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{
  "id" : "ss2018_cervical_lymph_nodes_and_unknown_primary_tumor_8991",
  "algorithm" : "eod_public",
  "version" : "1.0",
  "name" : "SS2018: Cervical Lymph Nodes and Unknown Primary Tumors of Head and Neck",
  "title" : "Summary Stage 2018: Cervical Lymph Nodes and Unknown Primary Tumors of Head and Neck",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Cervical Lymph Nodes and Unknown Primary Tumor of the Head and Neck**\n\nC000-C006, C008-C009: Lip\nC019: Base of Tongue, NOS\nC020-C024, C028, C029: Other and Unspecified Parts of Tongue\nC030-C031, C039: Gum\nC040-C041, C048-C049: Floor of Mouth\nC050-C052, C058-C059: Palate\nC060-C062, C068-C069: Other and Unspecified Parts of Mouth\nC079: Parotid gland\nC080-C081, C088-C089: Major Salivary Glands\nC090-C091, C098-C099: Tonsil\nC100-C104, C108-C109: Oropharynx\nC110-C113, C118-C119: Nasopharynx\nC129: Pyriform sinus\nC130-C132, C138-C139: Hypopharynx\nC140, C142, C148: Other and Ill-Defined Sites in Lip, Oral Cavity and Pharynx\nC300: Nasal cavity\nC301: Middle ear\nC310-C313, C318-C319: Accessory Sinuses\nC320-C323, C328-C329: Larynx \nC440: Skin of lip\nC442: Skin of ear & external auricular canal\nC443: Skin of other & unspecified parts of face\nC444: Skin of scalp & neck\nC448: Overlapping lesion of skin\nC809: Unknown primary site\n\n\n**Note 1:** 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 6 *Cervical Lymph Nodes and Unknown Primary Tumors of the Head and Neck*, 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\n**Note 2:** Codes 0, 1, 2, and 4 are not applicable for this schema.",
  "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) Lydiatt, W.M., Patel, S.G., Shah, J.P., et al.  **Staging Head and Neck Cancers**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 55-65\n\n(6) Patel, S.G., Lydiatt, W.M., Shah, J.P., et al. **Cervical Lymph Nodes and Unknown Primary Tumors of the Head and Neck**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 67-78",
  "last_modified" : "2018-03-12T16:39:58.770Z",
  "definition" : [ {
    "key" : "ss2018",
    "name" : "SS2018",
    "type" : "INPUT"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  } ],
  "rows" : [ [ "3", "Regional lymph node(s) involved only\n- Level I\n    + Level IA - Submental\n    + Level IB - Submandibular (submaxillary), sublingual\n- Level II - Upper jugular \n    + Jugulodigastric (subdigastric)\n    + Upper deep cervical        \n    + Level IIA - Anterior\n    + Level IIB - Posterior    \n- Level III - Middle jugular\n    + Middle deep cervical\n- Level IV - Lower jugular\n    + Jugulo-omohyoid (supraomohyoid)\n    + Lower deep cervical        \n    + Virchow node\n- Level V - Posterior triangle group\n    + Posterior cervical\n    + Level VA - Spinal accessory        \n    + Level VB - Transverse cervical, supraclavicular \n- Level VI - Anterior compartment group\n    + Laterotracheal\n    + Paralaryngeal\n    + Paratracheal - above suprasternal notch\n    + Perithyroidal\n    + Precricoid (Delphian)\n    + Prelaryngeal\n    + Pretracheal - above suprasternal notch\n    + Recurrent laryngeal\n- Level VII - Superior mediastinal group (for other mediastinal node(s) see code 7)\n    + Esophageal groove\n    + Paratracheal - below suprasternal notch\n    + Pretracheal - below suprasternal notch    \n- Other groups\n    + Cervical, NOS\n    + Deep cervical, NOS\n    + Facial\n        * Buccinator (buccal)\n        * Mandibular\n        * Nasolabial\n    + Internal jugular, NOS\n    + Parapharyngeal \n    + Parotid\n        * Infraauricular\n        * Intraparotid\n        * Periparotid\n        * Preauricular\n   + Retroauricular (mastoid)\n   + Retropharyngeal\n   + Suboccipital\n- Regional lymph node(s), NOS\n  + Lymph node(s), NOS" ], [ "7", "Distant site(s)/lymph node(s) involved\n- Distant site(s) (including further contiguous extension) \n  + Bone, NOS\n  + Cartilage, NOS\n  + Cortical bone (mandible, maxilla, NOS)\n  + Deep (extrinsic) muscle of tongue\n     * Genioglossus\n     * Hyoglossus\n     * Palatoglossus\n     * Styloglossus \n  + Hard palate including cortical palatine bone\n  + Internal carotid artery (encased)\n  + Mandible, NOS\n  + Masticator space \n  + Maxilla, NOS\n  + Maxillary sinus (antrum) \n  + Nasal cavity\n  + Pterygoid plates \n  + Skin of cheek (WITH or WITHOUT ulceration)\n  + Skull base\n  + Soft palate\n  + Specified bone (other than maxilla, mandible, palatine)\n  + Tongue\n  + Trabecular bone (mandible, maxilla, palatine, NOS)\n- Distant lymph node(s), NOS\n  + Mediastinal (excluding superior mediastinal node(s))\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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