| 0 |
In situ, intraepithelial, non-invasive; high-grade dysplasia
- (Adeno)carcinoma, noninvasive, in a polyp |
| 1 |
Localized only (localized, NOS)
- Confined to esophagus, NOS
- Extension through wall, NOS
- Invasion of
+ Intramucosa, NOS
+ Lamina propria
+ Mucosa, NOS
+ Muscularis mucosae
+ Muscularis, NOS
+ Muscularis propria
+ Submucosa (superficial invasion)
- Perimuscular tissue invaded
- Subserosal tissue/(sub)serosal fat invaded |
| 2 |
Regional by direct extension only
- All sites
+ Adjacent structure(s), NOS
+ Adventitia and/or soft tissue invaded
+ Aorta
+ Azygos vein
+ Diaphragm (excluding abdominal/lower esophagus, see code 7)
+ Esophagus is described as "FIXED"
+ Extension to adjacent (connective) tissue WITHOUT perforation of visceral peritoneum covering these structures
+ Gastric artery
+ Ligaments
* Gastrocolic
* Gastrohepatic
* Gastrosplenic
* Omentum (greater, lesser, NOS)
+ Mesothelium
+ Pericardium (excluding thoracic/middle esophagus, see code 7)
+ Perigastric fat
+ Peritoneum, NOS
+ Pleura (excluding cervical/upper esophagus, see code 7)
+ Serosa (invasion of/or through)
+ Tunica serosa
+ Vertebral body
+ Visceral peritoneum (including perforation)
- Cervical esophagus
+ Blood vessel(s)
* Carotid artery
* Subclavian artery
+ Carina
+ Cervical vertebra(e)
+ Hypopharynx
+ Jugular vein
+ Larynx
+ Thyroid
+ Trachea
- Intrathoracic, upper or mid-portion, esophagus
+ Blood vessel(s), major
* Gastric artery/vein
* Pulmonary artery/vein
* Vena cava
+ Carina
+ Stomach, cardia (via serosa)
+ Trachea
- Intrathoracic, lower portion (abdominal), esophagus
+ Blood vessel(s)
* Vena cava
- Intrathoracic esophagus (all portions)
+ Adjacent rib(s)
+ Lung via bronchus
+ Mediastinal structure(s), NOS
+ Thoracic vertebra(e)
- Esophagus GE Junction
+ Liver
+ Pancreas
+ Small intestine (duodenum [via serosa], ileum, jejunum)
+ Spleen
+ Transverse colon (including flexures) |
| 3 |
Regional lymph node(s) involved only
- All subsites
+ Nodule(s) in perigastric fat
+ Peri-/paraesophageal (8L, 8M) (excluding GE junction)
+ Regional lymph node(s), NOS
* Lymph node(s), NOS
- Cervical esophagus only
+ Cervical, NOS
* Anterior deep cervical (laterotracheal) (recurrent laryngeal)
* Deep cervical, NOS
* Internal jugular, NOS
- Jugulodigastric (subdigastric)
- Upper, NOS
+ Scalene (inferior deep cervical) (1)
+ Supraclavicular (transverse cervical) (1)
- Intrathoracic esophagus, upper or middle, only
+ Internal jugular, NOS
* Deep cervical, NOS
- Jugulodigastric (subdigastric)
- Jugulo-omohyoid (supraomohyoid)
- Lower, NOS
- Middle
- Upper cervical, NOS
+ Intrabronchial
* Carinal (tracheobronchial) (10R, 10L) (tracheal bifurcation)
* Hilar (bronchopulmonary) (proximal lobar) (pulmonary root)
* Left gastric (superior gastric) (17)
- Cardiac (cardial)
- Lesser curvature
- Perigastric, NOS
* Peritracheal
+ Posterior mediastinal (tracheoesophageal)
+ Superior mediastinal
- Intrathoracic esophagus, lower (abdominal) only
+ Left gastric (superior gastric) (17)
* Cardiac (cardial)
* Lesser curvature
* Perigastric, NOS
+ Posterior mediastinal (3P) (tracheoesophageal)
- Esophagus GE Junction
+ Celiac (20)
+ Hepatic (excluding gastrohepatic and hepatoduodenal)
+ Left gastric (superior gastric), NOS
* Cardiac
* Cardioesophageal
* Gastric, left (17)
* Gastropancreatic, left
* Lesser curvature
* Lesser omental
* Pericardial (16)
+ Pancreaticosplenic (pancreaticolineal)
+ Pancreatoduodenal
+ Perigastric, NOS
+ Peripancreatic
+ Right gastric (inferior gastric), NOS
* Gastrocolic
* Gastroduodenal
* Gastroepiploic (gastro-omental), right or NOS
* Gastrohepatic
* Greater curvature
* Greater omental
* Pyloric, NOS
- Infrapyloric (subpyloric)
- Suprapyloric
+ Splenic (lienal), NOS
* Gastroepiploic (gastro-omental), left
* Splenic hilar |
| 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 subsites
* Airway
* Stated as unresectable, NOS
* Vertebral body
+ Abdomen/lower esophagus
* Diaphragm fixed
+ Cervical/upper esophagus
* Lung
* Pleura
* Mainstem bronchus
+ Thoracic/middle esophagus
* Pericardium
+ Esophagus GE Junction
* Abdominal wall
* Adrenal (suprarenal) gland
* Kidney
* Pulmonary ligament (9)
* Retroperitoneum
* Trachea
- Distant lymph node(s), NOS
+ All subsites
* Anterior mediastinal (6)
* Common hepatic (18)
* Diaphragmatic (15)
* Mediastinal, NOS
* Splenic (19)
* Subcarinal (tracheal carina) (7)
+ Cervical esophagus
* Aortopulmonary (5)
* Para-aortic (ascending aorta or phrenic)
- Subaortic
* Paratracheal (2R, 2L, 4R, 4L)
* Posterior mediastinal (3P)
* Superior mediastinal
+ Intrathoracic esophagus, upper or middle, only
* Aortopulmonary (5)
- Para-aortic (ascending aorta or phrenic)
* Cervical
+ Lower thoracic (abdominal) esophagus
* Aortopulmonary (5)
- Para-aortic (ascending aorta or phrenic)
- Subaortic
* Celiac (20)
* Paratracheal (2R, 2L, 4R, 4L)
* Superior mediastinal
+ Esophagus GE Junction
* Hepatoduodenal
* Mesenteric, NOS
- Inferior mesenteric
- Superior mesenteric
* Para-aortic
* Paraesophageal, NOS
* Periesophageal, NOS
- Anterior mediastinal (6)
- Aortopulmonary (5)
- Paraesophageal, lower (8l)
- Paraesophageal, middle (8m)
- Paratracheal, lower (4L, 4R)
- Paratracheal, upper (2L, 2R)
- Posterior mediastinal (3p)
- Supraclavicular (1)
- Tracheobronchial (hilar) (10L, 10R)
* Porta hepatis (portal) (hilar) (in hilus of liver)
* Retropancreatic
* Retroperitoneal
- Distant metastasis, NOS
+ Carcinomatosis
+ Distant metastasis WITH or WITHOUT distant lymph node(s) |
| 9 |
Unknown if extension or metastasis |
