CS Extension

Notes

**Note 1**: AJCC does not include a Tis or TX 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 320 and 325 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 4**: Use code 300 for localized tumor only if no information Is available to assign code 100, 350, or 360. **Note 5**: 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.
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 Tumor confined to mucosa of maxillary antrum (sinus) T3 NA L L
300 Localized, NOS T3 NA L L
320 Extension involving mucosa only:
Frontal sinus
Sphenoid sinus
Ethmoid sinus
T3 NA RE RE
325 Extension involving mucosa only:
Nasal cavity
Nasopharynx
T3 NA RE RE
350 Stated as T3 with no other information on extension T3 NA L L
360 Involvement of deep tissue or mucoperiosteum of maxillary sinus T4a NA L L
365 360 + (320 or 325)

Involvement of deep tissue or mucoperiosteum of maxillary sinus
plus mucosal involvement of any structure in code 320 or 325
T4a NA RE RE
400 OBSOLETE DATA RETAINED V0200

Invasion of infrastructure:
Hard palate except extension to posterior wall of sinus and pterygoid plates (code 680)
Middle nasal meatus, except extension to posterior wall of sinus and pterygoid plates (code 680)
Nasal cavity (floor, lateral wall, septum, turbinates)
Palatine bone
Tumor causing bone erosion or destruction, except for the posterior antral wall
ERROR: NA RE RE
500 Involvement of deep tissues, mucoperiosteum, cartilage, or bony wall of any structures in code 320 T4a NA RE RE
510 Involvement of deep soft tissues, cartilage, or bony wall of any structures in code 325 T4a NA RE RE
520 Involvement of palatine bone T4a NA RE RE
600 OBSOLETE DATA RETAINED V0200

Invasion of suprastructure:
Ethmoid sinus, anterior
Floor or medial wall of orbit
Floor or posterior wall of maxillary sinus
Subcutaneous tissues
ERROR: NA RE RE
650 OBSOLETE DATA RETAINED V0200

Bone of the posterior wall of maxillary sinus
Invasion of maxilla, NOS
ERROR: NA RE RE
660 OBSOLETE DATA RETAINED V0200

Ethmoid sinus
Posterior ethmoid, NOS
Pterygoid sinus
ERROR: NA RE RE
670 Infratemporal fossa
Pterygoid plates
Pterygoid fossa
T4a NA RE RE
675 Subcutaneous tissues
Skin of cheek
Skin of nose
T4a NA RE RE
680 OBSOLETE DATA RETAINED V0200

Anterior orbital contents
Cribriform plate
Frontal sinus
Infratemporal fossa
Pterygoid plates
Skin of cheek
Sphenoid sinus
ERROR: NA RE RE
690 Orbital contents including eye
Soft palate
T4a NA RE RE
700 OBSOLETE DATA RETAINED V0200

Base of skull
Orbital contents, including eye
Pterygomaxillary (temporal) fossa
Soft palate
ERROR: NA RE RE
725 Stated as T4a with no other information on extension T4a NA L L
740 Anterior cranial fossa
Base of skull
Clivus
Cribriform plate
Middle cranial fossa
Orbital apex
Pterygomaxillary (temporal) fossa
T4b NA RE RE
750 OBSOLETE DATA RETAINED V0200

Brain
Clivus
Cranial nerves other than (V2)
Dura
Middle cranial fossa
Nasopharynx
Orbital apex
ERROR: NA U U
790 Contiguous extension to:
Dura
Brain
Lower cranial nerves (IX, X, XI, XII)
Middle cranial fossa
T4b NA RE RE
800 OBSOLETE DATA RETAINED V0200

Further contiguous extension
ERROR: NA D D
801 Further contiguous extension :
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