]> C52.9 Vagina, NOS Note: 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 the 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 III is assigned based on tumor extension and/or regional lymph node involvement. Code CS Extension based on a physician's statement of FIGO Stage III only if it is known that the stage value is assigned because of tumor extension. Note 2: FIGO no longer includes Stage 0 (Tis) for this site. Note 3: According to AJCC, pelvic wall is defined as muscle, fascia, neurovascular structures, or skeletal portions of the bony pelvis. Code Description TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 000 Tis Tis IS IS 100 T1 T1 L L 150 T1 T1 L L 200 Musculature involved T1 T1 L L 250 FIGO Stage I T1 T1 L L 300 Localized, NOS T1 T1 L L 400 ERROR T2 RE RE 410 Cervix T2 T2 RE RE 420 T2 T2 RE RE 500 T2 T2 RE RE 510 FIGO Stage II T2 T2 RE RE 520 T3 T3 D RE 600 T3 T3 D RE 620 T3 T3 D RE 650 T3 T3 D RE 700 T4 T4 D D 800 T4 T4 D D 850 FIGO Stage IVA T4 T4 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. Distant nodes are coded in CS Mets at DX. For the lower third of vagina, iliac (common, external, internal (hypogastric), and NOS), and pelvic, NOS lymph nodes are coded in CS Mets at DX. For the upper two thirds of vagina, inguinal and femoral lymph nodes are coded in CS Mets at DX. Note 2: When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and regional lymph node detail are available, record the code with regional lymph node detail in preference to a statement of FIGO stage. FIGO Stage III 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 III based on regional lymph node involvement or if the basis is not stated. Code Description TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 000 No regional lymph node involvement N0 N0 NONE NONE 100 ERROR ERROR ERROR ERROR 150 N1 N1 RN RN 200 N1 N1 D RN 300 N1 N1 D RN 400 N1 N1 D RN 425 N1 N1 RN RN 430 N1 N1 RN RN 450 N1 N1 RN RN 475 N1 N1 D RN 500 N1 N1 RN RN 510 N1 N1 RN RN 520 N1 N1 RN RN 530 N1 N1 RN RN 600 FIGO Stage III based on lymph node involvement N1 N1 RN RN 620 FIGO Stage III not stated if based on extension or lymph nodes N1 N1 RN RN 800 Lymph nodes, NOS N1 N1 RN RN 999 NX NX U U &generalregnodeseval; &generalreglnpos; &generalreglnexam; CS Mets at DX Note: When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and metastatic detail are available, record the code with metastatic detail in preference to a statement of FIGO stage. Code Description TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 00 No distant metastasis M0 M0 NONE NONE 10 Distant lymph node(s), NOS M1 M1 D D 11 ERROR M1 D D 12 ERROR M1 D D 20 M1 M1 D D 22 M1 M1 D D 25 ERROR ERROR ERROR ERROR 27 M1 M1 D D 30 M1 M1 D D 35 Distant lymph node(s) other than code 20-30 M1 M1 D D 40 M1 M1 D D 50 ERROR M1 D D 55 M1 M1 D D 58 M1 M1 D D 60 M1 M1 D D 70 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 vaginal cancer. 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 200 FIGO Stage II 300 FIGO Stage III 400 FIGO Stage IV [NOS] 410 FIGO Stage IVA 420 FIGO Stage IVB 888 987 988 999 FIGO stage unknown &commonssf2vagina; &commonssf3vagina; &commonssf4vagina; &commonssf5vagina; CS Site-Specific Factor 6 Distant (Mediastinal, Scalene) Nodal Status Note 1: The distant nodal status corresponds to the assessment method recorded in CS Site-Specific Factor 7. Code Description 000 Negative mediastinal, scalene lymph nodes 010 Positive mediastinal, scalene lymph nodes 888 988 998 Mediastinal, scalene lymph nodes not assessed 999 CS Site-Specific Factor 7 Assessment Method of Distant (Mediastinal, Scalene) Nodal Status Note 1: The assessment results are recorded in CS Site-Specific Factor 6. Note 2: Use the highest applicable code. Code Description 000 010 Clinical assessment 020 030 Incisional biopsy; FNA 040 988 998 Lymph nodes not assessed 999 ¬appnewssf8; ¬appnewssf9; ¬appnewssf10; ¬appnewssf11; ¬appnewssf12; ¬appnewssf13; ¬appnewssf14; ¬appnewssf15; ¬appnewssf16; ¬appnewssf17; ¬appnewssf18; ¬appnewssf19; ¬appnewssf20; ¬appnewssf21; ¬appnewssf22; ¬appnewssf23; ¬appnewssf24; ¬appnewssf25; &commonhistinclusioncarcinomasarcomanosspindlecellsarcoma; &commonhistologyexclusions1; AJCC TNM 7 Stage T N M Stage T0 N0 M0 ERROR T0 N1 M0 III T0 NX M0 UNK Tis N0 M0 0 Tis N1 M0 ERROR Tis NX M0 0 T1 N0 M0 I T1 N1 M0 III T1 NX M0 UNK T2 N0 M0 II T2 N1 M0 III T2 NX M0 UNK T3 N0 M0 III T3 N1 M0 III T3 NX M0 III T4 N0 M0 IVA T4 N1 M0 IVA T4 NX M0 IVA TX N0 M0 UNK TX N1 M0 UNK TX NX M0 UNK T0 N0 M1 IVB T0 N1 M1 IVB T0 NX M1 IVB Tis N0 M1 ERROR Tis N1 M1 ERROR Tis NX M1 ERROR T1 N0 M1 IVB T1 N1 M1 IVB T1 NX M1 IVB T2 N0 M1 IVB T2 N1 M1 IVB T2 NX M1 IVB T3 N0 M1 IVB T3 N1 M1 IVB T3 NX M1 IVB T4 N0 M1 IVB T4 N1 M1 IVB T4 NX M1 IVB TX N0 M1 IVB TX N1 M1 IVB TX NX M1 IVB AJCC TNM 6 Stage T N M Stage T0 N0 M0 ERROR T0 N1 M0 III T0 NX M0 UNK T0 N0 M1 IVB T0 N1 M1 IVB T0 NX M1 IVB 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 T1 N0 M0 I T1 N1 M0 III T1 NX M0 UNK T1 N0 M1 IVB T1 N1 M1 IVB T1 NX M1 IVB T1 N0 MX UNK T1 N1 MX UNK T1 NX MX UNK T2 N0 M0 II T2 N1 M0 III T2 NX M0 UNK T2 N0 M1 IVB T2 N1 M1 IVB T2 NX M1 IVB T2 N0 MX UNK T2 N1 MX UNK T2 NX MX UNK T3 N0 M0 III T3 N1 M0 III T3 NX M0 III T3 N0 M1 IVB T3 N1 M1 IVB T3 NX M1 IVB T3 N0 MX UNK T3 N1 MX UNK T3 NX MX UNK T4 N0 M0 IVA T4 N1 M0 IVA T4 NX M0 IVA T4 N0 M1 IVB T4 N1 M1 IVB T4 NX M1 IVB T4 N0 MX IVNOS T4 N1 MX IVNOS T4 NX MX IVNOS TX N0 M0 UNK TX N1 M0 III TX NX M0 UNK TX N0 M1 IVB TX N1 M1 IVB TX NX M1 IVB TX N0 MX UNK TX N1 MX UNK TX NX MX UNK &commonsummarystage;