]> C57.0 Fallopian tube Note 1: Laterality must be coded for this site. Note 2: AJCC TNM values correspond to the stages accepted by the Federation Internationale de Gynecologic et d'Obstetrique (FIGO). Note that FIGO uses a single stage value which corresponds to different groupings of T, N, and M values. &generalsize; CS Extension Note 1: When both Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and extension detail are available, record the code with extension detail in preference to a statement of FIGO stage. FIGO Stage IIIC is assigned based on tumor extension and/or regional lymph node involvement. Code CS Extension based on a physician's statement of FIGO Stage IIIC only if it is known that the stage value is assigned because of tumor extension. Note 2: FIGO no longer includes a Stage 0 (Tis) for this schema. Note 3: Liver capsule metastases are coded in CS Extension; liver parenchymal metastases are coded in CS Mets at DX. Note 4: Both extension to and discontinuous metastasis to any of the following pelvic organs are considered FIGO Stage II and coded in the range 400-660: adnexa, NOS; bladder, bladder serosa; broad ligament (mesovarium); cul de sac; contralateral fallopian tube; parametrium; pelvic peritoneum; pelvic wall; rectum; sigmoid colon; sigmoid mesentery; ureter; uterus; uterine serosa. Note 5: Both extension to and discontinuous metastasis to any of the following abdominal organs are considered FIGO Stage III and coded in the range 685-795: abdominal mesentery; diaphragm; gallbladder; infracolic omentum; kidneys; large intestine except rectum and sigmoid colon; liver (peritoneal surface); omentum; pancreas; pericolic gutter; peritoneum, NOS; small intestine; spleen; stomach; ureters. Note 6: From the AJCC Manual 7th Edition (page 430): "It may be preferable to classify a patient as TX (primary tumor cannot be assessed) if inadequate staging biopsies and/or a lack of peritoneal cytology make it inaccurate to classify the patient with confidence as early stage (Stage T3a/IIIA has not been excluded by adequate staging biopsies)." Note 7: Since "malignant ascites or malignant peritoneal washings" was not specifically categorized in the 1977 Summary Staging Guide, it is unclear to which stage pre-2001 cases may have been coded. Code Description TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 000 Tis Tis IS IS 100 T1NOS T1NOS L L 110 T1a T1a L L 120 T1b T1b L L 130 T1c T1c L L 200 T1NOS T1NOS L L 300 T1NOS T1NOS L L 310 T1NOS T1NOS L L 320 T1NOS T1NOS L L 350 T2NOS T2NOS RE RE 400 T2a T2a RE RE 450 T2a T2a D RE 460 FIGO Stage IIA T2a T2a RE RE 500 T2b T2b RE RE 510 T2b T2b RE RE 600 ERROR T2a D RE 610 OBSOLETE DATA RETAINED V0200 (600) + (500) ERROR T2b D RE 620 T2b T2b D RE 650 T2b T2b D RE 652 T2b T2b D RE 655 T2NOS T2NOS RE RE 658 T2b T2b RE RE 660 T2c T2c D D 670 T2NOS T2NOS RE RE 680 T3NOS T3NOS D RE 685 T3a T3a D RE 688 T3a T3a D D 690 T3a T3a D RE 695 T3a T3a D D 698 T3a T3a D RE 700 ERROR ERROR ERROR ERROR 710 ERROR ERROR ERROR ERROR 720 