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{
"id" : "ss2018_extrahepatic_bile_ducts_65728",
"algorithm" : "eod_public",
"version" : "1.0",
"name" : "SS2018: Extrahepatic BIle Ducts",
"title" : "Summary Stage 2018: Extrahepatic Bile Ducts",
"subtitle" : "Summary Stage 2018",
"notes" : "**Extrahepatic Bile Ducts**\n\nC240\nC240 Cystic duct\nC240 Distal bile ducts\nC240 Perihilar bile ducts\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 24 *Gallbladder*, 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 25 *Perihilar Bile Ducts*, 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 26 *Distal Bile Duct*, 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) Zhu, A.X., Pawlik, T.M., Vauthey, J.N., et al. **Gallbladder**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 303-309\n\n(6) Nagorney, D.M., Pawlik, T.M., Vauthey, J.N., et al. **Perihilar Bile Ducts**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 311-316\n\n(7) Krasinskas, A., Pawlik, T.M., Vauthey, J.N., et al. **Distal Bile Duct**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 317-325",
"last_modified" : "2018-03-12T16:39:56.678Z",
"definition" : [ {
"key" : "ss2018",
"name" : "SS2018",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "0", "In situ, intraepithelial, noninvasive\nHigh-grade biliary intraepithelial neoplasia (BilIn-3)" ], [ "1", "Localized only (localized, NOS)\n- Confined to \n + Cystic duct, NOS\n + Distal bile duct(s), NOS\n + Extrahepatic bile duct(s), NOS\n + Perihilar bile duct(s), NOS\n- Lamina propria\n- Mucosa, NOS\n- Muscle layer of fibrous tissue (bile ducts perihilar only)\n- Muscularis propria\n- Subepithelial connective tissue (tunica mucosa) (bile ducts perihilar only)\n- Submucosa (superficial invasion)" ], [ "2", "Regional by direct extension only\n- All sites\n + Adipose tissue\n + Adjacent (connective) tissue, NOS\n + Colon\n + Duodenum\n + Gallbladder\n + Hepatic artery (common, NOS)\n + Liver\n + Main portal vein or its branches bilaterally\n + Omentum (greater, lesser, NOS)\n + Pancreas\n + Periductal/fibromuscular connective tissue\n + Portal vein, NOS\n + Stomach\n- Cystic duct\n + Ampulla of Vater \n + Beyond wall of cystic duct\n + Perimuscular connective tissue\n + Perimuscular tissue, NOS\n + Serosa (visceral peritoneum) \n + Small intestine \n + Unilateral branches of hepatic artery (right or left)\n + Unilateral branches of portal vein (right or left)\n- Distal bile duct(s)\n + Adipose tissue \n + Adjacent hepatic parenchyma \n + Beyond wall of bile duct \n + Porta hepatis\n + Unilateral branches of hepatic artery (right or left) \n + Unilateral branches of portal vein (right or left)\n- Perihilar bile duct(s)\n + Beyond wall of bile duct \n + Second-order biliary radicals bilaterally\n * Unilateral second-order biliary radicals \n * WITH contralateral portal vein or hepatic artery involvement\n + Unilateral branches of hepatic artery (right or left) \n + Unilateral branches of portal vein (right or left)" ], [ "3", "Regional lymph node(s) involved only\n- Adipose tissue\n- Adjacent (connective) tissue, NOS\n- Choledochal (bile ducts perihilar only)\n- Cystic duct (node of the neck of the gallbladder) (Calot's node)\n- Hepatic/hepatic artery nodes (common, NOS)\n- Hilar (porta hepatic) (portal) (in hilus of liver)\n- Node of the foramen of Winslow (omental) (epiploic)\n- Pancreaticoduodenal (anterior, posterior) (bile ducts distal only)\n- Pancreaticoduodenal, NOS (cystic duct only)\n- Pericholedochal (node along common bile duct)\n- Periduodenal\n- Peripancreatic (near head of pancreas only)\n- Periportal\n- Portal vein\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 + Abdominal wall\n + Celiac axis (bile ducts distal only)\n + Superior mesenteric artery (bile ducts distal only)\n- Distant lymph node(s), NOS\n + Celiac (axis) artery\n + Para-aortic\n + Periaortic (cystic duct only)\n + Pericaval\n + Peripancreatic (along body and tail of pancreas only)\n + Superior mesenteric artery\n + Superior mesenteric vein\n- Distant metastasis, NOS\n + Carcinomatosis \n + Distant metastasis WITH or WITHOUT distant lymph node(s)" ], [ "9", "Unknown if extension or metastasis" ] ]
}
