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{
  "id" : "ss2018_appendix_including_netl_54459",
  "algorithm" : "eod_public",
  "version" : "1.0",
  "name" : "SS2018: Appendix (including NET)",
  "title" : "Summary Stage 2018: Appendix (including NET)",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Appendix (including Neuroendocrine tumors)**\n\nC181\nC181 Appendix\n\n**Note:** The following sources were used in the development of this schema\n* SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998) (https://seer.cancer.gov/archive/manuals/EOD10Dig.3rd.pdf)\n* SEER Summary Staging Manual-2000: Codes and Coding Instructions (https://seer.cancer.gov/tools/ssm/)\n* Collaborative Stage Data Collection System, version 02.05:  https://cancerstaging.org/cstage/Pages/default.aspx \n* Chapter 19 *Appendix – Carcinoma*, in the AJCC Cancer Staging Manual, Eighth Edition (2017) published by Springer International Publishing. Used with permission of the American College of Surgeons, Chicago, Illinois.\n* Chapter 32 *Neuroendocrine Tumors of the Appendix*, in the AJCC Cancer Staging Manual, Eighth Edition (2017) published by Springer International Publishing. Used with permission of the American College of Surgeons, Chicago, Illinois.",
  "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) Overman, M.J., Jessup, J.M., et al. **Appendix – Carcinoma**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 237-250\n\n(6) Woltering, E.A., Bergsland, E.K., et al. **Neuroendocrine Tumors of the Appendix**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 389-394",
  "last_modified" : "2018-03-12T16:39:56.681Z",
  "definition" : [ {
    "key" : "ss2018",
    "name" : "SS2018",
    "type" : "INPUT"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  } ],
  "rows" : [ [ "0", "In situ, intraepithelial, noninvasive\n- Acellular mucin or mucinous epithelium may invade into the muscularis propria\n- (Adeno) carcinoma, noninvasive, in a polyp or adenoma\n- Low-grade appendiceal mucinous neoplasm confined by the muscularis propria (LAMN)" ], [ "1", "Localized only (localized, NOS)\n- Confined to appendix, NOS\n- Confined to polyp, NOS\n- Extension through wall, NOS\n- Invasion through muscularis propria\n- Lamina propria \n- Mucosa (intramucosal, NOS)\n- Muscularis mucosae\n- Non-peritonealized pericolic tissues invaded\n- Perimuscular tissue invaded\n- Submucosa \n- Subserosa \n- Transmural, NOS\n- Wall, NOS" ], [ "2", "Regional by direct extension only\n- Abdominal wall\n- Adherent to other organs or structures\n- Adjacent tissue(s), NOS\n- Connective tissue\n- Fat, NOS\n- Greater omentum\n- Mesenteric fat\n- Mesentery \n- Mesoappendix\n- Pericolic fat\n- Retroperitoneum\n- Serosa (mesothelium) (visceral peritoneum)\n- Small intestine\n- Tumor found in adhesion(s) if microscopic examination performed" ], [ "3", "Regional lymph node(s) involved only\n- Cecal\n    + Anterior (prececal)\n    + Posterior (retrocecal)\n    + Right colic\n- Colic, NOS\n- Epicolic (adjacent to bowel wall)\n- Ileocolic\n- Mesenteric, NOS\n- Mesocolic, NOS\n- Paracolic/pericolic\n- Regional lymph node(s), NOS\n  + Lymph node(s), NOS" ], [ "4", "Regional by BOTH direct extension AND regional lymph node(s) involved\n- Codes (2) + (3)" ], [ "7", "Distant site(s)/lymph node(s) involved\n- Distant site(s) (including further contiguous extension) \n  + Adrenal (suprarenal) gland\n  + Bladder\n  + Diaphragm\n  + Fallopian tube\n  + Fistula to skin\n  + Gallbladder\n  + Intraperitoneal spread/peritoneal metastasis\n  + Kidney\n  + Liver\n  + Other segment(s) of colon/rectum via serosa\n  + Ovary\n  + Ureter\n  + Uterus\n- Distant lymph node(s), NOS\n  + Inferior mesenteric\n  + Superior mesenteric\n- Distant metastasis, NOS\n  + Carcinomatosis\n  + Distant metastasis WITH or WITHOUT distant lymph node(s)" ], [ "9", "Unknown if extension or metastasis" ] ]
}




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