CS Mets at DX

Notes

**Note**: Involvement of inguinal, pelvic, or external iliac lymph nodes (codes 11 and 12) with previous scrotal or inguinal surgery prior to presentation of the testis tumor is coded in CS Lymph Nodes as regional node involvement and not in CS Mets at DX.
Code Description AJCC 7 M AJCC 6 M Summary Stage 1977 M Summary Stage 2000 M
00 No distant metastasis M0 M0 NONE NONE
11 Distant lymph node(s):
Pelvic, NOS
External iliac
WITHOUT previous scrotal or inguinal surgery
Or unknown if previous scrotal or inguinal surgery		 M1a M1a RN RN
12 Distant lymph node(s):
Inguinal nodes, NOS:
Deep, NOS
Node of Cloquet or Rosenmuller (highest deep inguinal)
Superficial (femoral)
WITHOUT previous scrotal or inguinal surgery
Or unknown if previous scrotal or inguinal surgery		 M1a M1a D D
13 Specified distant lymph nodes, other than code 11 or 12
Distant lymph node(s), NOS		 M1a M1a D D
20 Distant metastasis to lung M1a M1a D D
25 20 + (11, 12, or 13)

Distant metastasis to lung and lymph nodes as described in code 11, 12, or 13		 M1a M1a D D
30 Stated as M1a with no other information on metastasis M1a M1a D D
40 Metastasis to other distant sites
With or without metastasis to lung and/or distant lymph node(s)
Carcinomatosis

Stated as M1b with no other information on metastases		 M1b M1b D D
45 OBSOLETE DATA CONVERTED V0200
See code 60

Distant metastasis, NOS		 ERROR: ERROR: ERROR: ERROR:
60 Distant metastasis, NOS

Stated as M1 [NOS] with no other information on metastases		 M1NOS M1NOS D D
99 Unknown; distant metastasis not stated
Distant metastasis cannot be assessed
Not documented in patient record		 M0 MX U U