Testis - CS Extension

Note 1: According to AJCC, "Except for pTis and pT4, extent of primary tumor for TNM is classified by radical orchiectomy. TX is used for other categories in the absence of radical orchiectomy." For Collaborative Stage, this means that the categories of T1, T2, and T3 are derived only when CS Site Specific Factor 4 indicates that a radical orchiectomy is performed.
Note 2: Involvement of para-testicular (hilar/mediastinal) soft tissues does not alter the extension code. Code the extension based on other criteria documented in the patient record.
Note 3: Use code 300 (Localized, NOS) only when no further information is available to assign code 160, 200, 310, 320, or 330.
Note 4: Use codes 320, 330, 550, or 810 if the only information regarding tumor extension is the physician's statement of the T category.

^ For CS Extension codes 160-330 and 460-550 ONLY, the T category for AJCC 7 staging is assigned based on the values of CS Extension, CS Site-Specific Factor 4, Radical Orchiectomy Performed, and Lymph-vascular Invasion, as shown in the Extension Orchiectomy LVI AJCC 7 Table.
* For cases coded under CSv1 (CS Version Input Original less than 020000) and Year of Diagnosis less than 2010 with CS Extension codes 100-550, the T category for AJCC 6 staging is assigned based on the values of CS Extension, Lymph-vascular Invasion, and CS Site-Specific Factor 4, Radical Orchiectomy Performed, as shown in the Extension Orchiectomy LVI AJCC 6 Table CSv1. For cases coded under CSv2 (CS Version Input Original greater than 020000) or Year of Diagnosis greater than 2009 with CS Extension codes 100-550, the T category for AJCC 6 staging is assigned based on the values of CS Extension, CS Site-Specific Factor 4, Radical Orchiectomy Performed, and Lymph-vascular Invasion, as shown in the Extension Orchiectomy LVI AJCC 6 Table CSv2.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
000	In situ, intraepithelial, noninvasive; Intratubular germ cell neoplasia	Tis	Tis	IS	IS
100	OBSOLETE DATA RETAINED V0200 See code 160 Invasive tumor WITHOUT vascular/lymphatic invasion, or presence of vascular/lymphatic invasion not stated Body of testis Rete testis Tunica albuginea	ERROR	*	L	L
150	OBSOLETE DATA RETAINED V0200 See code 160 Invasive tumor WITH vascular/lymphatic invasion Body of testis Rete testis Tunica albuginea	ERROR	*	L	L
160	Body of testis Rete testis Tunica albuginea	^	*	L	L
200	Tunica vaginalis involved Surface implants (surface of tunica vaginalis)	^	*	L	L
300	Localized, NOS	^	*	L	L
310	Tunica, NOS	^	*	L	L
320	Stated as T1 with no other information on extension	^	*	L	L
330	Stated as T2 with no other information on extension	^	*	L	L
400	OBSOLETE DATA RETAINED V0200 See code 460 Epididymis involved WITHOUT vascular/lymphatic invasion, or presence of vascular/lymphatic invasion not stated	ERROR	*	RE	RE
450	OBSOLETE DATA RETAINED V0200 See code 460 Epididymis involved WITH vascular/lymphatic invasion	ERROR	*	RE	RE
460	Epididymis	^	*	RE	RE
470	460 + 200 Epididymis plus tunica vaginalis or surface implants	^	*	RE	RE
500	Spermatic cord, ipsilateral Vas deferens	^	*	RE	RE
550	Stated as T3 with no other information on extension	^	*	RE	RE
600	Dartos muscle, ipsilateral Scrotum, ipsilateral	T4	T4	RE	RE
700	Extension to scrotum, contralateral Ulceration of scrotum	T4	T4	D	D
750	Penis	T4	T4	D	D
800	Further contiguous extension	T4	T4	D	D
810	Stated as T4 with no other information on extension	T4	T4	RE	RE
950	No evidence of primary tumor	T0	T0	U	U
999	Unknown extension Primary tumor cannot be assessed Not documented in patient record	TX	TX	U	U