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 405, 415, 425, 430, 505, 510, and 515 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 or 205, 520, or 540. **Note 5**: Use code 520, 705, 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 one of the following subsites:
Anterior wall (including vallecula and lingual (anterior) surface of epiglottis)
One lateral wall
Posterior wall
ERROR: NA L L
105 Tumor confined to mucosa of one of the following subsites:
Anterior wall:
Lingual (anterior surface of epiglottis)
Vallecula
One lateral wall
Posterior wall
T3 NA L L
200 OBSOLETE DATA RETAINED V0200

Involvement of two or more subsites:
Posterior, anterior or lateral wall(s)
ERROR: NA L L
205 Involvement of mucosa only of two or more subsites:
Anterior wall:
Lingual (anterior) surface of epiglottis
Vallecula
Lateral wall(s)
Posterior wall
T3 NA L L
300 Localized, NOS T3 NA L L
400 OBSOLETE DATA RETAINED V0200

Soft palate, inferior surface including uvula, or soft palate, NOS
ERROR: NA RE RE
405 Involvement of mucosa only:
Soft palate, inferior surface, including uvula
Soft palate, NOS
T3 NA RE RE
410 OBSOLETE DATA RETAINED V0200

Hypopharynx NOS
Pyriform sinus
ERROR: NA RE RE
415 Involvement of mucosa only:
Hypopharynx, NOS
Pyriform sinus
T3 NA RE RE
420 OBSOLETE DATA RETAINED V0200

Soft palate, superior (nasopharyngeal) surface
ERROR: NA RE RE
425 Involvement of mucosa only of soft palate, superior (nasopharyngeal) surface T3 NA RE RE
430 Involvement of mucosa only:
Nasopharynx
Larynx
Posterior surface of epiglottis
T3 NA RE RE
500 OBSOLETE DATA RETAINED V0200

Base of tongue
Buccal mucosa (inner cheek)
Floor of mouth
Gum (gingiva)
ERROR: NA RE RE
505 Involvement of mucosa only:
Base of tongue
Buccal mucosa (inner cheek)
Floor of mouth
Gum (gingiva)
T3 NA RE RE
510 Involvement of mucosa only of both lateral walls through soft palate or base of tongue T3 NA D RE
515 Involvement of mucosa only:
Anterior two-thirds of tongue
Hard palate
T3 NA D D
520 Stated as T3 with no other information on extension T3 NA L L
540 Involvement of deep soft tissue or musculature of any structure in code 105 T4a NA L L
545 540 + (405, 415, 425, 430, or 505)

Involvement of deep soft tissue or musculature of any structure in code 105 plus mucosal involvement of any structure in code 405, 415, 425, 430, or 505
T4a NA RE RE
550 Any extension coded in 105 - 505
WITH fixation
T4a NA RE RE
555 Involvement of deep soft tissue or musculature of any structure in codes 405, 415, 425, 430, and 505 T4a NA RE RE
560 (540 - 555) + 510

Any involvement in codes 540 - 555 plus mucosal involvement of the structures in code 510
T4a NA D RE
565 (540 - 560) + 515

Any involvement in codes 540 - 560 plus mucosal involvement of hard palate
T4a NA D D
570 Involvement of deep soft tissue or musculature of both lateral walls, soft palate, or base of tongue with contiguous involvement through all four sites T4a NA D RE
575 570 + 515

Involvement in 570 plus mucosal involvement of anterior tongue or hard palate
T4a NA D D
600 OBSOLETE DATA RETAINED V0200

Prevertebral fascia or muscle
Soft tissue of neck
ERROR: NA RE RE
610 Soft tissue of neck, NOS T4a NA RE RE
620 OBSOLETE DATA RETAINED V0200

Nasopharynx, lateral, or NOS
ERROR: NA RE RE
650 OBSOLETE DATA RETAINED V0200

Larynx, NOS
Medial pterygoid muscle, or pterygoid muscle, NOS
Posterior surface of epiglottis
ERROR: NA RE RE
670 Maxilla
Maxillary sinus (antrum)
Nasal cavity
Medial pterygoid muscle,
Pterygoid muscle, NOS
T4a NA RE RE
675 (610 or 670) + (510, 560, or 570)

Involvement of any structure in codes 610 or 670 plus any involvement of both lateral walls through soft palate or base of tongue
T4a NA D RE
678 (610,670, or 675) + (515, 565, 575)

Involvement of any structure in codes 610, 670, and 675 plus mucosal involvement of anterior tongue or hard palate
T4a NA D D
680 Deep extrinsic muscles of tongue:
Genioglossus
Geniohyoid
Hyoglossus
Mylohyoid
Palatoglossus
Styloglossus
Parotid Gland
T4a NA D D
685 Deep soft tissue or musculature of anterior tongue
Deep tissue or periosteum of hard palate
T4a NA D D
690 Bone excluding base of skull
Lateral pterygoid muscle
Overlying skin
Palatine bone
Pterygoid plates
Cartilage, NOS
Bone, NOS
T4a NA D D
700 OBSOLETE DATA RETAINED V0200

Deep extrinsic muscles of tongue:
Genioglossus
Geniohyoid
Hyoglossus
Mylohyoid
Palatoglossus
Styloglossus
Hard palate
Mandible
ERROR: NA D D
705 Stated as T4a with no other information on extension T4a NA L L
710 Prevertebral fascia/muscle T4b NA RE RE
715 710 + (510, 560, 670, 675, or 678)

Prevertebral fascia/muscle plus any involvement of both lateral walls through soft palate or base of tongue
T4b NA D RE
718 710 + (515, 565, 575, 680, 685, or 690)

Prevertebral fascia/muscle plus involvement of any structure in codes 680 and 690 or any involvement of anterior tongue or hard palate
T4b NA D D
720 OBSOLETE DATA CONVERTED V0200

See code 690
Lateral pterygoid muscle
Pterygoid plates
ERROR: ERROR: ERROR: ERROR:
750 Base of skull
Bone of skull
T4b NA D D
760 OBSOLETE DATA CONVERTED V0200

See code 690
Bone
ERROR: ERROR: ERROR: ERROR:
770 Carotid artery (encased) T4b NA D D
790 Contiguous extension:
Mediastinal structures
T4b NA D D
800 OBSOLETE DATA RETAINED V0200

Further contiguous extension:
Anterior 2/3 of tongue
Parotid gland
ERROR: NA D D
801 Further contiguous extension including:
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