T3b T3b D RE 722 T3b T3b D RE 723 T3b T3b D D 725 T3b T3b D D 728 T3b T3b D RE 730 T3c T3c D RE 732 T3c T3c D RE 733 T3c T3c D D 735 T3c T3c D D 740 T3c T3c D RE 750 ERROR ERROR ERROR ERROR 760 T3a T3a D D 770 T3b T3b D D 780 T3c T3c D D 790 T3NOS T3NOS D RE 795 T3NOS T3NOS D D 800 T3NOS T3NOS D D 810 T3NOS T3NOS D D 820 T3NOS T3NOS D D 950 No evidence of primary tumor T0 T0 U U 999 TX TX U U &generalcstsexteval; CS Lymph Nodes Note 1: Code only regional nodes and nodes, NOS, in this field. Regional nodes include bilateral and contralateral involvement of named nodes. Distant nodes, including presacral and lateral sacral (laterosacral) nodes, are coded in CS Mets at DX. Note 2: The Federation Internationale de Gynecologie et d'Obstetrique (FIGO) Stage IIIC is assigned based on tumor extension and/or regional lymph node involvement. Code CS Lymph Nodes based on a physician's statement of FIGO Stage IIIC if the stage value is assigned because of regional lymph node involvement or there is no indication of the basis. Note 3: If either exploratory or definitive surgery is done with no mention of lymph nodes, assume nodes are negative. Note 4: If the clinician says "adnexa palpated" but does not mention lymph nodes, assume lymph nodes are not involved. Note 5: Determination of the N category for AJCC 6 is based on this field and CS Mets at DX for specific codes in CS Mets at DX. Code Description TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 000 No regional lymph node involvement N0 * NONE NONE 100 N1 N1 RN RN 120 ERROR N1 D RN 200 N1 N1 RN RN 220 ERROR N1 D RN 300 N1 N1 D RN 500 Regional lymph node(s), NOS N1 N1 RN RN 550 FIGO Stage IIIC based on regional lymph node involvement N1 N1 RN RN 800 Lymph nodes, NOS N1 N1 RN RN 999 NX * U U * For CS Lymph Nodes codes 000 and 999, the N category for AJCC 6 staging is based on the value of CS Mets at DX as shown in the Lymph Nodes Mets at DX AJCC 6 Table. &generalregnodeseval; &generalreglnpos; &generalreglnexam; CS Mets at DX 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 TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 00 No distant metastasis M0 M0 NONE NONE 05 M1 M0 D RN 10 Distant lymph node(s) other than sacral M1 M1 D D 20 10 + 05 M1 M1 D D 40 M1 M1 D D 45 40 + 05 M1 M1 D D 50 M1 M1 D D 55 50 + 05 Distant metastasis plus distant lymph nodes including sacral nodes M1 M1 D D 60 M1 M1 D D 99 M0 MX U U &generalmetseval; CS Site-Specific Factor 1 Figo Stage Note 1: The Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage definitions do not include Stage 0 (Tis) for the fallopian tube. Use code 987 for any case where CS Extension is coded 000. Note 2: Code the FIGO stage as stated in the medical record. Do not attempt to code it based on T, N, and M. Use code 999 if FIGO stage is unknown. Code Description 100 FIGO Stage I [NOS] 120 FIGO Stage IA 150 FIGO Stage IB 170 FIGO Stage IC 200 FIGO Stage II [NOS] 220 FIGO Stage IIA 250 FIGO Stage IIB 270 FIGO Stage IIC 300 FIGO Stage III [NOS] 320 FIGO Stage IIIA 350 FIGO Stage IIIB 370 FIGO Stage IIIC 400 FIGO Stage IV 888 987 988 999 FIGO stage unknown CS Site-Specific Factor 2 Biopsy of Metastatic Site Code Description 100 Pathologic examination of metastatic tissue performed, NOS 110 Biopsy of omentum performed. 