EOD Primary Tumor
This input is used for staging
Notes
**Note 1:** Changes such as dimpling of the skin, tethering, and nipple retraction are caused by tension on Cooper’s ligament(s), not by actual skin involvement. They do not alter the classification. **Note 2:** Adherence, attachment, fixation, induration, and thickening are clinical evidence of extension to skin or subcutaneous tissue; assign code 200. **Note 3:** “Fixation, NOS” is involvement of pectoralis muscle; assign code 200. **Note 4:** For a clinical description of inflammation, erythema, edema, peau d’orange, or other terms describing skin changes without a stated diagnosis of inflammatory carcinoma, assign code 400.Default
999NAACCR Item
NAACCR #772| Code | Description | SS2018 T |
|---|---|---|
| 000 | In situ: noninfiltrating; intraepithelial Intraductal WITHOUT infiltration Lobular neoplasia, grade 3 (LIN 3) | IS |
| 050 | Paget disease of nipple WITHOUT underlying tumor | Behavior with Primary Tumor for SS2018 T |
| 070 | Paget disease of nipple WITH underlying DCIS tumor | Behavior with Primary Tumor for SS2018 T |
| 100 | Any size tumor Confined to breast tissue and fat including nipple and/or areola Localized, NOS EXCLUDES: skin invasion of breast, nipple and areola (see code 200) | L |
| 200 | Any size tumor Attachment or fixation to pectoral muscle(s) or underlying tumor Deep fixation Invasion of - Pectoral fascia or muscle(s) - Subcutaneous tissue Local infiltration of dermal lymphatics adjacent to primary tumor involving skin by direct extension Skin infiltration of primary breast including skin of nipple and/or areola | RE |
| 300 | Invasion of (or fixation to) - Chest wall - Intercostal or serratus anterior muscle(s) - Rib(s) | RE |
| 400 | Extensive skin involvement WITHOUT a stated diagnosis of inflammatory carcinoma WITH or WITHOUT dermal lymphatic filtration - Edema of skin - En cuirasse - Erythema - Inflammation of skin - Lenticular nodule(s) - Peau d'orange ("pigskin") - Satellite nodule(s) - Skin edema - Ulceration of skin of breast | RE |
| 450 | Diagnosis of inflammatory carcinoma WITH a clinical description of inflammation, erythema, edema, peau d'orange, etc., involving less than or equal to one-third (33%) of the skin of the breast or percentage not stated WITH or WITHOUT dermal lymphatic infiltration - En cuirasse - Satellite nodule(s) - Skin edema - Ulceration of skin of breast | RE |
| 500 | 300 + (400 OR 450) | RE |
| 600 | Diagnosis of inflammatory carcinoma WITH a clinical description of inflammation, erythema, edema, peau d'orange, etc., involving greater than one-third (33%) or more of the skin of the breast WITH or WITHOUT dermal lymphatic infiltration - En cuirasse - Lenticular nodule(s) - Satellite nodule(s) - Ulceration of skin of breast | RE |
| 700 | Stated as “Inflammatory carcinoma” with no other information | RE |
| 800 | No evidence of primary tumor | U |
| 999 | Unknown; extension not stated Primary tumor cannot be assessed Not documented in patient record Death Certificate Only | U |