LARYNX, GLOTTIS (67320)    ICDO TOPOGRAPHY (164)

Primary Tumor (T)
T1b Tumor involves both vocal cords
T2  Tumor extends to supraglottis and/or subglottis,
       and/or with impaired vocal cord mobility
T3  Tumor limited to the larynx with vocal cord
      fixation
T4  Tumor invades through the thyroid cartilage
     and/or to other tissues beyond the larynx (e.g.,
     trachea, soft tissues of the neck, including
     thyroid, pharynx)
     
TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
Tis Carcinoma 'in situ'
T1  Tumor limited to the vocal cord(s) (may involve
      anterior or posterior commissure) with normal
      mobility
T1a Tumor limited to one vocal cord

• None
  CODE:   0
• Endoscopy, NOS
  CODE:   1
• Endoscopy, not image guided
  CODE:   2
• Endoscopy, image guided
  CODE:   3
• Open, NOS
  CODE:   4
• Open, not assisted by endoscopy
  CODE:   5
• Open, assisted by endoscopy
  CODE:   6
• Unknown; not stated; death certificate ONLY
  CODE:   9

Regional Lymph Nodes (N)
      greatest dimension
N2b Metastasis in multiple ipsilateral lymph nodes,
      none more than 6 cm in greatest dimension
N2c Metastasis in bilateral or contralateral lymph
      nodes, none more than 6 cm in greatest dimension
N3  Metastasis in a lymph node more than 6 cm in
      greatest dimension

NX  Regional lymph nodes cannot be assessed
N0  No regional lymph node metastasis
N1  Metastasis in a single ipsilateral lymph node,
      3 cm or less in greatest dimension
N2  Choose from N2a, N2b or N2c
N2a Metastasis in a single ipsilateral lymph node
      more than 3 cm but not more than 6 cm in

• None
  CODE:   0
  SPS 2023 CODE:   A000
• Local tumor excision, electrocautery
  CODE:   22
  SPS 2023 CODE:   A220
• Local tumor excision, cryosurgery
  CODE:   23
  SPS 2023 CODE:   A230
• Local tumor excision, laser ablation
  CODE:   24
  SPS 2023 CODE:   A240
• Local tumor excision, laser excision
  CODE:   25
  SPS 2023 CODE:   A250
• Local tumor excision, polypectomy
  CODE:   26
  SPS 2023 CODE:   A260
• Local tumor excision, excisional biopsy
  CODE:   27
  SPS 2023 CODE:   A270
• Local tumor excision, stripping
  CODE:   28
  SPS 2023 CODE:   A280
• Part excision;sub/part laryngectomy/hemilaryngectomy NOS
  CODE:   30
  SPS 2023 CODE:   A300
• Vertical laryngectomy
  CODE:   31
  SPS 2023 CODE:   A310
• Anterior commissure laryngectomy
  CODE:   32
  SPS 2023 CODE:   A320
• Local tumor destruction, NOS (w/o pathology specimen)
  CODE:   10
  SPS 2023 CODE:   A100
• Supraglottic laryngectomy
  CODE:   33
  SPS 2023 CODE:   A330
• Total or radical laryngectomy, NOS
  CODE:   40
  SPS 2023 CODE:   A400
• Total laryngectomy ONLY
  CODE:   41
  SPS 2023 CODE:   A410
• Radical laryngectomy ONLY
  CODE:   42
  SPS 2023 CODE:   A420
• Pharyngolaryngectomy
  CODE:   50
  SPS 2023 CODE:   A500
• Laryngectomy, NOS
  CODE:   80
  SPS 2023 CODE:   A800
• Surgery, NOS
  CODE:   90
  SPS 2023 CODE:   A900
• Unknown; death certificate ONLY
  CODE:   99
  SPS 2023 CODE:   A990
• Local tumor destruction, photodynamic therapy (PDT)
  CODE:   11
  SPS 2023 CODE:   A110
• Local tumor destruction, electrocautery; fulguration
  CODE:   12
  SPS 2023 CODE:   A120
• Local tumor destruction, cryosurgery
  CODE:   13
  SPS 2023 CODE:   A130
• Local tumor destruction, laser
  CODE:   14
  SPS 2023 CODE:   A140
• Local tumor destruction, stripping
  CODE:   15
  SPS 2023 CODE:   A150
• Local tumor excision, NOS (w/ pathology specimen)
  CODE:   20
  SPS 2023 CODE:   A200
• Local tumor excision, photodynamic therapy (PDT)
  CODE:   21
  SPS 2023 CODE:   A210

