Canadian Staging Data Elements for TNM Collection, 2018 · 2019. 3. 18. · Canadian Staging Data...

Canadian Staging Data Elements for TNM Collection, 2018 Page 1 Revision Date: March 2018

Canadian Staging Data Elements for TNM Collection, 2018

Date Element: TNM Path T CCR Name: AJCC Pathologic T (T45) Revised CCR Name: AJCC/UICC Pathologic T Item Length: 15 Alphanumeric NAACCR Item # 1011

Description: The site-specific code evaluating the primary tumour pathologically (T) and reflects the tumour size and/or extension as recorded. Pathological stage uses all data for clinical staging; the evidence acquired before treatment, supplemented or modified by the additional evidence acquired during and from surgery, particularly from pathologic examination.

Based on AJCC 8th Edition TNM

Code Definition Code Definition Code Definition Code Definition

(blank) Not recorded pT1d pT1d cTX cTX cT2 cT2

pTX pTX pT2 pT2 cT0 cT0 cT2a cT2a

pT0 pT0 pT2a pT2a cTa cTa cT2a1 cT2a1

pTa pTa pT2a1 pT2a1 cTis cTis cT2a2 cT2a2

pTis pTis pT2a2 pT2a2 cTis(DCIS) cTis(DCIS) cT2b cT2b

pTis(DCIS) pTis(DCIS) pT2b pT2b cTis(LAMN) cTis(LAMN) cT2c cT2c

pTis(LAMN) pTis(LAMN) pT2c pT2c cTis(Paget) cTis(Paget) cT2d cT2d

pTis(Paget) pTis(Paget) pT2d pT2d cT1 cT1 cT3 cT3

pT1 pT1 pT3 pT3 cT1mi cT1mi cT3a cT3a

pT1mi pT1mi pT3a pT3a cT1a cT1a cT3b cT3b

pT1a pT1a pT3b pT3b cT1a1 cT1a1 cT3c cT3c

pT1a1 pT1a1 pT3c pT3c cT1a2 cT1a2 cT3d cT3d

pT1a2 pT1a2 pT3d pT3d cT1b cT1b cT3e cT3e

pT1b pT1b pT4 pT4 cT1b1 cT1b1 cT4 cT4

pT1b1 pT1b1 pT4a pT4a cT1b2 cT1b2 cT4a cT4a

pT1b2 pT1b2 pT4b pT4b cT1c cT1c cT4b cT4b

pT1c pT1c pT4c pT4c cT1c1 cT1c1 cT4c cT4c

pT1c1 pT1c1 pT4d pT4d cT1c2 cT1c2 cT4d cT4d

pT1c2 pT1c2 pT4e pT4e cT1c3 cT1c3 cT4e cT4e

pT1c3 pT1c3 cT1d cT1d 88 Not applicable



Date Element: TNM Path N CCR Name: AJCC Pathologic N (T46) Revised CCR Name: AJCC/UICC Pathologic N Item Length: 15 Alphanumeric NAACCR Item # 1012

Description: The site-specific code identifying the absence or presence of pathological regional lymph node (N) metastasis and describes the extent of regional lymph node metastasis as recorded. Pathological stage uses all data for clinical staging; the evidence acquired before treatment, supplemented or modified by the additional evidence acquired during and from surgery, particularly from pathologic examination.


Code Definition Code Definition

(blank) Not recorded cNX cNX

pNX pNX cN0 cN0

pN0 pN0 cN0(i+) cN0(i+)

pN0(i+) pN0(i+) cN0a cN0a

pN0(mol+) pN0(mol+) cN0b cN0b

pN0a pN0a cN1 cN1

pN1 pN1 cN1mi cN1mi

pN1mi pN1mi cN1a cN1a

pN1a pN1a cN1b cN1b

pN1a(sn) pN1a(sn) cN1c cN1c

pN1b pN1b cN2 cN2

pN1c pN1c cN2mi cN2mi

pN2 pN2 cN2a cN2a

pN2mi pN2mi cN2b cN2b

pN2a pN2a cN2c cN2c

pN2b pN2b cN3 cN3

pN2c pN2c cN3a cN3a

pN3 pN3 cN3b cN3b

pN3a pN3a cN3c cN3c

pN3b pN3b 88 Not applicable

pN3c pN3c



Date Element: TNM Path M CCR Name: AJCC Pathologic M (T47) Revised CCR Name: AJCC/UICC Pathologic M Item Length: 15 Alphanumeric NAACCR Item # 1013

