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{
"id" : "ss2018_cervix_64954",
"algorithm" : "eod_public",
"version" : "1.0",
"name" : "SS2018: Cervix",
"title" : "Summary Stage 2018: Cervix",
"subtitle" : "Summary Stage 2018",
"notes" : "**Cervix**\n\nC530-C531, C538-C539\nC530 Endocervix\nC531 Exocervix\nC538 Overlapping lesion of cervix\nC539 Cervix uteri\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 52 *Cervix Uteri*, 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:** Para-aortic nodes are now regional instead of distant.",
"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) **Introduction to Female Reproductive Organs**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 631\n\n(6) Erickson, B.A., Olawaiye, A.B., Mutch, D.G., et al. **Cervix Uteri**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 649-659",
"last_modified" : "2018-03-12T16:39:56.637Z",
"definition" : [ {
"key" : "ss2018",
"name" : "SS2018",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "0", "In situ, intraepithelial, noninvasive \n- Cancer in situ WITH endocervical gland involvement\n- Cervical intraepithelial neoplasia (CIN) Grade III\n- Preinvasive" ], [ "1", "Localized only (localized, NOS)\n- FIGO Stage IA1\n + Measured stromal invasion 3.0 mm or less and 7.0 mm or less in horizontal spread\n- FIGO Stage IA2\n + Measured stromal invasion 3.1 mm to 5.0 mm with a horizontal spread of 7.0 mm or less\n- FIGO Stage IA [NOS]\n + Measured stromal invasion 5.0 mm or less measured from the base of the epithelium AND horizontal spread of 7.0 mm or less\n- FIGO Stage IB\n- FIGO Stage I [NOS]\n + Clinically visible lesion (macroscopic), including superficial invasion\n + Confined to cervix uteri or uterus, NOS, except corpus uteri, NOS\n * (Not clinically visible or unknown if clinically visible)" ], [ "2", "Regional by direct extension only\n- FIGO Stage IIA, IIB, II [NOS]\n + Confined to corpus uteri, size, depth and horizontal spread unknown\n + Corpus uteri, NOS \n + Cul de sac (rectouterine pouch) \n + Invasion beyond uterus, NOS\n + Ligament(s) (broad, cardinal, uterosacral)\n + Parametrial (paracervical soft tissue) invasion\n + Upper two-thirds of vagina including fornices\n + Vagina, NOS\n + Vaginal wall, NOS\n- FIGO Stage IIIA\n + Bladder wall\n + Bladder, NOS excluding mucosa\n + Bullous edema of bladder mucosa\n + Lower third of vagina \n + Rectal wall\n + Rectum, NOS excluding mucosa\n + Ureter, intra- and extramural\n + Vagina, lower third (not extending to pelvic wall)\n + Vulva\n- FIGO Stage IIIB\n + Described clinically as frozen pelvis\n + Hydronephrosis or nonfunctioning kidney\n + Pelvic wall(s)\n- FIGO Stage III [NOS]\n + Fallopian tube(s)\n + Ovary(ies)\n + Urethra" ], [ "3", "Regional lymph node(s) involved only\n- Aortic\n + Lateral aortic\n + Para-aortic\n + Periaortic\n- Iliac, NOS\n + Common\n + External\n + Internal (hypogastric) (obturator), NOS\n- Paracervical\n- Parametrial\n- Pelvic, NOS\n- Sacral, NOS\n + Lateral (laterosacral)\n + Middle (promontorial) (Gerota’s node)\n + Presacral\n + Uterosacral\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 + Bladder mucosa \n + Rectal mucosa\n + Sigmoid colon\n + Small intestine\n + FIGO Stage IVA, IVB, IV [NOS]\n- Distant lymph node(s), NOS \n + Inguinal\n + Mediastinal\n + Scalene\n + Supraclavicular\n- Distant metastasis, NOS\n + Carcinomatosis \n + Distant metastasis WITH or WITHOUT distant lymph node(s)" ], [ "9", "Unknown if extension or metastasis" ] ]
}
