Collaborative Stage

Collaborative Stage for TNM 7 - Revised 09/14/2009 [ Schema ]

Retinoblastoma

CS Mets at DX

Note 1: Distant lymph node involvement is coded in the CS Lymph Node field for staging retinoblastoma in the AJCC 7th Edition. Distant lymph node involvement was coded in the CS Mets at DX field for staging retinoblastoma in the AJCC 6th Edition.
Note 2: Code single and multiple metastatic lesions in this field based on presentation of metastases in all distant sites excluding distant lymph nodes.
Note 3: Consider metastasis to bone marrow as a single site of involvement.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
00	No; none	M0	M0	NONE	NONE
10	OBSOLETE DATA RETAINED V0200 Distant lymph nodes coded in CS Lymph Nodes Distant lymph node(s)	ERROR	*	D	D
20	Single metastatic lesion only Distant metastasis to site other than bone marrow or CNS	M1a	*	D	D
30	Single metastatic lesion only Distant metastasis to bone marrow only	M1a	*	D	D
35	Distant metastasis to single lesion NOS Stated as M1a with no other information on metastasis	M1a	*	D	D
40	OBSOLETE DATA CONVERTED V0200 See code 80 Distant metastasis except distant lymph node(s) (10) or bone marrow (30) Distant metastasis, NOS Carcinomatosis	ERROR	ERROR	ERROR	ERROR
45	Multiple metastatic lesions involved Distant metastasis to sites other than CNS WITH or WITHOUT bone marrow involvement Stated as M1b with no other information on metastasis	M1b	*	D	D
50	OBSOLETE DATA RETAINED V0200 Distant lymph nodes coded in CS Lymph Nodes (10) + any of [(30) or (40)] Distant lymph node(s) plus other distant metastases	ERROR	*	D	D
55	OBSOLETE DATA CONVERTED V0200 See code 80 Stated as M1, NOS	M1NOS	*	D	D
60	Metastasis to CNS Location not specified Stated as M1c with no other information on metastasis	M1c	*	D	D
65	Metastasis to CNS Prechiasmatic lesions WITHOUT leptomeningeal and/or CSF involvement	^	*	D	D
70	Metastasis to CNS Postchiasmatic lesions WITHOUT leptomeningeal and/or CSF involvement Stated as M1d with no other information on metastasis	M1d	*	D	D
75	Metastasis to CNS WITH Leptomeningeal and/or CSF involvement Stated as M1e with no other information on metastasis	M1e	*	D	D
80	Distant metastasis NOS Stated as M1, NOS with no other information on metastasis	M1NOS	*	D	D
99	Unknown if distant metastasis Distant metastasis cannot be assessed Not documented in patient record	M0	MX	U	U

^ For Mets at DX code 65 ONLY, the M category for AJCC 7th Edition staging is assigned based on the values of CS Mets at DX and CS Mets Eval, as shown in the table CS Mets at DX, Mets Eval AJCC 7 for this site.
* For Mets at DX codes 10 through 80 ONLY, the M category for AJCC 6th Edition staging is assigned based on the values of CS Mets at DX and CS Mets Eval, as shown in the table CS Mets at DX, Mets Eval AJCC 6 for this site, except for cases where the CS Lymph Nodes code = 200. When the CS Lymph Nodes code = 200, the M category for AJCC 6th Edition staging is assigned based on the value of CS Nodes Eval as shown in the table CS Lymph Nodes, CS Mets at DX for this site.