]> C51.0 Labium majus C51.1 Labium minus C51.2 Clitoris C51.8 Overlapping lesion of vulva C51.9 Vulva, NOS Note 1: This schema includes skin of Vulva but is NOT used for Malignant Melanoma, Merkel Cell Carcinoma, Kaposi Sarcoma, Mycosis Fungoides, Sezary Disease, or Other Lymphomas. Each of these diseases has a separate schema. Note 2: Involvement of the vulva and perineum should be assigned to vulva as the primary site in the absence of a statement that the tumor extended from the perineum to the vulva. Collaborative Stage only includes C51.0-C51.9 (vulva) and does not include primaries of the perineum in this schema. Basal and squamous cell carcinomas of the skin of the vulva are coded to C51.9 and are reportable; basal and squamous carcinomas of the skin of the perineum would be coded to C44.5 and would not be reportable. Note 3: 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. &commontumorsize_drone; 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 IVA is assigned based on tumor extension and/or regional lymph node involvement. Code CS Extension based on a physician's statement of FIGO Stage IVA if it is based on tumor extension or the basis is unknown. Note 2: FIGO no longer includes Stage 0 (Tis) for this site. Note 3: FIGO Stage I, IA and IB are defined by size of tumor, involvement of vulva OR vulva and perineum, and depth of stromal invasion. Note 4: The depth of invasion is defined as the measurement of the tumor from the epithelial-stromal junction of the adjacent most superficial dermal papilla to the deepest point of invasion. Note 5: Use codes 110, and 120 in preference to 125 and 125 in preference to code 200. Code Description TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 000 Tis Tis IS IS 100 ERROR ERROR ERROR ERROR 105 ERROR ERROR ERROR ERROR 110 Vulva only: Stromal invasion less than or equal to 1 mm ^ * L L 120 Vulva only: Stromal invasion greater than 1 mm T1b * L L 125 Vulva only: Stromal invasion but depth of invasion in mm not stated ^ * L L 200 ^ * L L 300 Localized, NOS ^ * L L 320 ERROR ERROR ERROR ERROR 330 ERROR ERROR ERROR ERROR 340 ERROR ERROR ERROR ERROR 400 ERROR ERROR ERROR ERROR 410 ^ * RE RE 420 Vulva and perineum: Stromal invasion greater than 1 mm T1b * RE RE 425 Vulva and perineum: Stromal invasion but depth of invasion in millimeters not stated ^ * RE RE 450 FIGO Stage IA ^ * L L 460 FIGO Stage IB T1b * L L 470 FIGO Stage I [NOS] ^ * L L 600 ERROR T3 RE RE 605 T2 T3 RE RE 610 Vagina (lower/distal 1/3 vagina) T2 T3 RE RE 612 Vagina NOS T2 T3 RE RE 615 FIGO Stage II T2 T2 RE RE 618 T3 T3 RE RE 620 T3 T3 D RE 700 T3 T4 D D 750 ERROR T4 D RE 760 T3 T4 D D 800 Further contiguous extension T3 T4 D D 850 FIGO Stage IVA based on extension or unknown whether based on extension or nodes T3 T4 D D 950 No evidence of primary tumor T0 T0 U U 999 TX TX U U ^ For CS Extension codes 110, 125-410, 425-450, and 470 ONLY, the T category for AJCC 7 staging is assigned based on the value of CS Tumor Size and CS Extension, as shown in the Extension Size AJCC 7 Table for this schema. * For CS Extension codes 110-470 ONLY, the T category for AJCC 6 staging is assigned based on the value of CS Tumor Size and CS Extension, as shown in the Extension Size AJCC 6 Table for this schema. &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. Note 2: The regional nodes are inguinal or femoral: inguinal, NOS; deep inguinal, NOS; Node of Cloquet or Rosenmuller (highest deep inguinal); and superficial inguinal (femoral) and regional lymph nodes [NOS]. Note 3: 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 