CS Site-Specific Factor 3

This input is used for staging

CS Extension - Pathologic Extension

Notes

**Note 1**: Include information from prostatectomy and autopsy in this field and not in CS Extension - Clinical Extension. Only use histologic information from prostatectomy, including simple prostatectomy with negative margins, and autopsy in this field. Information from biopsy of extraprostatic sites is coded in CS Extension - Clinical Extension; information from needle core biopsy of prostate is coded in CS Site-Specific Factor 14. **Note 2**: Code 970 if there is no prostatectomy performed within the first course of treatment. **Note 3**: Limit information in this field to first course of treatment in the absence of disease progression. **Note 4**: AJCC considers "in situ carcinoma of prostate gland" an impossible diagnosis. Any case so coded is mapped to TX for AJCC stage and in situ Summary Stage. **Note 5**: When prostate cancer is an incidental finding during a prostatectomy for other reasons (for example, a cystoprostatectomy for bladder cancer), use the appropriate code for the extent of disease found (for example, involvement in one lobe, both lobes, or more). **Note 6**: When the apical margin, distal urethral margin, bladder base margin, or bladder neck margin is involved and there is no extracapsular extension, use code 400. **Note 7**: Involvement of the prostatic urethra does not alter the extension code. **Note 8**: "Frozen pelvis" is a clinical term which means tumor extends to pelvic sidewall(s). In the absence of a more detailed statement of involvement, assign this to code 600. **Note 9**: For information regarding stage calculations, refer to CS Extension - Clinical Extension Note 8 and the Special Calculation extra tables.

Default

960

NAACCR Item

NAACCR #2900

Metadata

CCCR_ESSENTIAL_FOR_TNM_CLASSIFICATION
NPCR_REQUIRED_2004_FORWARD
Code Description AJCC 7 T AJCC 6 T Summary Stage 1977 T Summary Stage 2000 T
000 In situ, intraepithelial, noninvasive TX TX IS IS
020 OBSOLETE DATA CONVERTED V0200
See code 200

Involvement in one lobe, NOS
ERROR: ERROR: ERROR ERROR
021 OBSOLETE DATA CONVERTED V0200
See code 210

Involves one half of one lobe or less
ERROR: ERROR: ERROR ERROR
022 OBSOLETE DATA CONVERTED V0200
See code 220

Involves more than one half of one lobe, but not both lobes
ERROR: ERROR: ERROR ERROR
023 OBSOLETE DATA CONVERTED V0200
See code 230

Involves both lobes
ERROR: ERROR: ERROR ERROR
030 OBSOLETE DATA CONVERTED V0200
See code 300

Localized, NOS
Confined to prostate, NOS
Intracapsular involvement only
Stage B, NOS
ERROR: ERROR: ERROR ERROR
031 OBSOLETE DATA REVIEWED AND CHANGED V0102

Into prostatic apex/arising in prostatic apex, NOS
(See Site-Specific Factor 4)
ERROR: ERROR: ERROR ERROR
032 OBSOLETE DATA CONVERTED V0200
See code 320

Invasion into (but not beyond) prostatic capsule
ERROR: ERROR: ERROR ERROR
033 OBSOLETE DATA REVIEWED AND CHANGED V0102

Arising in prostatic apex
(See Site-Specific Factor 4)
ERROR: ERROR: ERROR ERROR
034 OBSOLETE DATA REVIEWED AND CHANGED V0102

Extending into prostatic apex
(See Site-Specific Factor 4)
ERROR: ERROR: ERROR ERROR
040 OBSOLETE DATA CONVERTED V0200
See code 400

No extracapsular extension but margins involved (See Note 5)
ERROR: ERROR: ERROR ERROR
041 OBSOLETE DATA CONVERTED V0200
See code 410

Extension to periprostatic tissue (Stage C1):
Extracapsular extension (beyond prostatic capsule), NOS
Through capsule, NOS
ERROR: ERROR: ERROR ERROR
042 OBSOLETE DATA CONVERTED V0200
See code 420

Unilateral extracapsular extension
ERROR: ERROR: ERROR ERROR
043 OBSOLETE DATA CONVERTED V0200
See code 430

Bilateral extracapsular extension
ERROR: ERROR: ERROR ERROR
045 OBSOLETE DATA CONVERTED V0200
See code 485
Extension to seminal vesicle(s) (Stage C2)
ERROR: ERROR: ERROR ERROR
048 OBSOLETE DATA CONVERTED V0200
See code 480

Extracapsular extension and margins involved
(Excluding seminal vesicle margins, see code 045)
ERROR: ERROR: ERROR ERROR
050 OBSOLETE DATA CONVERTED V0200
See code 500

Extension to or fixation to adjacent structures other than seminal vesicles:
Bladder neck
Bladder, NOS
Fixation, NOS
Rectovesical (Denonvillier's) fascia
Rectum; external sphincter
ERROR: ERROR: ERROR ERROR
052 OBSOLETE DATA CONVERTED V0200
See code 520

Levator muscle
Skeletal muscle, NOS
Ureter
ERROR: ERROR: ERROR ERROR
060 OBSOLETE DATA CONVERTED V0200
See code 600

Extension to or fixation to pelvic wall or pelvic bone
"Frozen pelvis", NOS (See Note 8)
ERROR: ERROR: ERROR ERROR
070 OBSOLETE DATA CONVERTED V0200
See code 700

Further contiguous extension (Stage D2) including to:
Bone
Penis
Sigmoid colon
Soft tissue other than periprostatic tissue
Other organs
ERROR: ERROR: ERROR ERROR
095 OBSOLETE DATA CONVERTED V0200
See code 950

