumor with intraluminal extension to esophagus or duodenum	T1a	T1	RE	L
125	Stated as T1a with no other information on extension	T1a	T1	L	L
130	Confined to head of polyp Extension to stalk of polyp	T1NOS	T1	L	L
140	Confined to stalk of polyp	T1NOS	T1	L	L
150	Tumor in polyp, NOS	T1NOS	T1	L	L
160	Invades submucosa (superficial invasion)	T1b	T1	L	L
165	Submucosal tumor with intraluminal extension to esophagus or duodenum	T1b	T1	RE	L
170	Stated as T1b with no other information on extension	T1b	T1	L	L
180	Stated as T1 [NOS] with no other information on extension	T1NOS	T1	L	L
200	Invades into but not through muscularis propria	T2	T2a	L	L
300	Implants inside stomach Localized, NOS	T1NOS	T1	L	L
340	OBSOLETE DATA CONVERTED V0203 See code 180 Stated as T1, NOS	ERROR	ERROR	ERROR	ERROR
350	Linitis plastica and no other information regarding extension available (See Note 2)	T2	T2a	RE	L
360	Invasion of muscularis propria with intraluminal extension to esophagus or duodenum	T2	T2a	RE	L
390	Stated as T2 with no other information on extension	T2	T2NOS	L	L
400	Extension through wall, NOS Invasion through muscularis propria or muscularis, NOS Perimuscular tissue invaded Subserosal tissue/(sub)serosal fat invaded	T3	T2b	L	L
415	Invasion through muscularis propria with intraluminal extension to esophagus or duodenum	T3	T2b	RE	L
450	Extension to adjacent (connective) tissue WITHOUT perforation of visceral peritoneum covering these structures: Gastric artery Ligaments: Gastrocolic Gastrohepatic Gastrosplenic Omentum, NOS : Greater Lesser Perigastric fat	T3	T2b	RE	RE
480	Stated as T3 with no other information on extension	T3	T2b	L	L
490	OBSOLETE DATA CONVERTED V0203 See code 810 Stated as T4, NOS	ERROR	ERROR	ERROR	ERROR
500	OBSOLETE DATA RETAINED AND REVIEWED V0203 See codes 505, 555 Invasion of/through serosa (mesothelium) (tunica serosa) (visceral peritoneum), including perforation of visceral peritoneum covering the gastric ligaments or the omentum WITHOUT invasion of adjacent structures Stated as T4a, NOS	T4a	T3	RE	RE
505	Invasion of/through serosa (mesothelium) (tunica serosa) (visceral peritoneum), including perforation of visceral peritoneum covering the gastric ligaments or the omentum WITHOUT invasion of adjacent structures listed in codes 610, 650, and 700	T4a	T3	RE	RE
550	OBSOLETE DATA CONVERTED V0203 See code 551 (450) + (500)	ERROR	ERROR	ERROR	ERROR
551	505 + 450	T4a	T3	RE	RE
555	Stated as T4a with no other information on extension	T4a	T3	RE	RE
600	OBSOLETE DATA RETAINED AND REVIEWED V0203 See codes 610, 650 Diaphragm Duodenum via serosa or NOS Esophagus via serosa Ileum Jejunum Liver Pancreas Small intestine, NOS Spleen Transverse colon/mesocolon (including flexures) Celiac axis Aorta	T4b	T4	RE	RE
610	Diaphragm Duodenum via serosa Duodenum, NOS Esophagus via serosa Ileum Jejunum Liver Pancreas Small intestine, NOS Spleen Transverse colon/mesocolon (including flexures)	T4b	T4	RE	RE
650	Aorta Celiac axis	T4b	T4	D	D
690	OBSOLETE DATA CONVERTED V0203 See code 805 Stated as T4b, NOS	ERROR	ERROR	ERROR	ERROR
700	Abdominal wall Adrenal (suprarenal) gland Kidney Retroperitoneum	T4b	T4	D	D
800	Further contiguous extension	T4b	T4	D	D
805	Stated as T4b with no other information on extension	T4b	T4	D	D
810	Stated as T4 [NOS] with no other information on extension	T4NOS	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