• All margins grossly and microscopically negative
  CODE:   0
• Margins involved, NOS
  CODE:   1
• Microscopic involvement
  CODE:   2
• Macroscopic involvement
  CODE:   5
• Margins not evaluable
  CODE:   7
• No surgery of primary site
  CODE:   8
• Unk whether margins involved or negative; death cert ONLY
  CODE:   9

• No regional lymph nodes removed
  CODE:   0
• Regional lymph node(s) removed, NOS
  CODE:   1
• Neck dissection, NOS
  CODE:   2
• Neck dissection, selective, limited; nodal sampling
  CODE:   3
• Neck dissection, modified/modified radical
  CODE:   4
• Neck dissection, radical
  CODE:   5
• Unknown; not stated; death certificate ONLY
  CODE:   9

• None
  CODE:   0
• Surg to other sites/nodes, NOS; unk if regional or distant
  CODE:   1
• Other regional sites
  CODE:   2
• Distant lymph node(s)
  CODE:   3
• Distant site(s)
  CODE:   4
• Combination of 4 WITH 2 or 3
  CODE:   5
• Unknown; not state; death certificate ONLY
  CODE:   9

• No reconstruction/restoration
  CODE:   0
• Flaps, grafts, or any 'plasty', NOS
  CODE:   1
• Flaps, grafts, any 'plasty', W/O implant/prosthesis
  CODE:   2
• Flaps, grafts, any 'plasty', W implant/prosthesis
  CODE:   3
• Recommended, unknown if performed
  CODE:   8
• Unknown; not stated; death certificate ONLY
  CODE:   9

• Not a breast or prostate primary
  CODE:   0

• Not a breast or prostate primary
  CODE:   0

• DESCRIPTION:   CBA
  CODE:   TX
• DESCRIPTION:   Limited to one vocal cord
  CODE:   T1a
• DESCRIPTION:   Involves both vocal cords
  CODE:   T1b
• DESCRIPTION:   NET
  CODE:   T0
• DESCRIPTION:   CIS
  CODE:   Tis
• DESCRIPTION:   Vocal cord(s) w normal mobility
  CODE:   T1
• DESCRIPTION:   Supraglottis/subglottis w impaired mobility
  CODE:   T2
• DESCRIPTION:   Larynx w vocal cord fixation
  CODE:   T3
• DESCRIPTION:   Invasion through thryroid cartilage/beyond larynx
  CODE:   T4a
• DESCRIPTION:   Invades prevertebral space/carotid/mediastinal
  CODE:   T4b
• DESCRIPTION:   NA
  CODE:   NA

Primary Tumor (T)
T1b Tumor involves both vocal cords
T2  Tumor extends to supraglottis and/or subglottis,
       and/or with impaired vocal cord mobility
T3  Tumor limited to the larynx with vocal cord
      fixation
T4a Tumor invades through the thyroid cartilage
     and/or invades tissues beyond the larynx (eg,
     trachea, soft tissues of the neck including deep
     extrinsic muscle of the tongue, strap muscles,
     thyroid, or esophagus)
     
T4b Tumor invades prevertebral space, encases
      carotid artery, or invades mediastinal structures
TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
Tis Carcinoma 'in situ'
T1  Tumor limited to the vocal cord(s) (may involve
      anterior or posterior commissure) with normal
      mobility
T1a Tumor limited to one vocal cord

