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Long NameStaging, Stomach NCI Standard Template
DefinitionThe collection of CDEs used in the stomach staging module based on AJCC Edition 7.
ContextcaBIG
Protocol Long NameNCI Standard Template Forms
WorkflowRELEASED
TypeCRF
Public ID3444235
Version1.0
Module Long NameModule InstructionsQuestionCDECDE Public IDCDE VersionQuestion InstructionsValue Domain Data TypeValue Domain Unit of MeasureDisplay FormatValid ValueForm Value Meaning TextForm Value Meaning Desc.
Mandatory Stomach Staging QuestionsThese items must be included when this data is collected for reporting.
Date Current Staging Assessment CompletedCurrent Stage Complete Assessment Date627393.0DATEMM/DD/YYYY
Conditional Stomach Staging QuestionsThere are business rules to indicate situations under which this element should be used on a case report form.
Clinical T StageGastric Cancer American Joint Committee on Cancer (AJCC) Edition 7 Clinical Tumor T Stage34441371.0Conditionality Rule: Inclusion based on patient population being studied.CHARACTER
TXGastric Cancer pTX TNM FindingGastric cancer in which the primary tumor cannot be assessed. (from AJCC 6th and 7th Eds.)
T0Gastric Cancer pT0 TNM FindingGastric cancer with no evidence of a primary tumor. (from AJCC 6th and 7th Eds.)
TisGastric Cancer pTis TNM FindingGastric cancer in situ with cancer cells confined within the glandular basement membrane (intraepithelial) and without invasion into the lamina propria. (from AJCC 6th and 7th Eds.)
T1Gastric Cancer pT1 TNM Finding v7Gastric cancer invading lamina propria, muscularis mucosae, or submucosa. (from AJCC 7th Ed.)
T1aGastric Cancer pT1a TNM Finding v7Gastric cancer with tumor invading lamina propria or muscularis mucosae. (from AJCC 7th Ed.)
T1bGastric Cancer pT1b TNM Finding v7Gastric cancer invading the submucosa. (from AJCC 7th Ed.)
T2Gastric Cancer pT2 TNM Finding v7Gastric cancer with tumor invading the muscularis propria. A tumor may penetrate the muscularis propria with extension into the gastrocolic or gastrohepatic ligaments, or into the greater or lesser omentum, without perforation of the visceral peritoneum covering these structures. In this case, the tumor is classified T3. If there is perforation of the visceral peritoneum covering the gastric ligaments or the omentum, the tumor should be classified T4. (from AJCC 7th Ed.)
T3Gastric Cancer pT3 TNM Finding v7Gastric cancer with tumor penetrating subserosal connective tissue without invasion of visceral peritoneum or adjacent structures. The adjacent structures of the stomach include the spleen, transverse colon, liver, diaphragm, pancreas, abdominal wall, adrenal gland, kidney, small intestine, and retroperitoneum. Intramural extension to the duodenum or esophagus is classified by the depth of the greatest invasion in any of these sites, including the stomach. (from AJCC 7th Ed.)
T4Gastric Cancer pT4 TNM Finding v7Gastric cancer with tumor invading serosa (visceral peritoneum) or adjacent structures. The adjacent structures of the stomach include the spleen, transverse colon, liver, diaphragm, pancreas, abdominal wall, adrenal gland, kidney, small intestine, and retroperitoneum. Intramural extension to the duodenum or esophagus is classified by the depth of the greatest invasion in any of these sites, including the stomach. (from AJCC 7th Ed.)
T4aGastric Cancer pT4a TNM Finding v7Gastric cancer with tumor invading serosa (visceral peritoneum). (from AJCC 7th Ed.)
T4bGastric Cancer pT4b TNM Finding v7Gastric cancer with tumor invading adjacent structures. (from AJCC 7th Ed.)
