BLADDER, TRIGONE (67670)    ICDO TOPOGRAPHY (164)

• CBA
  CODE:   TX
• Microscopically
  CODE:   T3a
• Macroscopically (extravesical mass)
  CODE:   T3b
• Inv prostate/uterus/vagina/pelvic/ab wall
  CODE:   T4
• Inv prostate/uterus/vagina
  CODE:   T4a
• Inv pelvic/abdominal wall
  CODE:   T4b
• NA
  CODE:   NA
• NET
  CODE:   T0
• Noninvasive papillary carcinoma
  CODE:   Ta
• Carcinoma 'in situ'
  CODE:   Tis
• Inv subepithelial connective tissue
  CODE:   T1
• Inv muscle
  CODE:   T2
• Inv superficial muscle (inner half)
  CODE:   T2a
• Inv deep muscle (outer half)
  CODE:   T2b
• Inv perivesical tissue
  CODE:   T3

Primary Tumor (T)
T2b  Tumor invades deep muscle (outer half)
T3   Tumor invades perivesical tissue
T3a  microscopically
T3b  macrospocically (extravesical mass)
T4   Tumor invades any of the following:
       prostate, uterus, vagina, pelvic wall,
       adominal wall
T4a  Tumor invades prostate, uterus, vagina
T4b  Tumor invades pelvic wall, abdominal wall
     
TX   Primary tumor cannot be assessed
T0   No evidence of primary tumor
Ta   Noninvasive papillary carcinoma
Tis  Carcinoma 'in situ': "flat tumor"
T1   Tumor invades subepithelial connective tissue
T2   Tumor invades muscle
T2a  Tumor invades superficial muscle (inner half)

• None
  CODE:   0
• Endoscopy, NOS
  CODE:   1
• Endoscopy, cystoscopy (TURB)
  CODE:   2
• Endoscopy, laparoscopy
  CODE:   3
• Open, NOS
  CODE:   4
• Open, not assisted by endoscopy (laparoscopy)
  CODE:   5
• Open, assisted by endoscopy (laparoscopy)
  CODE:   6
• Unknown; not stated; death certificate ONLY
  CODE:   9

Regional Lymph Nodes (N)
N2  Metastasis in a single lymph node, more than
      2 cm but not more than 5 cm in greatest
      dimension; or multiple lymph nodes, none
      more than 5 cm in greatest dimension
N3  Metastasis in a lymph node more than
      5 cm in greatest dimension

Regional lymph nodes are those within the true
pelvis; all others are distant lymph nodes.

NX  Regional lymph nodes cannot be assessed
N0  No regional lymph node metastasis
N1  Metastasis in a single lymph node,
      2 cm or less in greatest dimension

• None
  CODE:   0
  SPS 2023 CODE:   A000
• 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 (TURB)
  CODE:   27
  SPS 2023 CODE:   A270
• Partial cystectomy
  CODE:   30
  SPS 2023 CODE:   A300
• Simple/total/complete cystectomy
  CODE:   50
  SPS 2023 CODE:   A500
• Radical cystectomy (male only)
  CODE:   60
  SPS 2023 CODE:   A600
• Pelvic exenteration, NOS
  CODE:   70
  SPS 2023 CODE:   A700
• Radical cystectomy (female only); anterior exenteration
  CODE:   71
  SPS 2023 CODE:   A710
• Local tumor destruction, NOS (w/o pathology specimen)
  CODE:   10
  SPS 2023 CODE:   A100
• Posterior exenteration
  CODE:   72
  SPS 2023 CODE:   A720
• Total exenteration
  CODE:   73
  SPS 2023 CODE:   A730
• Extended exenteration
  CODE:   74
  SPS 2023 CODE:   A740
• Cystectomy, 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, intravesical therapy
  CODE:   15
  SPS 2023 CODE:   A150
• Local tumor destruction, BCG or other immunotherapy
  CODE:   16
  SPS 2023 CODE:   A160
• Radical cystectomy PLUS ileal conduit
  CODE:   61
  SPS 2023 CODE:   A610
• Radical cystectomy PLUS continent reservoir or pouch, NOS
  CODE:   62
  SPS 2023 CODE:   A620
• Local tumor destruction, photodynamic therapy (PDT)
  CODE:   11
  SPS 2023 CODE:   A110
• Radical cystectomy PLUS abdominal pouch (cutaneous)
  CODE:   63
  SPS 2023 CODE:   A630
• Radical cystectomy PLUS in situ pouch (orthotopic)
  CODE:   64
  SPS 2023 CODE:   A640
• 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 excision, NOS (w/ pathology specimen)
  CODE:   20
  SPS 2023 CODE:   A200
• Local tumor excision, photodynamic therapy (PDT)
  CODE:   21
  SPS 2023 CODE:   A210
• Local tumor excision, electrocautery
  CODE:   22
  SPS 2023 CODE:   A220

• 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 nodes removed, NOS; unk if bi/unilateral
  CODE:   1
• Unilateral regional lymph nodes removed
  CODE:   2
• Bilateral regional lymph nodes removed
  CODE:   3
• 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 site(s)
  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
• Conduit diversion
  CODE:   1
• Continent reservoir (a bladder substitute)
  CODE:   2
• 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

• N-CODE:   X

Regional Lymph Nodes (N)
N3  Lymph node metastasis to the common iliac lymph nodes
 
NX  Lymph nodes cannot be assessed
N0  No lymph node metastasis
N1  Single regional lymph node metastasis in the true pelvis (hypogastric,
    obturator, external iliac or presacral lymph node)
N2  Multiple regional lymph node metastasis in the true pelvis
    (hypogastric, obturator, external iliac or presacral lymph node
    metastasis)

• URINARY

• CBA
  CODE:   TX
  ACOS CODE:   TX
• Microscopically
  CODE:   Tbi
  ACOS CODE:   T3BI
• Macroscopically (extravesical mass)
  CODE:   T3bii
  ACOS CODE:   T3BII
• Inv prostate/uterus/vagina/pelvic/ab wall
  CODE:   T4
  ACOS CODE:   T4
• Inv prostate/uterus/vagina
  CODE:   T4a
  ACOS CODE:   T4A
• Inv pelvic/abdominal wall
  CODE:   T4b
  ACOS CODE:   T4B
• NA
  CODE:   NA
  ACOS CODE:   NA
• NET
  CODE:   T0
  ACOS CODE:   T0
• Carcinoma 'in situ'
  CODE:   Tis
  ACOS CODE:   TIS
• Noninvasive papillary carcinoma
  CODE:   Ta
  ACOS CODE:   TA
• Inv subepithelial connective tissue
  CODE:   T1
  ACOS CODE:   T1
• Inv superficial muscle (inner half)
  CODE:   T2
  ACOS CODE:   T2
• Inv deep muscle/perivesical fat
  CODE:   T3
  ACOS CODE:   T3
• Inv deep muscle (outer half)
  CODE:   T3a
  ACOS CODE:   T3A
• Inv perivesical fat
  CODE:   T3b
  ACOS CODE:   T3B

• NCA
  CODE:   NX
  ACOS CODE:   NX
• NRN
  CODE:   N0
  ACOS CODE:   N0
• 2 cm or less, single
  CODE:   N1
  ACOS CODE:   N1
• 2-5 cm, single;<= 5 cm, multiple
  CODE:   N2
  ACOS CODE:   N2
• > 5 cm
  CODE:   N3
  ACOS CODE:   N3
• NA
  CODE:   NA
  ACOS CODE:   NA