120 Biopsy of small intestine performed. 130 Biopsy of liver parenchymal tissue performed. 200 888 988 998 999 CS Site-Specific Factor 3 Primary Tumor Location Note 1: The fimbria is the fringe of tissue around the ostium of the fallopian tube, in the direction of the ovary. The infundibulum is a funnel-shaped expansion of the tube which opens in the fimbria. Medial to the infundibulum is the ampulla, which forms over half the length of the tube. Medial to the ampulla is the isthmus, which forms one-third of the tube. The interstitial segment continues from the isthmus through the uterine wall to empty into the uterine cavity. Note 2: Use code 999 if primary site is described as fallopian tube but no information is available about the segment in which the tumor arose. Code Description 010 Tumor located in fimbrial segment. 020 Tumor located in interstitial segment. 030 Tumor located in isthmic segment. 040 Tumor located in ampullary segment. 050 Tumor located in infundibular segment. 060 Tumor in tubal location other than fimbrial segment, NOS 100 OBSOLETE DATA CONVERTED V0203 See code 010 Tumor located in thefimbrial segment. 110 OBSOLETE DATA CONVERTED V0203 See code 020 Tumor located in the interstitial segment. 120 OBSOLETE DATA CONVERTED V0203 See code 030 Tumor located in the isthmic segment. 130 OBSOLETE DATA CONVERTED V0203 See code 040 Tumor located in the ampullary segment. 140 OBSOLETE DATA CONVERTED V0203 See code 050 Tumor located in the infundibular segment. 200 OBSOLETE DATA CONVERTED V0203 See code 060 Tumor in tubal location other than the fimbrial segment, NOS 888 988 999 CS Site-Specific Factor 4 Number of Positive Pelvic Nodes Note: Record the number of positive pelvic lymph nodes documented in the patient record. Apply the same instructions in General Rules, Part I for coding Regional Nodes Positive to this data item. Code Description 000 All pelvic nodes examined negative. 001-089 1 - 89 pelvic nodes positive (Exact number of nodes positive) 090 90 or more pelvic nodes positive 095 Positive aspiration or core biopsy of pelvic lymph node(s) 097 Positive pelvic nodes, number not specified 098 No pelvic nodes examined 888 988 999 CS Site-Specific Factor 5 Number of Examined Pelvic Nodes Note 1: Record the number of examined pelvic nodes documented in the patient record. Apply the same instructions in General Rules, Part I for coding Regional Nodes Examined to this data item. Note 2: Under CSV0200, this site-specific factor incorrectly had different meanings for these codes. All of the cases coded in CSv2 before CSv2:V0203 are reviewed and coded to the current codes. Code Description 000 No pelvic lymph nodes examined 001-089 1 - 89 pelvic lymph nodes examined (Exact number of pelvic lymph nodes