Clinical N StageGastric Cancer American Joint Committee on Cancer (AJCC) Edition 7 Clinical Regional Lymph Node N Stage34441561.0Conditionality Rule: Inclusion based on patient population being studied.CHARACTER
NXGastric Cancer pNX TNM FindingGastric cancer in which the regional lymph nodes cannot be assessed. (from AJCC 6th and 7th Eds.)
N0Gastric Cancer pN0 TNM Finding v7Gastric cancer without regional lymph node metastasis. Note: A designation of pN0 should be used if all examined lymph nodes are negative, regardless of the total number removed and examined. (from AJCC 7th Ed.)
N1Gastric Cancer pN1 TNM Finding v7Gastric cancer with metastasis in 1-2 regional lymph nodes. (from AJCC 7th Ed.)
N2Gastric Cancer pN2 TNM Finding v7Gastric cancer with metastasis in 3-6 regional lymph nodes. (from AJCC 7th Ed.)
N3Gastric Cancer pN3 TNM Finding v7Gastric cancer with metastasis in seven or more regional lymph nodes. (from AJCC 7th Ed.)
N3aGastric Cancer pN3a TNM Finding v7Gastric cancer with metastasis in 7-15 regional lymph nodes. (from AJCC 7th Ed.)
N3bGastric Cancer pN3b TNM Finding v7Gastric cancer with metastasis in sixteen or more regional lymph nodes. (from AJCC 7th Ed.)
Clinical M StageGastric Cancer American Joint Committee on Cancer (AJCC) Edition 7 Clinical Distant Metastasis M Stage34441701.0Conditionality Rule: Inclusion based on patient population being studied.CHARACTER
M0Gastric Cancer cM0 TNM Finding v7Gastric cancer without evidence of distant metastasis. (from AJCC 7th Ed.)
M1Gastric Cancer cM1 TNM Finding v7Gastric cancer with distant metastasis. (from AJCC 7th Ed.)
Pathologic T StageGastric Cancer American Joint Committee on Cancer (AJCC) Edition 7 Pathologic Tumor T Stage34441381.0Conditionality Rule: Inclusion based on patient population being studied.CHARACTER
TXGastric Cancer pTX TNM FindingGastric cancer in which the primary tumor cannot be assessed. (from AJCC 6th and 7th Eds.)
T0Gastric Cancer pT0 TNM FindingGastric cancer with no evidence of a primary tumor. (from AJCC 6th and 7th Eds.)
TisGastric Cancer pTis TNM FindingGastric cancer in situ with cancer cells confined within the glandular basement membrane (intraepithelial) and without invasion into the lamina propria. (from AJCC 6th and 7th Eds.)
T1Gastric Cancer pT1 TNM Finding v7Gastric cancer invading lamina propria, muscularis mucosae, or submucosa. (from AJCC 7th Ed.)
T1aGastric Cancer pT1a TNM Finding v7Gastric cancer with tumor invading lamina propria or muscularis mucosae. (from AJCC 7th Ed.)
T1bGastric Cancer pT1b TNM Finding v7Gastric cancer invading the submucosa. (from AJCC 7th Ed.)
T2Gastric Cancer pT2 TNM Finding v7Gastric cancer with tumor invading the muscularis propria. A tumor may penetrate the muscularis propria with extension into the gastrocolic or gastrohepatic ligaments, or into the greater or lesser omentum, without perforation of the visceral peritoneum covering these structures. In this case, the tumor is classified T3. If there is perforation of the visceral peritoneum covering the gastric ligaments or the omentum, the tumor should be classified T4. (from AJCC 7th Ed.)
T3Gastric Cancer pT3 TNM Finding v7Gastric cancer with tumor penetrating subserosal connective tissue without invasion of visceral peritoneum or adjacent structures. The adjacent structures of the stomach include the spleen, transverse colon, liver, diaphragm, pancreas, abdominal wall, adrenal gland, kidney, small intestine, and retroperitoneum. Intramural extension to the duodenum or esophagus is classified by the depth of the greatest invasion in any of these sites, including the stomach. (from AJCC 7th Ed.)
