Collaborative Stage

Collaborative Stage for TNM 7 - Revised 11/15/2009 [ Schema ]

Cervix

CS Extension

Note 1: Involvement of anterior and/or posterior septum is coded as involvement of the vaginal wall.
Note 2: Record positive pelvic or peritoneal washings as information only. Not to be coded as metastatic disease.
Note 3: FIGO no longer includes Stage 0 (Tis).
Note 4: All macroscopically visible lesions-even with superficial invasion-are T1b/FIGO Stage IB.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
000	In situ: preinvasive; noninvasive; intraepithelial Cancer in situ WITH endocervical gland involvement (see Note 3)	Tis	Tis	IS	IS
010	CIN (Cervical intraepithelial neoplasia) Grade III	Tis	Tis	IS	IS
110	Minimal microscopic stromal invasion less than or equal to 3 mm in depth and less than or equal to 7 mm in horizontal spread FIGO Stage IA1	T1a1	T1a1	L	L
120	"Microinvasion" Tumor WITH invasive component greater than 3 mm and less than or equal to 5 mm in depth, taken from the base of the epithelium, and less than or equal to 7 mm in horizontal spread FIGO Stage IA2	T1a2	T1a2	L	L
140	FIGO Stage IA [NOS]	T1aNOS	T1aNOS	L	L
200	Invasive cancer confined to cervix and tumor larger than that in code 120 FIGO Stage IB	^	*	L	L
210	FIGO Stage IB1	T1b1	T1b1	L	L
220	FIGO Stage IB2	T1b2	T1b2	L	L
250	Invasive cancer confined to cervix and clinically visible lesion	^	*	L	L
300	Localized, NOS Confined to cervix uteri or uterus, NOS, except corpus uteri, NOS (Not clinically visible or unknown if clinically visible.)	^	*	L	L
310	FIGO Stage I [NOS]	^	*	L	L
350	Corpus uteri, NOS without further information on extension	T1NOS	T1NOS	RE	RE
360	Code (350) + (110)	T1a1	T1a1	RE	RE
370	Code (350) + (120)	T1a2	T1a2	RE	RE
380	Code (350) + [(200) or (250)]	^	*	RE	RE
390	Code (350) + [(300) or (310)]	^	*	RE	RE
400	Extension to: Cul de sac (rectouterine pouch) Upper 2/3's of vagina including fornices Vagina, NOS Vaginal wall, NOS	^	T2a	RE	RE
410	Beyond uterus, but not to pelvic wall (exclude lower third of vagina) Tumor without parametrial invasion	^	T2a	RE	RE
420	FIGO Stage IIA1	T2a1	T2a	RE	RE
440	FIGO Stage IIA2	T2a2	T2a	RE	RE
450	FIGO Stage IIA [NOS]	^	T2a	RE	RE
500	Extension to: Ligament(s): Broad Cardinal Uterosacral Parametrium (paracervical soft tissue) FIGO Stage IIB	T2b	T2b	RE	RE
550	FIGO Stage II [NOS]	T2NOS	T2NOS	RE	RE
600	Extension to: Bladder wall Bladder, NOS excluding mucosa Bullous edema of bladder mucosa Lower 1/3 of vagina Rectal wall Rectum, NOS excluding mucosa FIGO Stage IIIA	T3a	T3a	RE	RE
620	Extension to: Ureter, intra- and extramural Vulva FIGO Stage IIIA	T3a	T3a	D	RE
630	Tumor causes hydronephrosis or nonfunctioning kidney FIGO Stage IIIB	T3b	T3b	RE	RE
650	Extension to pelvic wall(s) (Described clinically as "frozen pelvis", NOS) FIGO Stage IIIB	T3b	T3b	D	RE
680	Extension to: Fallopian tube Ovary(ies) Urethra FIGO Stage III, NOS	T3NOS	T3NOS	D	RE
700	Extension to rectal or bladder mucosa (Note: for bullous edema of bladder mucosa, see code 60.)	T4	T4	D	D
800	Further contiguous extension beyond true pelvis Sigmoid colon Small intestine	T4	T4	D	D
850	FIGO Stage IVA	T4	T4	D	D
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

* For Extension codes 200, 250, 300, 310, 380 and 390 only. The T category is assigned based on the CS Tumor Size, as shown in the CS Extension Size Table for AJCC 6th Edition for this schema.
^ For Extension codes 200, 250, 300, 310, 380, 390, 410 and 450 only The T category is assigned based on the CS Tumor Size, as shown in the CS Extension Size Table for AJCC 7th Edition for this schema.