IVA 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 IVA only if it is known that the stage value is assigned because of regional lymph node involvement. Code Description TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 000 No regional lymph node involvement N0 N0 NONE NONE 100 ERROR N1 RN RN 110 1 or 2 regional lymph node(s) positive and size of metastasis in each node less than 5 mm N1a * RN RN 120 1 lymph node metastasis equal to or greater than 5 mm N1b * RN RN 130 1 or 2 regional lymph node(s) positive (or number positive unknown) and size of metastasis not given N1NOS * RN RN 150 FIGO Stage IIIA N1NOS * RN RN 210 3 or more regional lymph nodes positive and size of metastasis in each node less than 5 mm N2a * RN RN 220 At least 2 lymph node metastases equal to or greater than 5 mm N2b * RN RN 230 3 or more regional lymph node(s) positive and size of metastases not given N2NOS * RN RN 250 FIGO Stage IIIB N2NOS * RN RN 300 Regional lymph node(s) with extracapsular spread N2c * RN RN 350 FIGO Stage IIIC N2c * RN RN 360 FIGO Stage III [NOS] N1NOS * RN RN 400 Fixed or ulcerated regional lymph nodes N3 * RN RN 450 FIGO Stage IVA based on regional lymph node involvement N3 * RN RN 500 ERROR N2 RN RN 600 Regional lymph node(s), NOS N1NOS N1 RN RN 800 Lymph nodes, NOS N1NOS N1 RN RN 999 NX NX U U * CS Lymph Nodes codes 110-450 are used in conjunction with CS Site Specific Factor 11,Regional Lymph Node Laterality, to determine the N category for AJCC 6 staging as shown in the Lymph Nodes SSF 11 AJCC 6 Table. &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 M1 M1 RN D 12 M1 M1 D D 13 M1 M1 D D 40 M1 M1 D D 50 M1 M1 D D 55 M1 M1 D D 60 M1 M1 D D 70 M1 M1 D D 99 M0 MX U U &generalmetseval; ¬appssfactor1; ¬appssfactor2; ¬appssfactor3; ¬appssfactor4; ¬appssfactor5; ¬appssfactor6; ¬appnewssf7; ¬appnewssf8; ¬appnewssf9; CS Site-Specific Factor 10 FIGO Stage Note 1: The Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage definitions do not include Stage 0 (Tis) for vulvar cancer. Use code 987 for any case where CS Extension is coded 000 or 010. 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] 110 FIGO Stage IA 120 FIGO Stage IB 200 FIGO Stage II 300 FIGO Stage III [NOS] 310 FIGO Stage IIIA 320 FIGO Stage IIIB 330 FIGO Stage IIIC 400 FIGO Stage IV [NOS] 410 FIGO Stage IVA 420 FIGO Stage IVB 987 988 999 FIGO stage unknown &commonssf11vulva; CS Site-Specific Factor 12 Pelvic Nodal Status Note: The pelvic nodal status corresponds to the assessment method recorded in CS Site-Specific Factor 13. Code Description 000 Negative pelvic lymph nodes 010 Positive pelvic lymph nodes 988 998 Pelvic lymph nodes not assessed 999 CS Site-Specific Factor 13 Assessment Method of Pelvic Nodal Status Note 1: The assessment results are in recorded in CS Site-Specific Factor 12. Note 2: Use the highest applicable code. Code Description 000 010 Clinical assessment 020 030 Incisional biopsy; fine needle aspiration (FNA) 040 988 998 999 CS Site-Specific Factor 14 Femoral Inguinal Nodal Status Note: The femoral-inguinal nodal status corresponds to the assessment method recorded in CS Site-Specific Factor 15. Code Description 000 Negative femoral-inguinal lymph nodes 010 Positive femoral-inguinal lymph nodes 988 998 Femoral-inguinal lymph nodes not assessed 999 CS Site-Specific Factor 15 Assessment Method of Femoral Inguinal Nodal Status Note 1: The assessment results are recorded in CS-Site Specific Factor 14. Note 2: Use the highest applicable code. Code Description 000 010 Clinical assessment 020 030 Incisional