Collaborative Stage for TNM 7 - Revised 12/22/2009  [ Schema ]

LarynxSupraglottic

CS Extension

CodeDescriptionTNM 7 MapTNM 6 MapSS77 MapSS2000 Map
000In situ; noninvasive; intraepithelialTisTisISIS
100Invasive tumor with normal vocal cord mobility confined to:
    Supraglottis (one subsite):
        Aryepiglottic fold
        Arytenoid cartilage
        Corniculate cartilage
        Cuneiform cartilage
        Epilarynx, NOS
        False cords
            Ventricular bands
            Ventricular cavity
            Ventricular fold
        Infrahyoid epiglottis
        Laryngeal cartilage, NOS
        Laryngeal (posterior) surface of epiglottis
        Suprahyoid epiglottis (including tip, lingual {anterior} and laryngeal surfaces)
Stated as T1 with no further information on extension
T1T1LL
200Tumor involves more than one subsite of supraglottis
as listed in code 100
WITHOUT fixation of larynx or NOS
T2T2LL
230Tumor involves glottis WITHOUT fixation of larynx or NOST2T2LL
250Involvement of any structures in supraglottic larynx (code 100)
and larynx with impaired vocal cord mobility
T2T2LL
300OBSOLETE DATA RETAINED V0200

Tumor involves adjacent region(s) of larynx
ERRORT2LL
320Tumor involves regions outside supraglottis, including:
    Mucosa of base of tongue
    Vallecula
    Medial wall of pyriform sinus
WITHOUT fixation of larynx or NOS
T2T2RERE
350OBSOLETE DATA RETAINED V0200
Impaired mobility split between codes 250 and 360, improved mapping 

Impaired vocal cord mobility
T2T2LL
360Involvement of any structures in code 320 with impaired vocal cord mobilityT2T2RERE
375Stated as T2 with no other information on extensionT2T2LL
390Involvement of subglottis WITHOUT vocal cord fixationT3T3LL
395390 + 320

(Subglottis + any structure in code 320 WITHOUT vocal cord fixation)
T3T3RERE
400Involvement of any structures in supraglottis (code 100), glottis, and subglottis WITH vocal cord fixationT3T3LL
450Localized, NOST1T1LL
520Paraglottic space WITHOUT vocal cord fixationT3T3RERE
600OBSOLETE DATA RETAINED V0200
Improved mapping, see code 320

Tumor involves region outside the supraglottis
WITHOUT fixation, including:

    Medial wall pyriform sinus
    Mucosa of base of tongue
    Vallecula
ERRORT2RERE
620OBSOLETE DATA RETAINED V0200

Code 600 WITH fixation
ERRORT3RERE
625Involvement of any structures in codes 320 or 520 WITH vocal cord fixationT3T3RERE
650Hypopharynx, NOS
Postcricoid area
Pre-epiglottic tissues
T3T3RERE
660Deep base of tongueT3T3RERE
670OBSOLETE DATA CONVERTED V0200
See code 690
Cricoid cartilage
ERRORERRORERRORERROR
680Minor thyroid cartilage erosion (e.g., inner cortex)T3T3RED
685Stated as T3 with no other information on extensionT3T3RERE
690Cricoid cartilageT4aT4aRERE
695690 + 680

(Cricoid cartilage + Minor thyroid cartilage erosion)
T4aT4aRED
700Extension to/through:
    Esophagus
    Oropharynx
    Soft tissues of neck
    Thyroid cartilage (except minor erosion, see code 680)
    Thyroid gland
T4aT4aDD
720Extension to/through:
    Strap muscle(s)
        Omohyoid
        Sternohyoid
        Sternothyroid
        Thyrohyoid
    Skin
T4aT4aDD
730Extension to/through:
    Deep extrinsic muscle of tongue   
    Trachea
T4aT4aDD
735Stated as T4a with no other information on extensionT4aT4aRERE
800Further contiguous extension, including:
Mediastinal structures
Prevertebral space
Carotid artery (encased)
T4bT4bDD
810Stated as T4b with no other information on extesnionERRORT4bDD
815Stated as T4 NOS with no other information on extensionT4NOST4NOSRERE
950No evidence of primary tumorT0T0UU
999Unknown extension
Primary tumor cannot be assessed
Not documented in patient record
TXTXUU