]> C08.0 Submandibular gland Note: Laterality must be coded for C08.0. &commontumorsizetongue; CS Extension Note 1: AJCC considers "in situ carcinoma of salivary gland" an impossible diagnosis. Any case so coded will be mapped to an unknown AJCC stage, in situ Summary Stage. Note 2: Periosteum is a fibrous membrane that wraps the outer surface of bones. Mucoperiosteum is a compound structure of mucous membrane and periosteum. Cortical bone is the dense compact outer layer of bone. Note 3: The assignment of T1 and T2 categories for tumors of major salivary glands without exparenchymal extension is based on tumor size. A physician's statement of the T category may be used to code CS Tumor Size and/or CS Extension if this is the only information in the medical record regarding one or both of these fields. However the two fields are coded independently: for example the record may document size but not extension, other than the physician's statement of the T category. Use codes 305, 310, 408, 625, 810, or 815 as appropriate to code CS Extension based on a statement of T when no other extension information is available. Note 4: Use code 300 for localized tumor only if no information is available to assign codes 100, 305, or 310. Code Description TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 000 In situ, intraepithelial, noninvasive TX TX IS IS 100 Invasive tumor confined to gland/duct of origin ^ * L L 300 Localized, NOS ^ * L L 305 Stated as T1 with no other information on extension ^ * L L 310 Stated as T2 with no other information on extension ^ * L L 350 ^ * RE RE 400 T3 T3 RE RE 402 T3 T3 RE RE 405 Spinal accessory nerve T3 T3 D D 408 Stated as T3 with no other information on extension T3 T3 RE RE 450 Periosteum of mandible T4a T4a RE RE 500 T4a T4a RE RE 503 T4a T4a RE RE 505 T4a T4a D D 510 External auditory meatus T4a T4a D D 515 510 + 402 T4a T4a D D 520 ERROR T4b RE RE 600 Skin overlying gland T4a T4a D D 625 Stated as T4a with no other information on extension T4a T4a RE RE 650 T4b T4b RE RE 660 T4b T4b D D 710 T4b T4b D D 715 T4b T4b D D 720 ERROR ERROR ERROR ERROR 770 Pterygoid plates T4b T4b D D 800 Further contiguous extension T4b T4b D D 810 Stated as T4b with no other information on extension T4b T4b D D 815 Stated as T4 [NOS] with no other information on extension T4NOS T4NOS RE RE 950 No evidence of primary tumor T0 T0 U U 999 TX TX U U ^ For CS Extension codes 100-350 ONLY, the T category for AJCC 7 staging is assigned based on the value of CS Tumor Size as shown in the Extension Size Table for this schema. * For CS Extension codes 100-350 ONLY, the T category for AJCC 6 staging is assigned based on the value of CS Tumor Size as shown in the Extension Size Table for this schema. &generalcstsexteval; CS Lymph Nodes Note 1: For head and neck schemas, this field includes all lymph nodes defined as Levels I-VII and Other by AJCC. The complete definitions are provided in the General Rules, Section 2. Note 2: For head and neck schemas, additional information about lymph nodes (size of involved nodes, extracapsular extension, levels involved, and location of involved nodes above or below the lower border of the cricoid cartilage) is coded in CS Site-Specific Factors 1, 3-9. Note 3: If laterality of lymph nodes is not specified, assume nodes are ipsilateral. Midline nodes are considered ipsilateral. Note 4: For head and neck cancers, if lymph nodes are described only as "supraclavicular", try to determine if they are in Level IV (deep to the sternocleidomastoid muscle, in the lower jugular chain) or Level V (in the posterior triangle, inferior to the transverse cervical artery) and code appropriately. If the specific level cannot be determined, consider them as Level V nodes. Note 5: The description of lymph nodes has been standardized across the head and neck schemas. All lymph node levels and groups listed here are considered regional nodes for AJCC staging. Summary Stage 1977 and Summary Stage 2000 divide these nodes into regional and distant groups. Note 6: Level III nodes have been moved from code 100 in CS Version 1 to code 110. Mandibular nodes are included with Facial nodes. Code Description TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 000 No regional lymph node involvement N0 N0 NONE NONE 100 ^ * RN RN 110 ^ * D RN 120 ^ * D D 180 Stated as N1 with no other information on regional lymph nodes ^ * RN RN 190 Stated as N2a with no other information on regional lymph nodes ^ * RN RN 200 Multiple positive ipsilateral nodes listed in code 100 ^ * RN RN 210 ^ * D RN 220 ^ * D D 290 Stated as N2b with no other information on regional lymph nodes ^ * RN RN 300 ^ * RN RN 310 ^ * D RN 320 ^ * D D 400 ^ * RN RN 410 ^ * D RN 420 ^ * D D 490 Stated as N2c with no other information on regional lymph nodes ^ * RN RN 500 ^ * RN RN 510 ^ * D RN 520 ^ * D D 600 Stated as N2 [NOS] with no other information on regional lymph nodes ^ * RN RN 700 Stated as N3 with no other information on regional lymph nodes ^ * RN RN 800 Lymph nodes, NOS N1 N1 RN RN 999 NX NX U U ^ For CS Lymph Nodes codes 100-700 ONLY, the N category for AJCC 7 staging is assigned based on the value of CS Site-Specific Factor 1, Size of Lymph Nodes, as shown in the Lymph Nodes Size Table for this schema. * For CS Lymph Nodes codes 100-700 ONLY, the N category for AJCC 6 staging is assigned based on the value of CS Site-Specific Factor 1, Size of Lymph Nodes, as shown in the Lymph Nodes Size Table for this schema. &generalregnodeseval; &generalreglnpos; &generalreglnexam; &commonmetslips; &generalmetseval; &commonssf1headneck; &commonssf2headneck; &commonssf3headneck; &commonssf4headneck; &commonssf5headneck; &commonssf6headneck; &commonssf7headandneck; &commonssf8headandneck; &commonssf9headandneck; ¬appnewssf10; ¬appnewssf11; ¬appnewssf12; ¬appnewssf13; ¬appnewssf14; ¬appnewssf15; ¬appnewssf16; ¬appnewssf17; ¬appnewssf18; ¬appnewssf19; ¬appnewssf20; ¬appnewssf21; ¬appnewssf22; ¬appnewssf23; ¬appnewssf24; ¬appnewssf25; &commonhistologyparotid; &commonhistologyexclusions1; &commonstagesalivaryglandheadandnecktnm7; &commonstagegland; &commonsummarystage; &commonextbysizeparotid; &commonnoderangeheadandneck;