Collaborative Stage

Collaborative Stage for TNM 7 - Revised 09/07/2009 [ Schema ]

CS Mets at DX

Note 1: Lymph nodes from the supraclavicular region down to the celiac region previously considered to be distant are now regional.
Note 2: Distant metastases are relatively rare in GISTs, but they are increasingly detected with sophisticated radiological studies. Tumor multiplicity, i.e. the presence of anatomically separate, multiple gastrointestinal primary tumors of various sizes, usually in the setting of neurofibromatosis type 1 or familial GIST syndrome, should not be considered intra-abdominal dissemination. Code the present of multiple tumors in SSF10.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
00	No; none	M0	NA	NONE	NONE
10	Distant lymph node(s), NOS	M1	NA	D	D
11	OBSOLETE DATA RETAINED V0200 Considered regional in AJCC 7th Edition See CS Lymph Nodes code 250 Upper thoracic esophagus only: Cervical lymph nodes M1 Lower thoracic (abdominal) esophagus only: Celiac lymph nodes (20) M1	ERROR	NA	D	D
12	OBSOLETE DATA RETAINED V0200 Considered regional in AJCC 7th Edition See CS Lymph Nodes code 260 Specified distant lymph node(s), other than code 11, including: Cervical esophagus only: Common hepatic (18) M1 Diaphragmatic (15) M1 Pulmonary ligament (9) M1 Splenic (19) M1 Intrathoracic esophagus, upper or middle, only: Common hepatic (18) M1 Diaphragmatic (15) M1 Splenic (19) M1 Lower thoracic (abdominal) esophagus only: Aortopulmonary (5) N1 Pulmonary ligament (9) N1	ERROR	NA	D	D
40	Distant metastases except distant lymph node(s) (codes 10 to 12) Carcinomatosis	M1	NA	D	D
50	(40) + (10) Distant lymph node(s) plus other distant metastases	M1	NA	D	D
60	Distant metastasis, NOS	M1	NA	D	D
99	Unknown if distant metastasis Distant metastasis cannot be assessed Not documented in patient record	M0	NA	U	U