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{
"id" : "extension_bbp",
"algorithm" : "eod_public",
"version" : "1.0",
"name" : "EOD Primary Tumor",
"title" : "EOD Primary Tumor",
"notes" : "**Note 1:** Gerota’s fascia is a fibrous tissue sheath surrounding the kidney and suprarenal or adrenal gland. The perirenal fat, renal capsule, and renal parenchyma lie below the fascia.\n\n**Note 2:** The most common site for renal parenchymal cancer to develop is in the proximal convoluted tubule. Tumor extension from one of these structures into another is coded 100 and is dependent on size in the absence of further involvement.",
"footnotes" : "(1) Fritz AG, Ries LAG (eds). **SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998)**, National Cancer Institute, NIH Pub. No. 98-2313, Bethesda, MD, 1998\n\n(2) Young JL Jr, Roffers SD, Ries LAG, Fritz AG, Hurlbut AA (eds.). **SEER Summary Staging Manual-2000: Codes and Coding Instructions**, National Cancer Institute, NIH Pub. No. 01-4969, Bethesda, MD, 2001.\n\n(3) Collaborative Stage Work Group of the American Joint Committee on Cancer. **Collaborative Stage Data Collection System User Documentation and Coding Instructions, version 02.05**. American Joint Committee on Cancer (Chicago, IL)\n\n(4) Gress, D.M., Edge, S.B., Gershenwald, J.E., et al. **Principles of Cancer Staging**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 3-30\n\n(5) Rini, B.I., McKiernan, J.M., Stadler, W.M., et al. **Kidney**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 739-748",
"last_modified" : "2018-03-12T16:39:58.591Z",
"definition" : [ {
"key" : "eod_primary_tumor",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
}, {
"key" : "eod_2018_t",
"name" : "EOD 2018 T",
"type" : "ENDPOINT"
}, {
"key" : "ss2018_t",
"name" : "SS2018 T",
"type" : "ENDPOINT"
} ],
"rows" : [ [ "000", "In situ, intraepithelial, noninvasive", "VALUE:88", "VALUE:IS" ], [ "100", "Any size tumor\n- Invasion of renal capsule \n- Invasive cancer confined to kidney cortex and/or medulla\n- Pelvicalyceal system\n- Renal pelvis or calyces involved\n- Separate focus of tumor in renal pelvis/calyx\n\nConfined (limited) to the kidney, NOS\nLocalized, NOS", "JUMP:tumor_size_with_primary_tumor_for_ajcc_t_67751", "VALUE:L" ], [ "200", "Blood vessel(s) (major)\n- Extrarenal portion of renal vein or segmental (muscle containing branches)\n- Hilar blood vessel\n- Perirenal vein\n- Renal artery\n- Renal vein, NOS\n- Tumor thrombus in a renal vein, NOS\n\nInvasion of perirenal and/or renal sinus fat but not beyond Gerota’s fascia\nPerinephric tissue invasion WITHOUT extension beyond the Gerota’s fascia)", "VALUE:T3a", "VALUE:RE" ], [ "300", "Inferior vena cava (IVC) below diaphragm", "VALUE:T3b", "VALUE:RE" ], [ "400", "IVC above diaphragm or invades wall of IVC", "VALUE:T3c", "VALUE:RE" ], [ "500", "Tumor extends into major veins (excluding ipsilateral adrenal gland)\n\nNot beyond Gerota’s fascia (see code 600)\n\nIVC, NOS", "VALUE:T3", "VALUE:RE" ], [ "600", "Extension beyond Gerota's fascia to\n- Adrenal gland (ipsilateral) (contiguous metastasis)\n- Ascending colon from right kidney\n- Beyond Gerota’s fascia, NOS\n- Descending colon from left kidney\n- Diaphragm\n- Duodenum from right kidney\n- Peritoneum\n- Psoas muscle\n- Quadratus lumborum muscle\n- Retroperitoneal soft tissue\n- Tail of pancreas\n- Ureter (ipsilateral), including implant(s)", "VALUE:T4", "VALUE:RE" ], [ "700", "Aorta\nLiver from right kidney\nRibs\nSpleen from left kidney\nStomach\n\nFurther contiguous extension", "VALUE:T4", "VALUE:D" ], [ "800", "No evidence of primary tumor", "VALUE:T0", "VALUE:U" ], [ "999", "Unknown; extension not stated\nPrimary tumor cannot be assessed\nNot documented in patient record\n\nDeath Certificate Only", "VALUE:TX", "VALUE:U" ] ]
}