Description: The site-specific code identifying the presence or absence of pathological distant metastasis (M) as recorded. Pathological stage uses all data for clinical staging; the evidence acquired before treatment, supplemented or modified by the additional evidence acquired during and from surgery, particularly from pathologic examination.


(blank) Not recorded pM1 pM1

cM0 cM0 pM1a pM1a

cM0(i+) cM0(i+) pM1a(0) pM1a(0)

cM1 cM1 pM1a(1) pM1a(1)

cM1a cM1a pM1b pM1b

cM1a(0) cM1a(0) pM1b(0) pM1b(0)

cM1a(1) cM1a(1) pM1b(1) pM1b(1)

cM1b cM1b pM1c pM1c

cM1b(0) cM1b(0) pM1c(0) pM1c(0)

cM1b(1) cM1b(1) pM1c(1) pM1c(1)

cM1c cM1c pM1d pM1d

cM1c(0) cM1c(0) pM1d(0) pM1d(0)

cM1c(1) cM1c(1) pM1d(1) pM1d(1)

cM1d cM1d 88 Not applicable

cM1d(0) cM1d(0)

cM1d(1) cM1d(1)




Date Element: TNM Path Stage Group CCR Name: AJCC Pathologic TNM Stage Group (T49) Revised CCR Name: AJCC/UICC Pathologic TNM Stage Group Item Length: 15 Alphanumeric NAACCR Item # 1014

Description: The site-specific code identifying the anatomic extent of disease based on the pathologic T, N and M elements as recorded in TNM Pathologic T, N and M fields. (Table on next page)




