SKIN, LIP NOS (67440)    ICDO TOPOGRAPHY (164)

Primary Tumor (T)
T4  Tumor invades deep extradermal structures
    (i.e., cartilage, skeletal muscle, or bone)

Note: In the case of multiple simultaneous tumors,
the tumor with the highest T category will be
classified.

TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
Tis Carcinoma 'in situ'
T1  Tumor 2 cm or less in greatest dimension
T2  Tumor more than 2 cm but not more
      than 5 cm in greatest dimension
T3  Tumor more than 5 cm in greatest dimension

• None
  CODE:   0
• Open approach
  CODE:   4
• Death certificate ONLY
  CODE:   9

Regional Lymph Nodes (N)

NX  Regional lymph nodes cannot be assessed
N0  No regional lymph node metastasis
N1  Regional lymph node metastasis

• None
  CODE:   0
  SPS 2023 CODE:   B000
• Local tumor excision, cryosurgery
  CODE:   23
• Local tumor excision, laser ablation
  CODE:   24
• Local tumor excision, laser excision
  CODE:   25
• Local tumor excision, polypectomy
  CODE:   26
• Local tumor excision, excisional biopsy
  CODE:   27
• Biopsy of primary tumor followed by gross excision of lesion
  CODE:   30
• Shave biopsy followed by gross excision of lesion
  CODE:   31
• Punch biopsy followed by gross excision of lesion
  CODE:   32
• Incisional biopsy followed by gross excision of lesion
  CODE:   33
• Wide excision/re-excision of lesion/minor amp, NOS (ROADS)
  CODE:   40
• Local tumor destruction, NOS (w/o pathology specimen)
  CODE:   10
  SPS 2023 CODE:   B100
• Radical excision of a lesion, 1 cm or more, NOS (ROADS)
  CODE:   50
• Major amputation
  CODE:   60
  SPS 2023 CODE:   B600
• Surgery, NOS
  CODE:   90
  SPS 2023 CODE:   B900
• Unknown; death certificate ONLY
  CODE:   99
  SPS 2023 CODE:   B990
• Mohs surgery, NOS
  CODE:   34
  SPS 2023 CODE:   B300
• Mohs with 1-cm margin or less
  CODE:   35
• Mohs with more than 1-cm margin
  CODE:   36
• Wide excision of lesion or minor amp w margins > 1 cm, NOS
  CODE:   45
• Wide excision of lesion or minor amp w margins > 1 & < 2 cm
  CODE:   46
• Wide excision of lesion or minor amp w margins > 2 cm
  CODE:   47
• Local tumor destruction, photodynamic therapy (PDT)
  CODE:   11
  SPS 2023 CODE:   B110
• Local tumor excision, NOS; Excisional biopsy, NOS
  SPS 2023 CODE:   B200
• Local tumor excision, shave biopsy, NOS
  SPS 2023 CODE:   B220
• Local tumor excision, punch biopsy, NOS
  SPS 2023 CODE:   B230
• Local tumor excision, elliptical biopsy (fusiform)
  SPS 2023 CODE:   B240
• Mohs surgery (all Mohs procedures same day)
  SPS 2023 CODE:   B310
• Mohs surgery (each Mohs procedure different day)
  SPS 2023 CODE:   B320
• Biopsy NOS of primary tumor; wide excision; re-excision
  SPS 2023 CODE:   B500
• Incisional biopsy followed by wide excision
  SPS 2023 CODE:   B510
• Shave biopsy followed by wide excision
  SPS 2023 CODE:   B520
• Punch biopsy followed by wide excision
  SPS 2023 CODE:   B530
• Local tumor destruction, electrocautery; fulguration
  CODE:   12
  SPS 2023 CODE:   B120
• Elliptical biopsy followed by wide excision
  SPS 2023 CODE:   B540
• Local tumor destruction, cryosurgery
  CODE:   13
  SPS 2023 CODE:   B130
• Local tumor destruction, laser ablation
  CODE:   14
  SPS 2023 CODE:   B140
• Local tumor excision, NOS (w/ pathology specimen)
  CODE:   20
• Local tumor excision, photodynamic therapy (PDT)
  CODE:   21
• Local tumor excision, electrocautery
  CODE:   22

• 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
• Sentinel node, NOS
  CODE:   1
• Regional lymph nodes removed, NOS
  CODE:   2
• 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 stated; death certificate ONLY
  CODE:   9

• No reconstruction/restoration
  CODE:   0
• Pedicle flap, free flap, skin graft, NOS
  CODE:   1
• 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

• T-CODE:   X
• T-CODE:   IS

Primary Tumor (T)
T3   Tumor with invasion of maxilla, orbit, or temporal bone
T4   Tumor with invasion of skeleton (axial or appendicular) or perineural
      invasion of skull base
T88  NA
 
TX   Primary tumor cannot be assessed
T0   No evidence of primary tumor
Tis  Tis Carcinoma in situ
T1   Tumor 2 cm or less in greatest dimension with less than two high risk
      features
T2   Tumor greater than 2 cm in greatest dimension or
     Tumor any size with two or more high risk features

• 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
N88  NA
 
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

• LIP
• MELANOMA
• SKIN OF LOWER LIP
• SKIN OF UPPER LIP

• CBA
  CODE:   TX
  ACOS CODE:   TX
• NET
  CODE:   T0
  ACOS CODE:   T0
• Carcinoma 'in situ'
  CODE:   Tis
  ACOS CODE:   TIS
• 2 cm or less
  CODE:   T1
  ACOS CODE:   T1
• > 2 but not > 5 cm
  CODE:   T2
  ACOS CODE:   T2
• > 5 cm
  CODE:   T3
  ACOS CODE:   T3
• Invades deep extradermal structures
  CODE:   T4
  ACOS CODE:   T4
• NA
  CODE:   NA
  ACOS CODE:   NA

• NCA
  CODE:   NX
  ACOS CODE:   NX
• NRN
  CODE:   N0
  ACOS CODE:   N0
• Regional lymph node metastasis
  CODE:   N1
  ACOS CODE:   N1
• NA
  CODE:   NA
  ACOS CODE:   NA