No evidence of primary tumor
ERROR: ERROR: ERROR ERROR
096 OBSOLETE DATA CONVERTED V0200
See code 960

Unknown if prostatectomy done
ERROR: ERROR: ERROR ERROR
097 OBSOLETE DATA CONVERTED V0200
See code 970
No prostatectomy done within first course of treatment
ERROR: ERROR: ERROR ERROR
098 OBSOLETE DATA CONVERTED V0200
See code 980

Prostatectomy performed, but not considered first course of treatment
because of, for example; disease progression.
ERROR: ERROR: ERROR ERROR
099 OBSOLETE DATA CONVERTED V0200
See code 990

Prostatectomy done:
Extension unknown
Not documented in patient record
Primary tumor cannot be assessed
ERROR: ERROR: ERROR ERROR
200 Involves one lobe/side, NOS T2NOS T2NOS L L
210 Involves one half of one lobe/side or less

Stated as pT2a with no other information on pathologic extension
T2a T2a L L
220 Involves more than one half of one lobe/side, but not both lobes/sides

Stated as pT2b with no other information on pathologic extension
T2b T2b L L
230 Involves both lobes/sides

Stated as pT2c with no other information on pathologic extension
T2c T2c L L
300 Localized, NOS
Confined to prostate, NOS Intracapsular involvement only

Stated as pT2 [NOS] with no other information on pathologic extension
T2NOS T2NOS L L
320 Invasion into (but not beyond) prostatic capsule T2NOS T2NOS L L
330 320 + 210

Invasion into (but not beyond) prostatic capsule plus involves one half of one lobe/side or less
T2a T2a L L
340 320 + 220

Invasion into (but not beyond) prostatic capsule plus involves more than one half of one lobe/side, but not both lobes/sides
T2b T2b L L
350 320 + 230

Invasion into (but not beyond) prostatic capsule plus involves both lobes/sides
T2c T2c L L
400 No extracapsular extension but specific margins involved (see Note 6) T2NOS T2NOS L RE
402 400 + 210

No extracapsular extension but specific margins involved plus involves one half of one lobe/side or less
T2a T2a L RE
404 400 + 220

No extracapsular extension but specific margins involved plus involves more than one half of one lobe/side, but not both lobes/sides
T2b T2b L RE
406 400 + 230

No extracapsular extension but specific margins involved plus involves both lobes/sides
T2c T2c L RE
410 OBSOLETE DATA REVIEWED V0203
See codes 415 and 483

Extension to periprostatic tissue:
Extracapsular extension (beyond prostatic capsule), NOS
Through capsule, NOS
Stated as pT3a with no other information on pathologic extension
Stage C1, NOS
T3a T3a RE RE
415 Extension to periprostatic tissue:
Extracapsular extension (beyond prostatic capsule), NOS
Through capsule, NOS
T3a T3a RE RE
420 Unilateral extracapsular extension T3a T3a RE RE
430 Bilateral extracapsular extension T3a T3a RE RE
480 Extracapsular extension and specific margins involved (see Note 6) T3a T3a RE RE
482 Microscopic bladder neck involvement T3a T4 RE RE
483 Stated as pT3a with no other information on pathologic extension T3a T3a RE RE
485 Extension to seminal vesicle(s)

Stated as pT3b with no other information on pathologic extension
T3b T3b RE RE
490 485 + 482

Extension to seminal vesicle(s) plus microscopic bladder neck involvement
T3b T4 RE RE
495 Stated as pT3 [NOS] with no other information on pathologic extension T3NOS T3NOS RE RE
500 Extension to or fixation to adjacent
structures other than seminal vesicles:
Bladder, NOS
Fixation, NOS
Rectovesical (Denonvillier's) fascia
Rectum; external sphincter
T4 T4 RE RE
510 Extraprostatic urethra (membranous urethra) T4 T4 RE RE
520 Levator muscle
Skeletal muscle, NOS
Ureter
T4 T4 D RE
600 Extension to or fixation to pelvic wall or pelvic bone
"Frozen pelvis", NOS (see Note 8)
T4 T4 D D
700 Further contiguous extension including:
Bone
Penis
Sigmoid colon
Soft tissue other than periprostatic tissue
Other organs
T4 T4 D D
750 Stated as pT4 with no other information on pathologic extension T4 T4 D D
950 No evidence of primary tumor T0 T0 U U
960 Unknown if prostatectomy done TX TX U U
970 No prostatectomy done within first course of treatment TX TX U U
980 Prostatectomy performed, but not considered first course of treatment, for example performed after disease progression TX TX U U
985 Autopsy performed but extension unknown TX TX U U
990 Prostatectomy done:
Extension not stated
Primary tumor cannot be assessed
Not documented in patient record
TX TX U U
For this site, extension is coded in two CS fields: CS Extension - Clinical Extension and CS Site-Specific Factor 3 - Pathologic Extension. The mapping values for the T category for AJCC stage, SS77, and SS2000 and the associated c, p, yp, or a indicator are assigned based on the values in CS Extension - Clinical Extension, CS Tumor Size/Ext Eval, and CS Site-Specific Factor 3 - Pathologic Extension as shown in the Special Calculation Table for TNM 7 Invasive/Unknown Pathologic Extension Eval, Special Calculation Table for TNM 7 Non-Invasive Pathologic Extension, Special Calculation Table for TNM 6 Invasive/Unknown Pathologic Extension Eval, Special Calculation Table for TNM 6 Non-Invasive Pathologic Extension, and Special Calculation Table for SEER Summary Stage.