Collaborative Stage

Collaborative Stage for TNM 7 - Revised 01/17/2010 [ Schema ]

EsophagusGEJunction

CS Extension

Note 1: Ignore intraluminal extension to adjacent segment(s) of esophagus or to cardia of stomach and code depth of invasion or extra-esophageal spread as indicated.
Note 2: T4 has been subclassified into T4a and T4b in the 7th Edition.
Note 3: For this site, AJCC defines Tis as High grade dysplasia, in which they Include "all non-invasive neoplastic epithelium that was previously called carcinoma in situ. Cancers stated to be non-invasive or in situ are classified as Tis." High grade dysplasia is generally not reportable in cancer registries, but if a registry does collect it, code 000 should be used.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
000	In situ; non-invasive; intraepithelial; high grade dysplasia	Tis	Tis	IS	IS
050	(Adeno)carcinoma in a polyp, noninvasive	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
130	OBSOLETE DATA RETAINED V0200 since cardia/EGJ, and the proximal 5cm of the fundus and body of the stomach have been moved from the Stomach schema in CSv2. Confined to head of polyp Extension to stalk	ERROR	T1	L	L
140	OBSOLETE DATA RETAINED V0200 since cardia/EGJ, and the proximal 5cm of the fundus and body of the stomach have been moved from the Stomach schema in CSv2. Confined to stalk of polyp	ERROR	T1	L	L
150	Tumor in polyp, NOS	T1NOS	T1	L	L
160	Invades submucosa (superficial invasion)	T1b	T1	L	L
170	Stated as T1, NOS	T1NOS	T1	L	L
200	Invades into but not through muscularis propria	T2	T2a	L	L
300	Localized, NOS Implants inside stomach	T1NOS	T1	L	L
350	Linitis plastica (see Note 2) and no other information regarding extension is available.	T2	T2a	RE	L
360	Stated as T2 [NOS]	T2	T2NOS	L	L
400	Invasion through muscularis propria or muscularis, NOS Extension through wall, NOS Perimuscular tissue invaded Subserosal tissue/(sub)serosal fat invaded	T3	T2b	L	L
420	Adventitia and/or soft tissue invaded Esophagus is described as "FIXED"	T3	T3	RE	RE
430	Stated as T3 [NOS]	T3	T3	L	L
450	Extension to adjacent (connective) tissue WITHOUT perforation of visceral peritoneum: Gastric artery Ligaments: Gastrocolic Gastrohepatic Gastrosplenic Omentum, NOS Greater Lesser Perigastric fat	T4a	T2b	RE	RE
500	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	T4a	T3	RE	RE
550	(45) + (50)	T4a	T3	RE	RE
600	Diaphragm Duodenum via serosa or NOS Esophagus via serosa Ileum Jejunum Liver Pancreas Small intestine, NOS Spleen Transverse colon (including flexures)	T4a	T4	RE	RE
610	Pleura Pericardium	T4a	T4	RE	RE
700	Abdominal wall Adrenal gland Kidney Retroperitoneum	T4a	T4	D	D
710	Stated as T4 [NOS]	T4NOS	T4	RE	RE
720	Stated as T4a [NOS]	T4a	T4	RE	RE
800	Further contiguous extension including but not limited to: Aorta Vertebral body Trachea Stated as unresectable, NOS	T4b	T4	D	D
820	Stated as T4b [NOS]	T4b	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