examined) 090 90 or more pelvic lymph nodes examined 095 No pelvic lymph nodes removed, but aspiration or core biopsy of pelvic lymph nodes performed 096 Pelvic lymph node removal documented as a sampling, but number of nodes unknown/not stated 097 Pelvic lymph node removal documented as a dissection, but number of nodes unknown/not stated 098 Pelvic lymph nodes surgically removed, but number of nodes unknown/not stated and not documented as a sampling or dissection 888 988 999 CS Site-Specific Factor 6 Number of Positive Para-Aortic Nodes Note: Record the number of positive para-aortic lymph nodes documented in the patient record. Apply the same instructions in General Rules, Part I for coding Regional Nodes Positive to this data item. Code Description 000 All para-aortic lymph nodes examined negative 001-089 090 90 or more para-aortic lymph nodes positive 095 Positive aspiration or core biopsy of para-aortic lymph node(s) 097 Positive para-aortic lymph nodes are documented, number not specified 098 No para-aortic lymph nodes examined 888 988 999 Unknown if para-aortic lymph nodes positive Not documented in patient record CS Site-Specific Factor 7 Number of Examined Para-Aortic Nodes Note 1: Record the number of examined para-aortic nodes documented in the patient record. Apply the same instructions in General Rules, Part I for coding Regional Nodes Examined to this data item. Note 2: Under CSV0200, this site-specific factor incorrectly had a different meaning for code 000. All of the cases coded in CSv2 before CSv2:V0203 are reviewed and coded to the current codes. Code Description 000 No para-aortic nodes examined 001-089 090 90 or more para-aortic nodes examined 095 No para-aortic nodes removed, but aspiration or core biopsy of para-aortic nodes performed 096 Para-aortic lymph node removal documented as a sampling, but number of nodes unknown/not stated 097 Para-aortic lymph node removal documented as a dissection, but number of nodes unknown/not stated 098 Para-aortic lymph nodes surgically removed, but number of nodes unknown/not stated and not documented as a sampling or dissection 988 999 ¬appnewssf8; ¬appnewssf9; ¬appnewssf10; ¬appnewssf11; ¬appnewssf12; ¬appnewssf13; ¬appnewssf14; ¬appnewssf15; ¬appnewssf16; ¬appnewssf17; ¬appnewssf18; ¬appnewssf19; ¬appnewssf20; ¬appnewssf21; ¬appnewssf22; ¬appnewssf23; ¬appnewssf24; ¬appnewssf25; &commonhistinclusioncarcinoma; &commonhistologyexclusions1; AJCC TNM 7 Stage T N M Stage T0 N0 M0 ERROR T0 N1 M0 IIIC T0 NX M0 UNK Tis N0 M0 0 Tis N1 M0 ERROR Tis NX M0 0 T1a N0 M0 IA T1a N1 M0 IIIC T1a NX M0 UNK T1b N0 M0 IB T1b N1 M0 IIIC T1b NX M0 UNK T1c N0 M0 IC T1c N1 M0 IIIC T1c NX M0 UNK T1NOS N0 M0 INOS T1NOS N1 M0 IIIC T1NOS NX M0 UNK T2a N0 M0 IIA T2a N1 M0 IIIC T2a NX M0 UNK T2b N0 M0 IIB T2b N1 M0 IIIC T2b NX M0 UNK T2c N0 M0 IIC T2c N1 M0 IIIC T2c NX M0 UNK T2NOS N0 M0 IINOS T2NOS N1 M0 IIIC T2NOS NX M0 UNK T3a N0 M0 IIIA T3a N1 M0 IIIC T3a NX M0 IIINOS T3b N0 M0 IIIB T3b N1 M0 IIIC T3b NX M0 IIINOS T3c N0 M0 IIIC T3c N1 