CS Extension

This input is used for staging

Notes

**Note 1**: AJCC does not include a Tis or TX category for melanoma of mucosa of head and neck sites. CS Extension codes of 000 and 999 are mapped to NA and AJCC stage group is derived as NA. **Note 2**: AJCC does not include a T1 or T2 category for mucosal melanoma of head and neck sites. **Note 3**: The bones of the lateral wall of the nasal cavity include the maxilla, the perpendicular plate of the palatine bone, the medial pterygoid plate, the labyrinth and inferior concha of the ethmoid. The roof of the nasal cavity is formed by the nasal bone. The floor of the nasal cavity, which forms the roof of the mouth, is composed of the bones of the hard palate: the horizontal plate of the palatine bone posteriorly and the palatine process of the maxilla anteriorly. **Note 4**: "Bony invasion" does not include extension to palate, cribriform plate, or pterygoid plates. Extension to these structures is coded separately. **Note 5**: Use codes 330 and 340 for extension involving the mucosa only of adjacent sites. Use higher codes for extension involving the deeper tissues of the primary or adjacent sites. **Note 6**: Use code 300 for localized tumor only if no information is available to assign code 105, 110, 200, 350, or 380. **Note 7**: Use code 350, 725, 810, or 815 if the physician's assignment of T category is the only information available about the extent of the tumor.

Default

999

NAACCR Item

NAACCR #2810
Code Description AJCC 7 T AJCC 6 T Summary Stage 1977 T Summary Stage 2000 T
000 In situ, intraepithelial, noninvasive NA NA IS IS
100 OBSOLETE DATA RETAINED V0200

Invasive tumor confined to site of origin
Meatus (superior, middle, inferior)
Nasal chonchae (superior, middle, inferior)
Septum
Tympanic membrane
ERROR: NA L L
105 Tumor confined to mucosa of one of the following subsites:
Septum
Floor
Lateral wall, including:
Meatus (superior, middle, inferior)
Nasal conchae (superior, middle, inferior)
Vestibule (edge of naris to mucocutaneous junction)
T3 NA L L
110 Confined to mucosa of nasal cavity, NOS T3 NA L L
200 Tumor confined to mucosa of two or more subsites listed in code 105 T3 NA L L
300 Localized, NOS T3 NA L L
330 Extension involving mucosa only:
Ethmoid sinus
Choana
Frontal sinus
Nasopharynx
T3 NA RE RE
340 Extension involving mucosa only:
Maxillary sinus
Sphenoid sinus
T3 NA D D
350 Stated as T3 with no other information on extension T3 NA L L
380 Involvement of deep tissues of any structure in code 105 or 110 T4a NA L L
385 380 + 330

Involvement of deep tissues of any structure in code 105 or 110 plus mucosal involvement of any structure in code 330
T4a NA RE RE
390 Involvement of any structure in code 105, 110
WITH bony invasion
T4a NA RE RE
400 Extending to adjacent connective tissue within the nasoethomoidal complex
Nasolacrimal duct
T4a NA RE RE
450 Hard palate T4a NA RE RE
490 (385 - 450) + 340

Involvement of any structure in codes 385 - 450 plus mucosal involvement of any structure in code 340
T4a NA D D
500 Involvement of deep tissues or bony involvement of any structure in code 340 T4a NA D D
600 OBSOLETE DATA REVIEWED AND CHANGED V0203
Extension to frontal sinus and extension to nasopharynx were each included in two codes in CSv1. All structures in code 600 should be reviewed and recoded to 610 or 690 as appropriate.

Adjacent organs/structures including:
Bone of skull
Choana
Frontal sinus
Hard palate
Nasopharynx
ERROR: ERROR: ERROR: ERROR:
610 OBSOLETE DATA RETAINED V0203

Adjacent organs/structures including:
Bone of skull
Choana
Frontal sinus
Hard palate
ERROR: NA RE RE
650 OBSOLETE DATA CONVERTED V0200
See code 750

Cribiform plate
ERROR: ERROR: ERROR: ERROR:
660 OBSOLETE DATA RETAINED V0200

Maxillary sinus
ERROR: NA RE RE
670 Medial wall or floor of the orbit T4a NA D D
690 OBSOLETE DATA RETAINED V0203

Nasopharynx
ERROR: NA RE RE
700 OBSOLETE DATA REVIEWED AND CHANGED V0203
Frontal sinus included in codes 600 and 700 in CSv1. Review and recode involvement of frontal sinus to code 610, other structures to code 705.

Tumor invades:
Anterior orbital contents
Skin of nose
Skin of cheek
Minimal extension to:
Anterior cranial fossa
Pterygoid plates
Sphenoid or frontal sinuses
ERROR: ERROR: ERROR: ERROR:
705 OBSOLETE DATA RETAINED V0203

Anterior orbital contents
Skin of nose
Skin of cheek
Anterior cranial fossa (minimal extension)
Pterygoid plates
Sphenoid sinus
ERROR: NA D D
710 OBSOLETE DATA REVIEWED AND CHANGED V0203
Nasopharynx included in codes 600 and 710 in CSv1. Review and recode involvement of nasopharynx to code 690, other structures to code 750 or 795

Tumor invades:
Orbital apex
Dura
Brain
Middle cranial fossa
Cranial nerves other than (V2), nasopharynx, or clivus
ERROR: ERROR: ERROR: ERROR:
715 Anterior orbital contents
Skin of nose
Skin of cheek
Pterygoid plates
T4a NA D D
725 Stated as T4a with no other information on extension T4a NA L L
750 Anterior cranial fossa
Base of skull
Cribriform plate
Clivus
Middle cranial fossa
T4b NA RE RE
760 750 + (340, 500, 670, or 705)

Involvement of structures in code 750 plus mucosal or deep involvement of structures in code 340 or involvement of structures in code 670 or 705
T4b NA D D
795 Contiguous extension including:
Brain
Dura
Lower cranial nerves (IX, X, XI, XII)
T4b NA D D
800 OBSOLETE DATA REVIEWED AND CHANGED V0203
Middle cranial fossa included in codes 750 and 800 in CSv2:V0201, V0202. Review and recode involvement of middle cranial fossa to code 750 or 760, other structures to code 795.

Contiguous extension including:
Brain
Dura
Lower cranial nerves (IX, X, XI, XII)
Middle cranial fossa
Orbital apex
ERROR: ERROR: ERROR: ERROR:
801 Further contiguous extension including:
Carotid artery (encased)
Masticator space
Mediastinal structures
Prevertebral space
T4b NA D D
810 Stated as T4b with no other information on extension T4b NA D D
815 Stated as T4 [NOS] with no other information on extension T4NOS NA L L
950 OBSOLETE DATA RETAINED V0200

No evidence of primary tumor
ERROR: NA U U
999 Unknown; extension not stated
Primary tumor cannot be assessed
Not documented in patient record
NA NA U U