CS Mets at DX
Notes
**Note 1**: Discontinuous metastasis to any of the following abdominal organs by way of peritoneal seeding or implants is included in the T3 category (FIGO Stage III) and coded in CS Extension: abdominal mesentery; diaphragm; gallbladder; infracolic omentum; kidneys; large intestine except rectum, rectosigmoid, and sigmoid colon; liver (peritoneal surface); omentum; pancreas; pericolic gutter; peritoneum, NOS; small intestine; spleen; stomach; and ureters outside pelvis. Hematogenous metastases are included in M1 (FIGO Stage IV) disease. **Note 2**: The Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stages are included for coding where no more specific information is available in the record.| Code | Description | AJCC 7 M | AJCC 6 M | Summary Stage 1977 M | Summary Stage 2000 M |
|---|---|---|---|---|---|
| 00 | No distant metastasis | M0 | M0 | NONE | NONE |
| 05 | Sacral lymph nodes: Presacral lymph nodes Lateral sacral (laterosacral) Sacral NOS |
M1 | M0 | D | RN |
| 10 | Distant lymph node(s) other than sacral | M1 | M1 | D | D |
| 20 | 10 + 05 | M1 | M1 | D | D |
| 40 | Distant metastasis (excluding involvement of other organs by peritoneal seeding or implants (See Note 1)), except distant lymph nodes including: Liver parenchymal metastasis Pleural effusion WITH positive cytology Carcinomatosis |
M1 | M1 | D | D |
| 45 | 40 + 05 | M1 | M1 | D | D |
| 50 | 40 + 10 Distant metastasis plus distant lymph node(s) other than sacral |
M1 | M1 | D | D |
| 55 | 50 + 05 Distant metastasis plus distant lymph nodes including sacral nodes | M1 | M1 | D | D |
| 60 | Distant metastasis, NOS FIGO Stage IV |
M1 | M1 | D | D |
| 99 | Unknown; distant metastasis not stated Distant metastasis cannot be assessed Not documented in patient record |
M0 | MX | U | U |