00360 (51)    ONCOLOGY EOD SCHEMAS (165.9)

In situ, Noninvasive, intraepithelial
Squamous cell carcinoma in situ (SCIS)
Adenocarcinoma in situ (AIS): adenocarcinoma with pure lepidic pattern,
 less than or equal to 3 cm in greatest dimension

Any size tumor
 Adjacent rib
 Rib
 Skeletal muscle
 Sternum

Heart
 Inferior vena cava
 Neural foramina
 Vertebra(e) (vertebral body)
 Visceral pericardium
Separate tumor nodule(s) in a different ipsilateral lobe
Further contiguous extension

No evidence of primary tumor

Tumor proven by presence of malignant cells in sputum or bronchial
 washings but not visualized by imaging or bronchoscopy; "occult" carcinoma

Unknown; extension not stated
 Primary tumor cannot be assessed
 Not documented in patient record
Death Certificate Only

Minimally invasive adenocarcinoma
 Adenocarcinoma tumor
  WITH predominantly lepidic pattern measuring less than or equal
   to 3cm in greatest dimension
  WITH invasive component measuring less than or equal to 5mm
   in greatest dimension

Superficial spreading tumor, any size
 WITH invasive component limited to bronchial wall
 WITH or WITHOUT proximal extension to main stem bronchus
  (these types of tumors are uncommon)

Any size tumor
 Confined to lung, NOS
 Localized, NOS

Any size tumor
 Adjacent ipsilateral lobe (direct tumor invasion)
 Confined to hilus
 Main stem bronchus, NOS (without involvement of the carina) including
  extension from other part of lung

Any size tumor
 Atelectasis/obstructive pneumonitis 
  Extends to hilar region, involving part or all of lung
 Pleura, NOS
 Pulmonary ligament
 Visceral pleura (PL1 or PL2)

Any size tumor
 Brachial plexus, inferior branches or NOS
 Chest wall (thoracic wall) (separate lesion-see EOD Mets)
 Pancoast tumor (superior sulcus syndrome), NOS
 Parietal pericardium
 Parietal pleura (PL3)
 Pericardium, NOS
 Phrenic nerve
Separate tumor nodule(s) in the same lobe as the primary

Tumor limited to the carina

Blood vessel(s) (major)
Nerve(s)
 Cervical sympathetic (Horner's syndrome)
 Recurrent laryngeal (vocal cord paralysis)
 Vagus
Trachea
 Aorta
 Azygos vein
 Pulmonary artery or vein
 Superior vena cava (SVC syndrome)
Carina from lung
Compression of esophagus or trachea not specified as direct extension
Esophagus
Mediastinum, extrapulmonary or NOS

No regional lymph node involvement

IPSILATERAL nodes only
Bronchial
Hilar (bronchopulmonary) (proximal lobar) (pulmonary root)
 Intrapulmonary
 Interlobar
 Lobar
 Segmental
Subsegmental
Peri/parabronchial

IPSILATERAL nodes only
  Paraesophageal
  Pulmonary ligament
  Subcarinal
 Posterior (tracheoesophageal)
 Superior mediastinal 
  Paratracheal (left, right, upper, low, NOS)
  Prevascular
  Retrotracheal
 Periesophageal
 Pericardial
Carinal (tracheobronchial) (tracheal bifurcation)
Peritracheal, NOS
 Azygos (lower peritracheal)
Precarinal
Pretracheal, NOS
Mediastinal, ipsilateral or NOS
 Anterior
 Aortic (above diaphragm), NOS 
  Peri/para-aortic, NOS 
   Ascending aorta (phrenic)
  Subaortic (aortic-pulmonary window)
 Inferior mediastinal 

IPSILATERAL or CONTRALATERAL
Low cervical
Proximal root
Pulmonary root
Scalene (inferior deep cervical)
Sternal notch
Supraclavicular (transverse cervical)

CONTRALATERAL OR BILATERAL
 Inferior mediastinal 
  Paraesophageal
  Pulmonary ligament
  Subcarinal
 Posterior (tracheoesophageal)
 Superior mediastinal 
  Paratracheal (left, right, upper, low, NOS)
  Prevascular
  Retrotracheal
Bronchial
Hilar (bronchopulmonary) (proximal lobar) (pulmonary root)
Mediastinal
 Anterior
 Aortic (above diaphragm), NOS 
  Peri/para-aortic, NOS 
   Ascending aorta (phrenic)
  Subaortic (aortic-pulmonary window)

Regional lymph node(s), NOS
 Lymph node(s), NOS

Unknown; regional lymph node(s) not stated
 Regional lymph node(s) cannot be assessed
 Not documented in patient record
Death Certificate Only

No distant metastasis
 Unknown if distant metastasis

Pericardial effusion or pleural effusion (malignant) (ipsilateral,
 contralateral, bilateral, NOS)
Pleural tumor foci or nodules on ipsilateral lung (separate from direct
 extension) or contralateral lung
 Pericardial nodules
Contralateral lung/main stem bronchus
 Contralateral main stem bronchus
 Separate tumor nodule(s) in contralateral lung

Single distant lymph node involved
 Cervical
 Distant lymph node, NOS

Single extrathoracic metastasis in a single organ

Multiple extrathoracic metastases in a single organ or in multiple organs
Abdominal organs
Skin of chest
Separate lesion in chest wall or diaphragm
Multiple distant lymph node(s)
 Cervical
 Distant lymph node(s), NOS
Carcinomatosis
Distant metastasis WITH or WITHOUT distant lymph node(s)

Distant metastasis, NOS

Death Certificate Only