VULVA OVERLAP (67518)    ICDO TOPOGRAPHY (164)

• CBA
  CODE:   TX
• NET
  CODE:   T0
• Carcinoma 'in situ' (preinvasive)
  CODE:   Tis
• 2 cm or less
  CODE:   T1
• 2 cm or less w stromal not > 1 mm
  CODE:   T1a
• 2 cm or less w stromal > 1 mm
  CODE:   T1b
• > 2 cm
  CODE:   T2
• Lower urethra/vagina/anus
  CODE:   T3
• Upper urethral/bladder/rectal mucosa
  CODE:   T4

• NCA
  CODE:   NX
  ACOS CODE:   NX
• NRN
  CODE:   N0
  ACOS CODE:   N0
• Unilateral metastasis
  CODE:   N1
  ACOS CODE:   N1
• Bilateral metastasis
  CODE:   N2
  ACOS CODE:   N2
• NA
  CODE:   NA
  ACOS CODE:   NA

• Distant metastasis cannot be assessed
  CODE:   Mx
  ACOS CODE:   MX
• No distant Metastasis
  CODE:   M0
  ACOS CODE:   M0
• Distant metastasis
  CODE:   M1
  ACOS CODE:   M1
• NA
  CODE:   NA
  ACOS CODE:   NA

Primary Tumor (T)
T1b Tumor confined to the vulva or vulva and perineum, 2 cm or less in
      greatest dimension, and with stromal invasion greater than 1 mm*
T2  Tumor confined to the vulva or vulva and perineum,
       more than 2 cm in greatest dimension
T3  Tumor of any size with adjacent spread to the lower
      urethra and/or vagina or anus
T4  Tumor invades any of the following: upper urethral mucosa,
      bladder mucosa, rectal mucosa, or is fixed to the pubic bone

*Note: 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.
TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
Tis Carcinoma 'in situ' (preinvasive carcinoma)
T1  Tumor confined to the vulva or vulva and perineum,
      2 cm or less in greatest dimension
T1a Tumor confined to the vulva or vulva and perineum, 2 cm or less in
      greatest dimension, and with stromal invasion no greater than 1 mm*

Regional Lymph Nodes (N)

NX  Regional lymph nodes cannot be assessed
N0  No regional lymph node metastasis
N1  Unilateral regional lymph node metastasis
N2  Bilateral regional lymph node metastasis

Distant Metastasis (M)

MX  Distant metastasis cannot be assessed
M0  No distant metastasis
M1  Distant metastasis (including pelvic
      lymph node metastasis)

• DESCRIPTION:   CBA
  CODE:   TX
• DESCRIPTION:   NA
  CODE:   NA
• DESCRIPTION:   NET
  CODE:   T0
• DESCRIPTION:   Carcinoma 'in situ' (preinvasive carcinoma)
  CODE:   Tis
• DESCRIPTION:   2 cm or less
  CODE:   T1
• DESCRIPTION:   2 cm or less, stromal invasion not > 1 mm
  CODE:   T1a
• DESCRIPTION:   2 cm or less, stromal invasion > 1 mm
  CODE:   T1b
• DESCRIPTION:   More than 2 cm
  CODE:   T2
• DESCRIPTION:   Contiguous spread to the urethra, vagina or anus
  CODE:   T3
• DESCRIPTION:   Upper urethra, bladder/rectal mucosa, pubic bone
  CODE:   T4

• DESCRIPTION:   NCA
  CODE:   NX
• DESCRIPTION:   NRN
  CODE:   N0
• DESCRIPTION:   Unilateral regional lymph node metastasis
  CODE:   N1
• DESCRIPTION:   Bilateral regional lymph node metastasis
  CODE:   N2
• DESCRIPTION:   NA
  CODE:   NA

• DESCRIPTION:   Distant metastasis cannot be assessed
  CODE:   Mx
• DESCRIPTION:   No distant Metastasis
  CODE:   M0
• DESCRIPTION:   Distant metastasis (pelvic lymph node metastasis)
  CODE:   M1
• DESCRIPTION:   NA
  CODE:   NA

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

Primary Tumor (T)
T2   Tumor of any size with extension to adjacent perineal structures
       (Lower/distal 1/3 urethra, lower/distal 1/3 vagina, anal
       involvement)
T3   Tumor of any size with extension to any of the following:
       upper/proximal 2/3 of urethra, upper/proximal 2/3 vagina, bladder
       mucosa, rectal mucosa, or fixed to pelvic bone
 
TX   Primary tumor cannot be assessed
T0   No evidence of primary tumor
Tis  Carcinoma in situ (preinvasive carcinoma)
T1a  Lesions <= 2 cm in size, confined to the vulva or perineum and with
       stromal invasion <= 1.0 mm
T1b  Lesions >2 cm in size or any size with stromal invasion >1.0 mm,
       confined to the vulva or perineum

• N-CODE:   X
• N-CODE:   1A
• N-CODE:   1B
• N-CODE:   2A
• N-CODE:   2B
• N-CODE:   2C

Regional Lymph Nodes (N)
N2b  Two or more lymph node metastases 5 mm or greater
N2c  Lymph node metastasis with extracapsular spread
N3   Fixed or ulcerated regional lymph node metastasis
 
NX   Regional lymph nodes cannot be assessed
N0   No regional lymph node metastasis
N1   One or two regional lymph node with the following features:
N1a  One or two lymph node metastasis each 5 mm or less
N1b  One lymph node metastases 5 mm or greater
N2   Regional lymph node metastasis with the following features: 
N2a  Three or more lymph node metastases each less than 5 mm

Distant Metastasis (M)
 
M0  No distant metastasis
M1  Distant metastasis (including pelvic lymph node metastasis)

• CBA
  CODE:   TX
  ACOS CODE:   TX
• NET
  CODE:   T0
  ACOS CODE:   T0
• Carcinoma 'in situ' (preinvasive)
  CODE:   Tis
  ACOS CODE:   TIS
• 2 cm or less
  CODE:   T1
  ACOS CODE:   T1
• > 2 cm
  CODE:   T2
  ACOS CODE:   T2
• Lower urethra/vagina/anus
  CODE:   T3
  ACOS CODE:   T3
• Bladder/upper urethral/rectal mucosa
  CODE:   T4
  ACOS CODE:   T4
• NA
  CODE:   NA
  ACOS CODE:   NA

• NCA
  CODE:   NX
  ACOS CODE:   NX
• No nodes palpable
  CODE:   N0
  ACOS CODE:   N0
• Palpable in groin, not enlarged, mobile
  CODE:   N1
  ACOS CODE:   N1
• Palpable in groin, enlarged, firm
  CODE:   N2
  ACOS CODE:   N2
• Fixed or ulcerated nodes
  CODE:   N3
  ACOS CODE:   N3
• NA
  CODE:   NA
  ACOS CODE:   NA

• NCA
  CODE:   NX
  ACOS CODE:   NX
• NRN
  CODE:   N0
  ACOS CODE:   N0
• Unilateral metastasis
  CODE:   N1
  ACOS CODE:   N1
• Bilateral metastasis
  CODE:   N2
  ACOS CODE:   N2
• NA
  CODE:   NA
  ACOS CODE:   NA