(blank) Not recorded 2 II 3 III 4 IV

0 0 2A IIA 3A IIIA 4A IVA

0a 0a 2A1 IIA1 3A1 IIIA1 4A1 IVA1

0is 0is 2A2 IIA2 3A2 IIIA2 4A2 IVA2

1 I 2B IIB 3B IIIB 4B IVB

1A IA 2C IIC 3C IIIC 4C IVC

1A1 IA1 2E IIE 3C1 IIIC1 4:0 IV:0

1A2 IA2 2 bulky II bulky 3C2 IIIC2 4:1 IV:1

1A3 IA3 2:0 II:0 3D IIID 4:2 IV:2

1B IB 2:1 II:1 3:0 III:0 4:3 IV:3

1B1 IB1 2:2 II:2 3:1 III:1 4:4 IV:4

1B2 IB2 2:3 II:3 3:2 III:2 4:5 IV:5

1C IC 2:4 II:4 3:3 III:3 4:6 IV:6

1E IE 2:5 II:5 3:4 III:4 4:7 IV:7

1S IS 2:6 II:6 3:5 III:5 4:8 IV:8

1:0 I:0 2:7 II:7 3:6 III:6 4:9 IV:9

1:1 I:1 2:8 II:8 3:7 III:7 4:10 IV:10

1:2 I:2 2:9 II:9 3:8 III:8 4:11 IV:11

1:3 I:3 2:10 II:10 3:9 III:9 4:12 IV:12

1:4 I:4 2:11 II:11 3:10 III:10 4:13 IV:13

1:5 I:5 2:12 II:12 3:11 III:11 4:14 IV:14

1:6 I:6 2:13 II:13 3:12 III:12 4:15 IV:15

1:7 I:7 2:14 II:14 3:13 III:13 4:16 IV:16

1:8 I:8 2:15 II:15 3:14 III:14 4:17 IV:17

1:9 I:9 2:16 II:16 3:15 III:15 4:18 IV:18

1:10 I:10 2:17 II:17 3:16 III:16 4:19 IV:19

1:11 I:11 2:18 II:18 3:17 III:17 4:20 IV:20

1:12 I:12 2:19 II:19 3:18 III:18 4:21 IV:21

1:13 I:13 2:20 II:20 3:19 III:19 4:22 IV:22

1:14 I:14 2:21 II:21 3:20 III:20 4:23 IV:23

1:15 I:15 2:22 II:22 3:21 III:21 4:24 IV:24

1:16 I:16 2:23 II:23 3:22 III:22 4:25 IV:25

1:17 I:17 2:24 II:24 3:23 III:23 OccultCarcinoma Occult carcinoma

1:18 I:18 2:25 II:25 3:24 III:24 88 Not applicable

1:19 I:19 3:25 III:25 99 Unknown

1:20 I:20

1:21 I:21

1:22 I:22

1:23 I:23

1:24 I:24

1:25 I:25



Date Element: AJCC TNM Path T Suffix CCR Name: None – New Data Item Item Length: 1 NAACCR Item # 1032

Description: Detailed site-specific codes for the pathological T category suffix as defined by AJCC and recorded by the physician.

Code Definition

m Multiple synchronous tumors OR For thyroid differentiated and anaplastic only, Multifocal tumor

s For thyroid differentiated and anaplastic only, Solitary tumor

blank No information available; not recorded



Date Element: AJCC TNM Path N Suffix CCR Name: None – New Data Item Item Length: 2 NAACCR Item # 1035

Description: Detailed site-specific codes for the pathological N category suffix as defined by AJCC and recorded by the physician.

Code Definition

sn Sentinel node procedure without resection of nodal basin

f FNA or core needle biopsy without resection of nodal basin

blank No suffix needed or appropriate; not recorded



Date Element: TNM Clinical T CCR Name: AJCC Clinical T (T42) Revised CCR Name: AJCC/UICC Clinical T Item Length: 15 Alphanumeric NAACCR Item # 1001

Description: The site-specific code evaluating the primary tumour clinically (T) and reflects the tumour size and/or extension as recorded. Clinical stage is assigned prior to any cancer-directed treatment and should not be changed based on subsequent information.


Code Definition Code Definition Code Definition

(blank) Not recorded cT1b1 cT1b1 cT3 cT3

cTX cTX cT1b2 cT1b2 cT3a cT3a

cT0 cT0 cT1c cT1c cT3b cT3b

cTa cTa cT1c1 cT1c1 cT3c cT3c

cTis cTis cT1c2 cT1c2 cT3d cT3d

cTis(DCIS) cTis(DCIS) cT1c3 cT1c3 cT3e cT3e

cTis(LAMN) cTis(LAMN) cT1d cT1d cT4 cT4

cTis(Paget) cTis(Paget) cT2 cT2 cT4a cT4a

cT1 cT1 cT2a cT2a cT4b cT4b

cT1mi cT1mi cT2a1 cT2a1 cT4c cT4c

cT1a cT1a cT2a2 cT2a2 cT4d cT4d

cT1a1 cT1a1 cT2b cT2b cT4e cT4e

cT1a2 cT1a2 cT2c cT2c 88 Not applicable

cT1b cT1b cT2d cT2d



Date Element: TNM Clinical N CCR Name: AJCC Clinical N (T43) Revised CCR Name: AJCC/UICC Clinical N Item Length: 15 Alphanumeric NAACCR Item # 1002

Description: The site-specific code identifying the absence or presence of clinical regional lymph node (N) metastasis and describes the extent of regional lymph node metastasis as recorded. Clinical stage is assigned prior to any cancer-directed treatment and should not be changed based on subsequent information.



