Collaborative Stage

Collaborative Stage for TNM 7 - Revised 12/18/2009 [ Schema ]

Lung

CS Mets at DX

Note 1 Most pleural (and pericardial) effusions with lung cancer are due to tumor. In a few patients, however, multiple cytopathologic examinations of pleural (pericardial) fluid are negative for tumor, and the fluid is nonbloody and is not an exudates. Where these elements and clinical judgment dictate that the effusion is not related to the tumor, the effusion should be excluded as a staging element and the tumor should be classified as M0.
Note 2: For contralateral (different lung) pleural effusion, use code 16 instead of code 40. For bilateral (same and different lung) pleural effusion, use 17 instead of code 40.
Note 3: Code 10 for Distant Lymph node(s), including cervical nodes, has been made obsolete. All previously coded cases with code 10 need to be converted to code 30.
Note 4: Code 39 for Extension to contralateral lung and Separate tumor nodule(s) in contralateral lung, has been made obsolete. All previously coded cases with code 39 need to be converted to code 23.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
00	No; none	^	*	NONE	NONE
10	OBSOLETE DATA CONVERTED V0200 See code 30 Distant lymph node(s), including cervical nodes	^	*	ERROR	ERROR
15	Malignant pleural effusion, ipsilateral or same lung	^	*	D	D
16	Malignant pleural effusion, contralateral or different lung	^	*	D	D
17	Malignant pleural effusion, ipsilateral and contralateral lung (bilateral pleural effusion)	^	*	D	D
18	Malignant pleural effusion, unknown if ipsilateral or contralateral lung	^	*	D	D
20	Malignant pericardial effusion	^	*	D	D
23	Extension to: Contralateral lung Contralateral main stem bronchus Separate tumor nodule(s) in contralateral lung	^	*	D	D
24	Pleural tumor foci or nodules separate from direct invasion	^	*	D	D
25	23 + any of [15, 17, 18, 20, 24] Extension to contralateral lung + Pleural or Pericardial effusion	^	*	D	D
26	Stated as M1a with no other information on distant metastases	^	*	D	D
30	Distant lymph node(s), including cervical nodes	^	*	D	D
32	Distant lymph nodes + Pleural or Pericardial effusion 30 + any of [15, 17, 18, 20]	^	*	D	D
33	Distant lymph nodes + Pleural tumor foci 30 + 24	^	*	D	D
35	OBSOLETE DATA RETAINED V0200 Separate tumor nodules now coded in SSF #1 in AJCC 7th Edition Separate tumor nodule(s) in different lobe, same lung	^	*	L	D
37	Extension to: Skeletal muscle Sternum Skin of chest	^	*	D	D
39	OBSOLETE DATA CONVERTED V0200 See code 23 Extension to: Contralateral lung Contralateral main stem bronchus Separate tumor nodule(s) in contralateral lung	^	*	ERROR	ERROR
40	Abdominal organs Distant metastases except distant lymph node(s) (code 30) or those specified in codes 23 and 37, including: Separate lesion in chest wall or diaphragm Distant metastasis, NOS Carcinomatosis	^	*	D	D
42	Distant metastases + Pleural or Pericardial effusion [(37) or (40)] + any of [15, 17, 18, 20]	^	*	D	D
43	Distant mets + Pleural tumor foci [(37) or (40)] + 24	^	*	D	D
50	OBSOLETE DATA RETAINED V0200 Distant metastases + Distant node(s) (10) + any of [(35) to (40)]	^	*	D	D
51	Distant metastases + Distant lymph node(s) [(37) or (40)] + 30	^	*	D	D
52	Distant metastases + Distant lymph nodes + Pleural or Pericardial effusion 51 + any of [15, 17, 18, 20]	^	*	D	D
53	Distant metastases + Distant lymph nodes + Pleural tumor foci 51 + 24	^	*	D	D
70	Stated as M1b with no other information on distant metastases	^	*	D	D
75	Stated as M1[NOS] with no other information on distant metastases	^	*	D	D
99	Unknown if distant metastasis Distant metastasis cannot be assessed Not documented in patient record	^	*	U	U

* The M category is assigned based on the tables named Size Extension Mets SSF1 AJCC 6.
^ The M category is assigned based on the tables named Size Extension Mets SSF1 AJCC 7.