0 |
In situ: noninvasive, intraepithelial |
1 |
Localized only (localized, NOS)
- All sites
+ Confined to site of origin
+ Epiglottis, lingual surface
- Oropharynx (C090-C091, C098-C099, C100, C102-C104, C108-C109)
+ Tonsil (palatine, NOS)
+ Tonsillar pillar/fossa
+ Wall (anterior [including vallecular], lateral, posterior)
- Pharyngeal Tonsil (C111)
+ Adenoid
+ Nasopharynx (inferior wall, superior surface of soft palate)
+ Pharyngeal tonsil (nasopharyngeal tonsil)
+ Posterior superior wall (vault)
- Soft Palate (C051, C052)
+ Lamina propria, submucosa, musculature
+ Tumor crosses midline
- Tongue Base (C019, C024)
+ Lamina propria, submucosa, musculature (intrinsic)
+ Tumor crosses midline |
2 |
Regional by direct extension only
- All sites
+ Epiglottis, lingual surface plus both lateral walls through soft palate or base of tongue
+ Epiglottis WITH fixation
- Oropharynx (C090-C091, C098-C099, C100, C102-C104, C108-C109)
+ Base of tongue (including lingual tonsil)
+ Buccal mucosa
+ Floor of mouth
+ Gum (gingiva)
+ Hypopharynx
+ Larynx, NOS
+ Lateral walls (both) through soft palate or base of tongue
+ Posterior surface of epiglottis
+ Prevertebral fascia/muscle
+ Pyriform sinus
+ Soft palate (inferior surface including uvula, superior [nasopharyngeal] surface, NOS)
+ Soft tissue of neck
- Pharyngeal Tonsil (C111)
+ Hard palate
+ Mandible
+ Nasal cavity
+ Oropharynx
+ Paranasal sinuses
+ Pterygopalatine fossa
+ Soft palate, inferior surface including uvula
- Soft Palate (C051, C052)
+ Buccal mucosa (inner cheek)
+ Gum (gingiva), upper
+ Hard palate
+ Lateral pharyngeal wall
+ Mandible
+ Tonsils, including tonsillar pillars and fossae
- Tongue Base (posterior 1/3 of tongue) (C019, C024)
+ Anterior two-thirds of tongue for base of tongue
+ Base of tongue tumor crosses midline
+ Floor of mouth
+ Glossoepiglottic fold
+ Glossopharyngeal sulcus
+ Lateral pharyngeal wall
+ Lingual tonsil for base of tongue
+ Lower gingiva
+ Pharyngoepiglottic fold
+ Soft palate, inferior surface or NOS including uvula
+ Sublingual gland
+ Tonsil, tonsillar pillars and fossae |
3 |
Regional lymph node(s) involved only
- Level I
+ Level IA - Submental
+ Level IB - Submandibular (submaxillary), sublingual
- Level II - Upper jugular
+ Jugulodigastric (subdigastric)
+ Upper deep cervical
+ Level IIA - Anterior
+ Level IIB - Posterior
- Level III - Middle jugular
+ Middle deep cervical
- Level IV - Lower jugular
+ Jugulo-omohyoid (supraomohyoid)
+ Lower deep cervical
+ Virchow node
- Level V - Posterior triangle group
+ Posterior cervical
+ Level VA - Spinal accessory
+ Level VB - Transverse cervical, supraclavicular
- Level VI - Anterior compartment group
+ Laterotracheal
+ Paralaryngeal
+ Paratracheal - above suprasternal notch
+ Perithyroidal
+ Precricoid (Delphian)
+ Prelaryngeal
+ Pretracheal - above suprasternal notch
+ Recurrent laryngeal
- Level VII - Superior mediastinal group (for other mediastinal node(s), see code 7)
+ Esophageal groove
+ Paratracheal - below suprasternal notch
+ Pretracheal - below suprasternal notch
- Other groups
+ Cervical, NOS
+ Deep cervical, NOS
+ Facial
* Buccinator (buccal)
* Mandibular
* Nasolabial
+ Internal jugular, NOS
+ Parapharyngeal
+ Parotid
* Infraauricular
* Intraparotid
* Periparotid
* Preauricular
+ Retroauricular (mastoid)
+ Retropharyngeal
+ Suboccipital
- Regional lymph node(s), NOS
+ Lymph node(s), NOS |
4 |
Regional by BOTH direct extension AND regional lymph node(s) involved
- Codes (2) + (3) |
7 |
Distant site(s)/lymph node(s) involved
- Distant site(s) (including further contiguous extension)
+ All sites
* Carotid artery (encasing)
* Deep/extrinsic muscles of tongue
- Genioglossus
- Hyoglossus
- Palatoglossus
- Styloglossus
* Lateral nasopharynx
* Masseter muscle
* Masticator space
- Cranial nerve V-third division
- Muscles of mastication
- Pterygoid muscle (lateral, medial)
- Ramus of mandible
- Temporalis muscles
* Parapharyngeal extension (pharyngeal space invasion)
* Pterygoid plates
* Skull (base, bone, NOS)
+ Oropharynx (C090-C091, C098-C099, C100, C102-C104, C108-C109)
* Anterior 2/3 of tongue
* Hard palate
* Mandible
* Parotid gland
+ Pharyngeal Tonsil (C111)
* Brain
* Cranial nerve involvement
* Hypopharynx
* Infratemporal fossa/masticator space
* Orbit (floor, NOS)
* Paranasal sinus
* Soft tissues of neck
+ Soft palate (C051, C052)
* Hypopharynx
* Maxilla
* Maxillary sinus (antrum)
* Nasal cavity
* Nasopharynx (lateral, NOS)
* Palatine bone (bone of hard palate)
* Tongue
+ Tongue Base (posterior 1/3 of tongue) (C019, C024)
* Hard palate
* Hypopharynx
* Larynx
* Mandible
* Skin
- Distant lymph node(s)
+ Mediastinal (excluding superior mediastinal node(s), Level VII)
- Distant metastasis, NOS
+ Carcinomatosis
+ Distant mets WITH or WITHOUT distant lymph node(s) |
9 |
Unknown if extension or metastasis |