(blank) Not recorded cN2 cN2

cNX cNX cN2mi cN2mi

cN0 cN0 cN2a cN2a

cN0(i+) cN0(i+) cN2b cN2b

cN0a cN0a cN2c cN2c

cN0b cN0b cN3 cN3

cN1 cN1 cN3a cN3a

cN1mi cN1mi cN3b cN3b

cN1a cN1a cN3c cN3c

cN1b cN1b 88 Not applicable

cN1c cN1c



Date Element: TNM Clinical M CCR Name: AJCC Clinical M (T44) Revised CCR Name: AJCC/UICC Clinical M Item Length: 15 Alphanumeric NAACCR Item # 1003

Description: The site-specific code identifying the presence or absence of clinical distant metastasis (M) as recorded. Clinical stage is assigned prior to any cancer-directed treatment and should not be changed based on subsequent information.



cM0 cM0 pM1a pM1a

cM0(i+) cM0(i+) pM1a(0) pM1a(0)


cM1a cM1a pM1b pM1b

cM1a(0) cM1a(0) pM1b(0) pM1b(0)

cM1a(1) cM1a(1) pM1b(1) pM1b(1)

cM1b cM1b pM1c pM1c

cM1b(0) cM1b(0) pM1c(0) pM1c(0)

cM1b(1) cM1b(1) pM1c(1) pM1c(1)

cM1c cM1c pM1d pM1d

cM1c(0) cM1c(0) pM1d(0) pM1d(0)

cM1c(1) cM1c(1) pM1d(1) pM1d(1)


cM1d(0) cM1d(0)

cM1d(1) cM1d(1)




Date Element: TNM Clinical Stage Group CCR Name: AJCC Clinical TNM Stage Group (T48) Revised CCR Name: AJCC/UICC Clinical TNM Stage Group Item Length: 15 Alphanumeric NAACCR Item # 1004

Description: The site-specific code identifying the anatomic extent of disease based on the clinical T, N and M elements as recorded in TNM Clinical T, N and M fields. (Table on next page)












1A3 IA3 2:0 II:0 3:0 III:0 4:2 IV:2

1B IB 2:1 II:1 3:1 III:1 4:3 IV:3

1B1 IB1 2:2 II:2 3:2 III:2 4:4 IV:4

1B2 IB2 2:3 II:3 3:3 III:3 4:5 IV:5

1C IC 2:4 II:4 3:4 III:4 4:6 IV:6

1E IE 2:5 II:5 3:5 III:5 4:7 IV:7

1S IS 2:6 II:6 3:6 III:6 4:8 IV:8

1:0 I:0 2:7 II:7 3:7 III:7 4:9 IV:9

1:1 I:1 2:8 II:8 3:8 III:8 4:10 IV:10

1:2 I:2 2:9 II:9 3:9 III:9 4:11 IV:11

1:3 I:3 2:10 II:10 3:10 III:10 4:12 IV:12

1:4 I:4 2:11 II:11 3:11 III:11 4:13 IV:13

1:5 I:5 2:12 II:12 3:12 III:12 4:14 IV:14

1:6 I:6 2:13 II:13 3:13 III:13 4:15 IV:15

1:7 I:7 2:14 II:14 3:14 III:14 4:16 IV:16

1:8 I:8 2:15 II:15 3:15 III:15 4:17 IV:17

1:9 I:9 2:16 II:16 3:16 III:16 4:18 IV:18

1:10 I:10 2:17 II:17 3:17 III:17 4:19 IV:19

1:11 I:11 2:18 II:18 3:18 III:18 4:20 IV:20

1:12 I:12 2:19 II:19 3:19 III:19 4:21 IV:21

1:13 I:13 2:20 II:20 3:20 III:20 4:22 IV:22

1:14 I:14 2:21 II:21 3:21 III:21 4:23 IV:23

1:15 I:15 2:22 II:22 3:22 III:22 4:24 IV:24

1:16 I:16 2:23 II:23 3:23 III:23 4:25 IV:25



1:19 I:19 99 Unknown

1:20 I:20

1:21 I:21

1:22 I:22

1:23 I:23

1:24 I:24

1:25 I:25



Date Element: AJCC TNM Clinical T Suffix CCR Name: None – New Data Item Item Length: 1 NAACCR Item # 1031

Description: Detailed site-specific codes for the clinical T category suffix as defined by AJCC and recorded by the physician.