• T-CODE:   X
• T-CODE:   1B
• T-CODE:   IS
• T-CODE:   1A
• T-CODE:   4A
• T-CODE:   4B

Primary Tumor (T)
T2   Tumor extends to supraglottis and/or subglottis, and/or with impaired
      vocal cord mobility
T3   Tumor limited to the larynx with vocal cord fixation and/or invasion
      of paraglottic space, and/or inner cortex of the thyroid cartilage
T4a  Moderately advanced local disease.
     Tumor invades through the outer cortex of the thyroid cartilage
      and/or invades tissues beyond the larynx (e.g., trachea, soft
      tissues of neck including deep extrinsic muscle of the tongue,
      strap muscles, thyroid, or esophagus)
T4b  Very advanced local disease.
 
     Tumor invades prevertebral space, encases carotid artery, or
      invades mediastinal structures
TX   Primary tumor cannot be assessed
T0   No evidence of primary tumor
Tis  Carcinoma in situ
T1   Tumor limited to the vocal cord(s) (may involve anterior or posterior
      commissure) with normal mobility
T1a  Tumor limited to one vocal cord
T1b  Tumor involves both vocal cords

• N-CODE:   X
• N-CODE:   2A
• N-CODE:   2B
• N-CODE:   2C

Regional Lymph Nodes (N)
      bilateral or contralateral lymph nodes, none more than 6 cm in
      greatest dimension
N2a  Metastasis in a single ipsilateral lymph node, more than 3 cm but not
      more than 6 cm in greatest dimension
N2b  Metastasis in multiple ipsilateral lymph nodes, none more than 6 cm
      in greatest dimension
N2c  Metastasis in bilateral or contralateral lymph nodes, none more than
      6 cm in greatest dimension
N3   Metastasis in a lymph node, more than 6 cm in greatest dimension
 
NX   Regional lymph nodes cannot be assessed
N0   No regional lymph node metastasis
N1   Metastasis in a single ipsilateral lymph node, 3 cm or less in
      greatest dimension
N2   Metastasis in a single ipsilateral lymph node, more than 3 cm but not
      more than 6 cm in greatest dimension, or in multiple ipsilateral
      lymph nodes, none more than 6 cm in greatest dimension, or in

• VOCAL CORD
• EPIGLOTTIS
• INTRINSIC LARYNX
• LARYNGEAL COMMISSURE
• TRUE VOCAL CORD
• TRUE CORD

• CBA
  CODE:   TX
  ACOS CODE:   TX
• NA
  CODE:   NA
  ACOS CODE:   NA
• NET
  CODE:   T0
  ACOS CODE:   T0
• Carcinoma 'in situ'
  CODE:   Tis
  ACOS CODE:   TIS
• Vocal cord(s) w normal mobility
  CODE:   T1
  ACOS CODE:   T1
• 1 vocal cord
  CODE:   T1a
  ACOS CODE:   T1A
• Both vocal cords
  CODE:   T1b
  ACOS CODE:   T1B
• Supraglottis/subglottis w impaired mobility
  CODE:   T2
  ACOS CODE:   T2
• Larynx w vocal cord fixation
  CODE:   T3
  ACOS CODE:   T3
• Thyroid cartilage/beyond larynx
  CODE:   T4
  ACOS CODE:   T4

• NCA
  CODE:   NX
  ACOS CODE:   NX
• NRN
  CODE:   N0
  ACOS CODE:   N0
• 1 ipsilateral, 3 cm or less
  CODE:   N1
  ACOS CODE:   N1
• N2a, N2b or N2c
  CODE:   N2
  ACOS CODE:   N2
• 1 ipsilateral, > 3 but not > 6 cm
  CODE:   N2a
  ACOS CODE:   N2A
• Multiple ipsilateral, none > 6 cm
  CODE:   N2b
  ACOS CODE:   N2B
• Bilateral/contralateral, none > 6 cm
  CODE:   N2c
  ACOS CODE:   N2C
• > 6 cm
  CODE:   N3
  ACOS CODE:   N3
• NA
  CODE:   NA
  ACOS CODE:   NA