AdrenalGland - CS Extension

Note 1: AJCC considers "in situ carcinoma of the adrenal gland" an impossible diagnosis. Any case so coded is mapped to TX for AJCC stage and in situ Summary Stage.
Note 2: The assignment of T1 and T2 categories for tumors limited to the adrenal gland is based on tumor size. A physician's statement of the T category may be used to code CS Tumor Size and/or CS Extension if this is the only information in the medical record regarding one or both of these fields. However the two fields are coded independently: for example the record may document size but not extension, other than the physician's statement of the T category. Use codes 200, 250, 400, or 810 as appropriate to code CS Extension based on a statement of T when no other extension information is available.
Note 3: Use code 300 (Localized, NOS) when no further information is available to assign code 100, 200, or 250.

^ For CS Extension codes 100-300 ONLY, the T category for AJCC 7 staging is assigned based on the value of CS Tumor Size, as shown in the Extension Size Table for this schema.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
000	In situ, intraepithelial, noninvasive	TX	NA	IS	IS
050	OBSOLETE DATA RETAINED V0200 Code used in EndocrineOther schema, CSv1 For C75.1 pituitary gland, C75.2 craniopharyngeal duct and C75.3 pineal gland ONLY: Benign or borderline tumors	ERROR	NA	NA	NA
100	Invasive carcinoma confined to adrenal gland	^	NA	L	L
200	Stated as T1 with no other information on extension	^	NA	L	L
250	Stated as T2 with no other information on extension	^	NA	L	L
300	Localized, NOS	^	NA	L	L
400	Adjacent connective tissue (See definition in General Rules, Part I): Gerota's fascia Stated as T3 with no other information on extension	T3	NA	RE	RE
600	OBSOLETE DATA CONVERTED V0203 See code 605 Adjacent organs/structures: Kidney Retroperitoneal structures	ERROR	ERROR	ERROR	ERROR
605	Adjacent organs/structures: Kidney, ipsilateral or NOS Retroperitoneal structures including: Great vessels: Aorta Inferior vena cava	T4	NA	RE	RE
750	Pancreas	T4	NA	D	D
800	Further contiguous extension including: Diaphragm Liver Spleen	T4	NA	D	D
810	Stated as T4 with no other information on extension	T4	NA	RE	RE
950	No evidence of primary tumor	T0	NA	U	U
999	Unknown; extension not stated Primary tumor cannot be assessed Not documented in patient record	TX	NA	U	U