T4Gastric Cancer pT4 TNM Finding v7Gastric cancer with tumor invading serosa (visceral peritoneum) or adjacent structures. The adjacent structures of the stomach include the spleen, transverse colon, liver, diaphragm, pancreas, abdominal wall, adrenal gland, kidney, small intestine, and retroperitoneum. Intramural extension to the duodenum or esophagus is classified by the depth of the greatest invasion in any of these sites, including the stomach. (from AJCC 7th Ed.)
T4aGastric Cancer pT4a TNM Finding v7Gastric cancer with tumor invading serosa (visceral peritoneum). (from AJCC 7th Ed.)
T4bGastric Cancer pT4b TNM Finding v7Gastric cancer with tumor invading adjacent structures. (from AJCC 7th Ed.)
Pathologic N StageGastric Cancer American Joint Committee on Cancer (AJCC) Edition 7 Pathologic Regional Lymph Node N Stage34441551.0Conditionality Rule: Inclusion based on patient population being studied.CHARACTER
NXGastric Cancer pNX TNM FindingGastric cancer in which the regional lymph nodes cannot be assessed. (from AJCC 6th and 7th Eds.)
N0Gastric Cancer pN0 TNM Finding v7Gastric cancer without regional lymph node metastasis. Note: A designation of pN0 should be used if all examined lymph nodes are negative, regardless of the total number removed and examined. (from AJCC 7th Ed.)
N1Gastric Cancer pN1 TNM Finding v7Gastric cancer with metastasis in 1-2 regional lymph nodes. (from AJCC 7th Ed.)
N2Gastric Cancer pN2 TNM Finding v7Gastric cancer with metastasis in 3-6 regional lymph nodes. (from AJCC 7th Ed.)
N3Gastric Cancer pN3 TNM Finding v7Gastric cancer with metastasis in seven or more regional lymph nodes. (from AJCC 7th Ed.)
N3aGastric Cancer pN3a TNM Finding v7Gastric cancer with metastasis in 7-15 regional lymph nodes. (from AJCC 7th Ed.)
N3bGastric Cancer pN3b TNM Finding v7Gastric cancer with metastasis in sixteen or more regional lymph nodes. (from AJCC 7th Ed.)
Pathologic M StageGastric Cancer American Joint Committee on Cancer (AJCC) Edition 7 Pathologic Distant Metastasis M Stage34442001.0Conditionality Rule: Inclusion based on patient population being studied.CHARACTER
M1Gastric Cancer pM1 TNM FindingGastric cancer with distant metastasis. (from AJCC 6th and 7th Eds.)
Disease StageGastric Cancer American Joint Committee on Cancer (AJCC) Edition 7 Group Stage34442171.0Conditionality Rule: Inclusion based on patient population being studied.CHARACTER
0Stage 0 Gastric CancerStage 0 includes: Tis, N0, M0. Tis: Carcinoma in situ: intraepithelial tumor without invasion of the lamina propria. N0: No regional lymph node metastasis. M0: No distant metastasis. (AJCC 6th and 7th eds.)
IAStage IA Gastric CancerStage IA includes: T1, N0, M0. T1: Tumor invades lamina propria, muscularis mucosae, or submucosa. N0: No regional lymph node metastasis. M0: No distant metastasis. (AJCC 7th ed.)
IBStage IB Gastric CancerStage IB includes: (T2, N0, M0); (T1, N1, M0). T1: Tumor invades lamina propria, muscularis mucosae, or submucosa. T2: Tumor invades the muscularis propria. N0: No regional lymph node metastasis. N1: Metastasis in 1-2 regional lymph nodes. M0: No distant metastasis. (AJCC 7th ed.)
IIAStage IIA Gastric CancerStage IIA includes: (T3, N0, M0); (T2, N1, M0); (T1, N2, M0). T1: Tumor invades lamina propria, muscularis mucosae, or submucosa. T2: Tumor invades the muscularis propria. T3: Tumor penetrates subserosal connective tissue without invasion of visceral peritoneum or adjacent structures. N0: No regional lymph node metastasis. N1: Metastasis in 1-2 regional lymph nodes. N2: Metastasis in 3-6 regional lymph nodes. M0: No distant metastasis. (AJCC 7th ed.)