Code Definition






Date Element: AJCC TNM Clinical N Suffix CCR Name: None – New Data Item Item Length: 2 NAACCR Item # 1034

Description: Detailed site-specific codes for the clinical N category suffix as defined by AJCC and recorded by the physician.

Code Definition






Date Element: TNM Post Therapy T CCR Name: None – New Data Item Item Length: 15

Alphanumeric NAACCR Item # 1021

Description: Detailed site-specific codes for the post neoadjuvant therapy tumor (T) as defined by AJCC and recorded by the physician. Evaluates the primary tumor (T) and reflects the tumor size and/or extension of the tumor known following the completion of neoadjuvant therapy (satisfying the definition for that disease site) and planned post neoadjuvant therapy surgical resection.


Code Definition Code Definition Code Definition

(blank) Not recorded ypT1b1 ypT1b1 ypT3 ypT3

ypTX ypTX ypT1b2 ypT1b2 ypT3a ypT3a

ypT0 ypT0 ypT1c ypT1c ypT3b ypT3b

ypTa ypTa ypT1c1 ypT1c1 ypT3c ypT3c

ypTis ypTis ypT1c2 ypT1c2 ypT3d ypT3d

ypTis(DCIS) ypTis(DCIS) ypT1c3 ypT1c3 ypT4 ypT4

ypTis(LAMN) ypTis(LAMN) ypT1d ypT1d ypT4a ypT4a

ypTis(Paget) ypTis(Paget) ypT2 ypT2 ypT4b ypT4b

ypT1 ypT1 ypT2a ypT2a ypT4c ypT4c

ypT1mi ypT1mi ypT2a1 ypT2a1 ypT4d ypT4d

ypT1a ypT1a ypT2a2 ypT2a2 ypT4e ypT4e

ypT1a1 ypT1a1 ypT2b ypT2b 88 Not applicable

ypT1a2 ypT1a2 ypT2c ypT2c

ypT1b ypT1b ypT2d ypT2d



Date Element: TNM Post Therapy N CCR Name: None – New Data Item Item Length: 15 Alphanumeric NAACCR Item # 1022

Description: Detailed site-specific codes for the post neoadjuvant therapy nodes (N) as defined by AJCC and recorded by the physician. Identifies the absence or presence of regional lymph node (N) metastasis and describes the extent of lymph node metastasis of the tumor known known following the completion of neoadjuvant therapy (satisfying the definition for that disease site) and planned post neoadjuvant therapy surgical resection.



(blank) Not recorded ypN1c ypN1c

ypNX ypNX ypN2 ypN2

cN0 cN0 ypN2mi ypN2mi

ypN0 ypN0 ypN2a ypN2a

ypN0(i+) ypN0(i+) ypN2b ypN2b

ypN0(mol+) ypN0(mol+) ypN2c ypN2c

ypN0a ypN0a ypN3 ypN3

ypN1 ypN1 ypN3a ypN3a

ypN1mi ypN1mi ypN3b ypN3b

ypN1a ypN1a ypN3c ypN3c

ypN1a(sn) ypN1a(sn) 88 Not applicable

ypN1b ypN1b



Date Element: TNM Post Therapy M CCR Name: None – New Data Item Item Length: 15

Alphanumeric NAACCR Item # 1023

Description: Detailed site-specific codes for the post neoadjuvant therapy category metastases (M) as defined by AJCC and recorded by the physician. M category for post neoadjuvant therapy staging remains the same as that assigned in the clinical stage before initiation of neoadjuvant therapy, cM or pM.