biopsy; fine needle aspiration (FNA) 040 988 998 999 ¬appnewssf16; ¬appnewssf17; ¬appnewssf18; ¬appnewssf19; ¬appnewssf20; ¬appnewssf21; ¬appnewssf22; ¬appnewssf23; ¬appnewssf24; ¬appnewssf25; &commonhistinclusioncarcinomanonmerkel; &commonhistologyexclusions1; AJCC TNM 7 Stage T N M Stage T0 N0 M0 ERROR T0 N1a M0 IIIA T0 N1b M0 IIIA T0 N1NOS M0 IIIA T0 N2a M0 IIIB T0 N2b M0 IIIB T0 N2c M0 IIIC T0 N2NOS M0 IIINOS T0 N3 M0 IVA T0 NX M0 UNK Tis N0 M0 0 Tis N1a M0 ERROR Tis N1b M0 ERROR Tis N1NOS M0 ERROR Tis N2a M0 ERROR Tis N2b M0 ERROR Tis N2c M0 ERROR Tis N2NOS M0 ERROR Tis N3 M0 ERROR Tis NX M0 0 T1a N0 M0 IA T1a N1a M0 IIIA T1a N1b M0 IIIA T1a N1NOS M0 IIIA T1a N2a M0 IIIB T1a N2b M0 IIIB T1a N2c M0 IIIC T1a N2NOS M0 IIINOS T1a N3 M0 IVA T1a NX M0 UNK T1b N0 M0 IB T1b N1a M0 IIIA T1b N1b M0 IIIA T1b N1NOS M0 IIIA T1b N2a M0 IIIB T1b N2b M0 IIIB T1b N2c M0 IIIC T1b N2NOS M0 IIINOS T1b N3 M0 IVA T1b NX M0 UNK T1NOS N0 M0 INOS T1NOS N1a M0 IIIA T1NOS N1b M0 IIIA T1NOS N1NOS M0 IIIA T1NOS N2a M0 IIIB T1NOS N2b M0 IIIB T1NOS N2c M0 IIIC T1NOS N2NOS M0 IIINOS T1NOS N3 M0 IVA T1NOS NX M0 UNK T2 N0 M0 II T2 N1a M0 IIIA T2 N1b M0 IIIA T2 N1NOS M0 IIIA T2 N2a M0 IIIB T2 N2b M0 IIIB T2 N2c M0 IIIC T2 N2NOS M0 IIINOS T2 N3 M0 IVA T2 NX M0 UNK T3 N0 M0 IVA T3 N1a M0 IVA T3 N1b M0 IVA T3 N1NOS M0 IVA T3 N2a M0 IVA T3 N2b M0 IVA T3 N2c M0 IVA T3 N2NOS M0 IVA T3 N3 M0 IVA T3 NX M0 IVA TX N0 M0 UNK TX N1a M0 UNK TX N1b M0 UNK TX N1NOS M0 UNK TX N2a M0 UNK TX N2b M0 UNK TX N2c M0 UNK TX N2NOS M0 UNK TX N3 M0 IVA TX NX M0 UNK T0 N0 M1 IVB T0 N1a M1 IVB T0 N1b M1 IVB T0 N1NOS M1 IVB T0 N2a M1 IVB T0 N2b M1 IVB T0 N2c M1 IVB T0 N2NOS M1 IVB T0 N3 M1 IVB T0 NX M1 IVB Tis N0 M1 ERROR Tis N1a M1 ERROR Tis N1b M1 ERROR Tis N1NOS M1 ERROR Tis N2a M1 ERROR Tis N2b M1 ERROR Tis N2c M1 ERROR Tis N2NOS M1 ERROR Tis N3 M1 ERROR Tis NX M1 ERROR T1a N0 M1 IVB T1a N1a M1 IVB T1a N1b M1 IVB T1a N1NOS M1 IVB T1a N2a M1 IVB T1a N2b M1 IVB T1a N2c M1 IVB T1a N2NOS M1 IVB T1a N3 M1 IVB T1a NX M1 IVB T1b N0 M1 IVB T1b N1a M1 IVB T1b N1b M1 IVB T1b N1NOS M1 IVB T1b N2a M1 IVB T1b N2b M1 IVB T1b N2c M1 IVB T1b N2NOS M1 IVB T1b N3 M1 IVB T1b NX M1 IVB T1NOS N0 M1 IVB T1NOS N1a M1 IVB T1NOS N1b M1 IVB T1NOS N1NOS M1 IVB T1NOS N2a M1 IVB T1NOS N2b M1 IVB T1NOS N2c M1 IVB T1NOS N2NOS M1 IVB T1NOS N3 M1 IVB T1NOS NX M1 IVB T2 N0 M1 IVB T2 N1a M1 IVB T2 N1b M1 IVB T2 N1NOS M1 IVB T2 N2a M1 IVB T2 N2b M1 IVB T2 N2c M1 IVB T2 N2NOS M1 IVB T2 N3 M1 IVB T2 NX M1 IVB T3 N0 M1 IVB T3 N1a M1 IVB T3 N1b M1 IVB T3 N1NOS M1 IVB T3 N2a M1 IVB T3 N2b M1 IVB T3 N2c M1 IVB T3 N2NOS M1 IVB T3 N3 M1 IVB T3 NX M1 IVB TX N0 M1 IVB TX N1a M1 IVB TX N1b M1 IVB TX N1NOS M1 IVB TX N2a M1 IVB TX N2b M1 IVB TX N2c M1 IVB TX N2NOS M1 IVB TX N3 M1 IVB TX NX M1 IVB &commonstagevulva; &commonsummarystage; &commonextsizevulva; Extension Size AJCC 7 Table Note: For CS Extension codes 110, 125-300, 410, 425, 450, and 470 ONLY, the T category for AJCC 7 staging is assigned based on the value of CS Tumor Size and CS Extension, as shown in this table. CS Extension CS Tumor Size 000 0 CS Tumor Size 001-020 1 20 CS Tumor Size 021-989 21 989 CS Tumor Size 990-992 990 992 CS Tumor Size 993-995 993 995 CS Tumor Size 996-998 996 998 CS Tumor Size 999 999 110 ERROR T1a T1b T1a T1b ERROR T1NOS 125 ERROR T1NOS T1b T1NOS T1b ERROR T1NOS 200 ERROR T1NOS T1b T1NOS T1b ERROR T1NOS 300 ERROR T1NOS T1b T1NOS T1b ERROR T1NOS 410 ERROR T1a T1b T1a T1b ERROR T1NOS 425 ERROR T1NOS T1b T1NOS T1b ERROR T1NOS 450 ERROR T1a T1b T1a T1b ERROR T1a 470 ERROR T1NOS T1b T1NOS T1b ERROR T1NOS &commonextralymphnodesvulva;