Collaborative Stage

Collaborative Stage for TNM 7 - Revised 10/12/2009 [ Schema ]

SubmandibularGland

CS Extension

Note 1: AJCC considers "in situ carcinoma of salivary gland" an impossible diagnosis. Any case so coded will be mapped to an unknown AJCC stage, in situ Summary Stage.
Note 2: Periosteum is a fibrous membrane that wraps the outer surface of bones. Mucoperiosteum is a compound structure of mucous membrane and periosteum. Cortical bone is the dense compact outer layer of bone.
Note 3: Use code 300 for localized tumor ONLY if no information is available to assign codes 100, 305, or 310.
Note 4: Use code Use code 305, 310, 408, 625, 810, or 815 if the physician's assignment of T category is the ONLY information available about the extent of the tumor.

Code	Description	TNM 7 Map	TNM 6 Map	SS77 Map	SS2000 Map
000	In situ; non-invasive; intraepithelial	TX	TX	IS	IS
100	Invasive tumor confined to gland/duct of origin	^	*	L	L
300	Localized, NOS	^	*	L	L
305	Stated as T1 with no other information on extension	^	*	L	L
310	Stated as T2 with no other information on extension	^	*	L	L
350	Microscopic extraparenchymal extension ONLY to periglandular soft/connective tissue	^	*	RE	RE
400	Macroscopic extraparenchymal extension to periglandular soft/connective tissue Another major salivary gland (parotid, sublingual) Skeletal muscle: Digastric Genioglossus Geniohyoid Hyoglossus Mylohyoid Pterygoid Styloglossus Stylohyoid	T3	T3	RE	RE
402	Maxillary artery Facial artery or vein	T3	T3	RE	RE
405	Spinal accessory nerve	T3	T3	D	D
408	Stated as T3 with no other information on extension	T3	T3	RE	RE
450	Periosteum of mandible	T4a	T4a	RE	RE
500	Mandible Nerves: Facial (7th)nerve Lingual nerve	T4a	T4a	RE	RE
505	(450 or 500) + 405 (Any structure in 450 or 500 + Spinal accessory nerve)	T4a	T4a	D	D
510	External auditory meatus	T4a	T4a	D	D
520	OBSOLETE DATA RETAINED V0200 Move to other codes to correct AJCC mapping, see code 402 and 650 Major blood vessels: Carotid artery Facial artery or vein Maxillary artery	ERROR	T4b	RE	RE
600	Skin overlying gland	T4a	T4a	D	D
625	Stated as T4a with no other information on extension	T4a	T4a	RE	RE
650	Blood vessels: Carotid artery (encased)	T4b	T4b	RE	RE
660	650 + (405, 510, or 600) (Carotid artery + Any structures in code 405, 510, or 600)	T4b	T4b	D	D
710	Base of skull Skull, NOS	T4b	T4b	RE	D
720	OBSOLETE DATA CONVERTED V0200 Moved to code 405 for AJCC mapping Spinal accessory nerve	ERROR	ERROR	ERROR	ERROR
770	Pterygoid plates	T4b	T4b	D	D
800	Further contiguous extension	T4b	T4b	D	D
810	Stated as T4b with no other information on extension	T4b	T4b	D	D
815	Stated as T4NOS with no other information on extension	T4NOS	T4NOS	RE	RE
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

^ For Extension codes 100-350 ONLY, the T category for AJCC 7th Edition staging is assigned based on value of CS Tumor Size as shown in the Extension Size Table for this site.
* For Extension codes 100-350ONLY, the T category for AJCC 6th Edition staging is assigned based on value of CS Tumor Size as shown in the Extension Size Table for this site.