M0 IIIC T3c NX M0 IIIC T3NOS N0 M0 IIINOS T3NOS N1 M0 IIIC T3NOS NX M0 IIINOS TX N0 M0 UNK TX N1 M0 IIIC TX NX M0 UNK T0 N0 M1 IV T0 N1 M1 IV T0 NX M1 IV Tis N0 M1 ERROR Tis N1 M1 ERROR Tis NX M1 ERROR T1a N0 M1 IV T1a N1 M1 IV T1a NX M1 IV T1b N0 M1 IV T1b N1 M1 IV T1b NX M1 IV T1c N0 M1 IV T1c N1 M1 IV T1c NX M1 IV T1NOS N0 M1 IV T1NOS N1 M1 IV T1NOS NX M1 IV T2a N0 M1 IV T2a N1 M1 IV T2a NX M1 IV T2b N0 M1 IV T2b N1 M1 IV T2b NX M1 IV T2c N0 M1 IV T2c N1 M1 IV T2c NX M1 IV T2NOS N0 M1 IV T2NOS N1 M1 IV T2NOS NX M1 IV T3a N0 M1 IV T3a N1 M1 IV T3a NX M1 IV T3b N0 M1 IV T3b N1 M1 IV T3b NX M1 IV T3c N0 M1 IV T3c N1 M1 IV T3c NX M1 IV T3NOS N0 M1 IV T3NOS N1 M1 IV T3NOS NX M1 IV TX N0 M1 IV TX N1 M1 IV TX NX M1 IV AJCC TNM 6 Stage T N M Stage T0 N0 M0 ERROR T0 N1 M0 IIIC T0 NX M0 UNK T0 N0 M1 IV T0 N1 M1 IV T0 NX M1 IV T0 N0 MX UNK T0 N1 MX UNK T0 NX MX UNK Tis N0 M0 0 Tis N1 M0 ERROR Tis NX M0 0 Tis N0 M1 ERROR Tis N1 M1 ERROR Tis NX M1 ERROR Tis N0 MX 0 Tis N1 MX ERROR Tis NX MX 0 T1NOS N0 M0 INOS T1NOS N1 M0 IIIC T1NOS NX M0 UNK T1NOS N0 M1 IV T1NOS N1 M1 IV T1NOS NX M1 IV T1NOS N0 MX UNK T1NOS N1 MX UNK T1NOS NX MX UNK T1a N0 M0 IA T1a N1 M0 IIIC T1a NX M0 UNK T1a N0 M1 IV T1a N1 M1 IV T1a NX M1 IV T1a N0 MX UNK T1a N1 MX UNK T1a NX MX UNK T1b N0 M0 IB T1b N1 M0 IIIC T1b NX M0 UNK T1b N0 M1 IV T1b N1 M1 IV T1b NX M1 IV T1b N0 MX UNK T1b N1 MX UNK T1b NX MX UNK T1c N0 M0 IC T1c N1 M0 IIIC T1c NX M0 UNK T1c N0 M1 IV T1c N1 M1 IV T1c NX M1 IV T1c N0 MX UNK T1c N1 MX UNK T1c NX MX UNK T2NOS N0 M0 IINOS T2NOS N1 M0 IIIC T2NOS NX M0 UNK T2NOS N0 M1 IV T2NOS N1 M1 IV T2NOS NX M1 IV T2NOS N0 MX UNK T2NOS N1 MX UNK T2NOS NX MX UNK T2a N0 M0 IIA T2a N1 M0 IIIC T2a NX M0 UNK T2a N0 M1 IV T2a N1 M1 IV T2a NX M1 IV T2a N0 MX UNK T2a N1 MX UNK T2a NX MX UNK T2b N0 M0 IIB T2b N1 M0 IIIC T2b NX M0 UNK T2b N0 M1 IV T2b N1 M1 IV T2b NX M1 IV T2b N0 MX UNK T2b N1 MX UNK T2b NX MX UNK T2c N0 M0 IIC T2c N1 M0 IIIC T2c NX M0 UNK T2c N0 M1 IV T2c N1 M1 IV T2c NX M1 IV T2c N0 MX UNK T2c N1 MX UNK T2c NX MX UNK T3NOS N0 M0 IIINOS T3NOS N1 M0 IIIC T3NOS NX M0 IIINOS T3NOS N0 M1 IV T3NOS N1 M1 IV T3NOS NX M1 IV T3NOS N0 MX UNK T3NOS N1 MX UNK T3NOS NX MX UNK T3a N0 M0 IIIA T3a N1 M0 IIIC T3a NX M0 IIINOS T3a N0 M1 IV T3a N1 M1 IV T3a NX M1 IV T3a N0 MX UNK T3a N1 MX UNK T3a NX MX UNK T3b N0 M0 IIIB T3b N1 M0 IIIC T3b NX M0 IIINOS T3b N0 M1 IV T3b N1 M1 IV T3b NX M1 IV T3b N0 MX UNK T3b N1 MX UNK T3b NX MX UNK T3c N0 M0 IIIC T3c N1 M0 IIIC T3c NX M0 IIINOS T3c N0 M1 IV T3c N1 M1 IV T3c NX M1 IV T3c N0 MX UNK T3c N1 MX UNK T3c NX MX UNK TX N0 M0 UNK TX N1 M0 IIIC TX NX M0 UNK TX N0 M1 IV TX N1 M1 IV TX NX M1 IV TX N0 MX UNK TX N1 MX UNK TX NX MX UNK &commonsummarystage; Lymph Nodes Mets at DX AJCC 6 Table For CS Lymph Nodes codes 000 and 999, the N category for AJCC 6 staging is assigned based on the coding of CS Mets at DX as shown in this table. CS Mets at DX CS Lymph Nodes 000 0 CS Lymph Nodes 999 999 00 N0 NX 05 N1 N1 10 N0 NX 20 N1 N1 40 N0 NX 45 N1 N1 50 N0 NX 55 N0 NX 60 N1 N1 99 N0 NX