CS Extension

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**: Use codes 200, 315, 320, 335, 345, 350, and 351 for extension involving the mucosa only of adjacent sites. Use higher codes for extension involving deeper tissues of the primary or adjacent sites. **Note 4**: Use code 300 for localized tumor only if no information is available to assign code 105, 200, 315, 345, or 363. **Note 5**: Use code 352, 725, 810, or 815 if the physician's assignment of T category is the only information available about the extent of the tumor.
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 anterior surface of epiglottis with normal vocal cord mobility
ERROR: NA L L
105 Tumor confined to mucosa of anterior surface of epiglottis with normal vocal cord mobility T3 NA L L
200 Tumor confined to mucosa of adjacent subsite(s) of oropharynx T3 NA L L
300 Localized, NOS T3 NA L L
310 OBSOLETE DATA RETAINED V0200

Vallecula without fixation of larynx
ERROR: NA L L
315 Tumor confined to mucosa of vallecula
WITHOUT fixation of larynx
T3 NA L L
320 Mucosa of adjacent subsite(s) of supraglottis (including posterior surface of epiglottis)
WITHOUT fixation of larynx
T3 NA RE RE
330 OBSOLETE DATA RETAINED V0200

Larynx, glottic or NOS, without fixation of larynx
ERROR: NA RE RE
335 Mucosa of larynx, glottis or NOS
WITHOUT fixation of larynx
T3 NA RE RE
340 OBSOLETE DATA RETAINED V0200

Pyriform sinus, medial wall or NOS, without fixation of larynx
ERROR: NA L L
345 Mucosa of pyriform sinus, medial wall or NOS
WITHOUT fixation of larynx
T3 NA L L
350 Mucosa of base of tongue
WITHOUT fixation of larynx
T3 NA RE RE
351 Buccal mucosa
Mucosa of floor of mouth
Mucosa of gum (gingival)
T3 NA RE RE
352 Stated as T3 with no other information on extension T3 NA L L
360 OBSOLETE DATA CONVERTED V0200
See code 365

Any of (100) to (350) with vocal cord fixation
ERROR: ERROR: ERROR: ERROR:
363 Involvement of deep tissue or musculature of any structure in codes 100 - 315
Soft tissue, NOS
T4a NA L L
365 Involvement of any structure in codes 100 - 350
WITH vocal cord fixation
T4a NA RE RE
368 Involvement of deep tissue or musculature of any structure in codes 320 - 351 T4a NA RE RE
370 Paraglottic space
Pre-epiglottic tissues
T4a NA RE RE
380 Minor thyroid cartilage erosion (inner cortex) T4a NA D D
390 Hypopharynx, NOS
Postcricoid area
Pyriform sinus except medial wall (see code 340)
T4a NA RE RE
430 390 + 280

Any structure in 390 + Minor thyroid cartilage erosion
T4a NA D D
450 Soft palate, inferior surface including uvula, or soft palate, NOS T4a NA RE RE
470 Nasopharynx, NOS
Soft palate, superior (nasopharyngeal) surface
T4a NA RE RE
500 OBSOLETE DATA RETAINED V0200

Base of tongue, except mucosa (see code 350)
Buccal mucosa (inner cheek)
Floor of mouth
Gum (gingiva)
ERROR: NA RE RE
620 Soft tissues of neck T4a NA RE RE
650 Pterygoid muscle T4a NA RE RE
660 450- to 650 +380 or 430

Any structure in 450 to 650 plus minor thyroid cartilage erosion coded in 380 or 430
T4a NA D D
670 Invasion through thyroid cartilage (see also code 380)
Thyroid cartilage, NOS
Cartilage, NOS
T4a NA D D
680 Trachea T4a NA D D
690 Esophagus
Strap muscles:
Omohyoid
Sternohyoid
Sternothyroid
Thyrohyoid
Thyroid
T4a NA D D
700 Extrinsic muscles of tongue:
Genioglossus
Geniohyoid
Hyoglossus
Mylohyoid
Palatoglossus
Styloglossus
T4a NA D D
710 Bone excluding base of skull
Bone, NOS
Overlying skin
Hard palate
Anterior two-thirds of tongue
Parotid gland
T4a NA D D
725 Stated as T4a with no other information on extension T4a NA L L
750 Prevertebral fascia or muscle
Prevertebral space
T4b NA D D
770 750 + 660 to 700

Any structure in 750 plus any structure coded in 660 through 700
T4b NA D D
790 Contiguous extension:
Carotid artery (encased)
Mediastinal structures
T4b NA D D
800 OBSOLETE DATA RETAINED V0200

Further contiguous extension, including:
Anterior 2/3 of tongue
Bone
Encases carotid artery
Hard palate
Mandible
Mediastinal structures
Parotid gland
T4b NA D D
801 Further contiguous extension including:
Base of skull
Brain
Dura
Lower cranial nerves (IX, X, XI, XII)
Masticator 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