cM0 cM0 pM1a pM1a

cM0(i+) cM0(i+) pM1a(0) pM1a(0)


cM1a cM1a pM1b pM1b

cM1a(0) cM1a(0) pM1b(0) pM1b(0)

cM1a(1) cM1a(1) pM1b(1) pM1b(1)

cM1b cM1b pM1c pM1c

cM1b(0) cM1b(0) pM1c(0) pM1c(0)

cM1b(1) cM1b(1) pM1c(1) pM1c(1)

cM1c cM1c pM1d pM1d

cM1c(0) cM1c(0) pM1d(0) pM1d(0)

cM1c(1) cM1c(1) pM1d(1) pM1d(1)


cM1d(0) cM1d(0)

cM1d(1) cM1d(1)




Date Element: TNM Post Therapy Stage Group CCR Name: None – New Data Item Item Length: 15 NAACCR Item # 1024

Description: Detailed site-specific codes for the post neoadjuvant therapy stage group as defined by AJCC and recorded by the physician. Identifies the remaining anatomic extent of disease based on the T and N following the completion of neoadjuvant therapy (satisfying the definition for that disease site) and planned post neoadjuvant therapy surgical resection, and the M status defined during the diagnostic workup. (Table on next page)












1A3 IA3 2:0 II:0 3D IIID 4:2 IV:2

1B IB 2:1 II:1 3:0 III:0 4:3 IV:3

1B1 IB1 2:2 II:2 3:1 III:1 4:4 IV:4

1B2 IB2 2:3 II:3 3:2 III:2 4:5 IV:5

1C IC 2:4 II:4 3:3 III:3 4:6 IV:6

1E IE 2:5 II:5 3:4 III:4 4:7 IV:7

1S IS 2:6 II:6 3:5 III:5 4:8 IV:8

1:0 I:0 2:7 II:7 3:6 III:6 4:9 IV:9

1:1 I:1 2:8 II:8 3:7 III:7 4:10 IV:10

1:2 I:2 2:9 II:9 3:8 III:8 4:11 IV:11

1:3 I:3 2:10 II:10 3:9 III:9 4:12 IV:12

1:4 I:4 2:11 II:11 3:10 III:10 4:13 IV:13

1:5 I:5 2:12 II:12 3:11 III:11 4:14 IV:14

1:6 I:6 2:13 II:13 3:12 III:12 4:15 IV:15

1:7 I:7 2:14 II:14 3:13 III:13 4:16 IV:16

1:8 I:8 2:15 II:15 3:14 III:14 4:17 IV:17

1:9 I:9 2:16 II:16 3:15 III:15 4:18 IV:18

1:10 I:10 2:17 II:17 3:16 III:16 4:19 IV:19

1:11 I:11 2:18 II:18 3:17 III:17 4:20 IV:20

1:12 I:12 2:19 II:19 3:18 III:18 4:21 IV:21

1:13 I:13 2:20 II:20 3:19 III:19 4:22 IV:22

1:14 I:14 2:21 II:21 3:20 III:20 4:23 IV:23

1:15 I:15 2:22 II:22 3:21 III:21 4:24 IV:24

1:16 I:16 2:23 II:23 3:22 III:22 4:25 IV:25



1:19 I:19 3:25 III:25 99 Unknown

1:20 I:20

1:21 I:21

1:22 I:22

1:23 I:23

1:24 I:24

1:25 I:25



Date Element: TNM Post Therapy T Suffix CCR Name: None – New Data Item Item Length: 1 NAACCR Item # 1033

Description: Detailed site-specific codes for the post neoadjuvant therapy T category suffix as defined by AJCC and recorded by the physician.

Code Definition






Date Element: TNM Post Therapy N Suffix CCR Name: None – New Data Item Item Length: 2 NAACCR Item # 1036

Description: Detailed site-specific codes for the post neoadjuvant therapy N category suffix as defined by AJCC and recorded by the physician.

Code Definition




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