IIBStage IIB Gastric CancerStage IIB includes: (T4a, N0, M0); (T3, N1, M0); (T2, N2, M0); (T1, N3, M0). T1: Tumor invades lamina propria, muscularis mucosae, or submucosa. T2: Tumor invades the muscularis propria. T3: Tumor penetrates subserosal connective tissue without invasion of visceral peritoneum or adjacent structures. T4a: Tumor invades serosa (visceral peritoneum). N0: No regional lymph node metastasis. N1: Metastasis in 1-2 regional lymph nodes. N2: Metastasis in 3-6 regional lymph nodes. N3: Metastasis in seven or more regional lymph nodes. M0: No distant metastasis. (AJCC 7th ed.)
IIIAStage IIIA Gastric CancerStage IIIA includes: (T4a, N1, M0); (T3, N2, M0); (T2, N3, M0). T2: Tumor invades the muscularis propria. T3: Tumor penetrates subserosal connective tissue without invasion of visceral peritoneum or adjacent structures. T4a: Tumor invades serosa (visceral peritoneum). N1: Metastasis in 1-2 regional lymph nodes. N2: Metastasis in 3-6 regional lymph nodes. N3: Metastasis in seven or more regional lymph nodes. M0: No distant metastasis. (AJCC 7th ed.)
IIIBStage IIIB Gastric CancerStage IIIB includes: (T4b, N0, M0); (T4b, N1, M0); (T4a, N2, M0); (T3, N3, M0). T3: Tumor penetrates subserosal connective tissue without invasion of visceral peritoneum or adjacent structures. T4a: Tumor invades serosa (visceral peritoneum). T4b: Tumor invades adjacent structures. N0: No regional lymph node metastasis. N1: Metastasis in 1-2 regional lymph nodes. N2: Metastasis in 3-6 regional lymph nodes. N3: Metastasis in seven or more regional lymph nodes. M0: No distant metastasis. (AJCC 7th ed.)
IIICStage IIIC Gastric CancerStage IIIC includes: (T4b, N2, M0); (T4b, N3, M0); (T4a, N3, M0). T4a: Tumor invades serosa (visceral peritoneum). T4b: Tumor invades adjacent structures. N2: Metastasis in 3-6 regional lymph nodes. N3: Metastasis in seven or more regional lymph nodes. M0: No distant metastasis. (AJCC 7th ed.)
IVStage IV Gastric CancerStage IV includes: (Any T, Any N, M1). M1: Distant metastasis. (AJCC 7th ed.)
Stage unknownStage UnknownA finding indicating that the extent of organ/tissue involvement by a malignant neoplasm is not reported or not assessed.
Optional Stomach Staging QuestionsThere is no requirement for inclusion of these elements on the case report form. If the design and scientific questions posed in the study dictate the need to collect this type of data, these elements should be included.
Staging Time PointDisease Staging Timepoint Name28473521.0CHARACTER
Current DiagnosisCurrent DiagnosisOccurring in or belonging to the present time.: The investigation, analysis and recognition of the presence and nature of disease, condition, or injury from expressed signs and symptoms; also, the scientific determination of any kind; the concise results of such an investigation.
Initial DiagnosisFirst DiagnosisPreceding all others in time or space or degree.: The investigation, analysis and recognition of the presence and nature of disease, condition, or injury from expressed signs and symptoms; also, the scientific determination of any kind; the concise results of such an investigation.
RestagingRestagingRepeat of staging assessment
Study EnrollmentClinical Study EnrollmentResearch conducted with human subjects or on material of human origin in which an investigator directly interacts with human subjects; includes development of new technologies, mechanism of human diseases, therapy, clinical trials, epidemiology, behavior and health services research. : Enrollment; to insert, register, or enter in a list, catalog, or roll. (Merriam-Webster Online)