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{
  "id" : "ss2018_intrahepatic_bile_ducts_51957",
  "algorithm" : "eod_public",
  "version" : "1.0",
  "name" : "SS2018: Intrahepatic Bile Ducts",
  "title" : "Summary Stage 2018: Intrahepatic Bile Ducts",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Bile Ducts Intrahepatic**\n\nC221\nC221 Intrahepatic bile duct\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 23 *Intrahepatic 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\n**Note 2:**  Intrahepatic vascular invasion (code 1) includes the following\n* Major hepatic vessel invasion \n   * First and second-order branches of the portal veins or hepatic arteries\n * Hepatic veins (right, middle, or left)\n* Microscopic invasion of smaller intraparenchymal vascular structures (identified on histopathological examination)",
  "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) Aloia, T., Pawlik, T.M., Vauthey, J.N., et al. **Intrahepatic 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: 295-302",
  "last_modified" : "2018-03-12T16:39:56.679Z",
  "definition" : [ {
    "key" : "ss2018",
    "name" : "SS2018",
    "type" : "INPUT"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  } ],
  "rows" : [ [ "0", "In situ, intraepithelial, noninvasive\n- Biliary intraepithelial neoplasia grade 3 (BiIIN-3)\n- Intraductal tumor" ], [ "1", "Localized only (localized, NOS)\n- Confined to intrahepatic bile duct, NOS\n- Solitary or Multiple tumors WITH or WITHOUT intrahepatic vascular invasion" ], [ "2", "Regional by direct extension only\n- Abdominal wall\n- Adjacent (connective) tissue, NOS\n- Colon\n- Common bile duct\n- Diaphragm \n- Duodenum\n- Extrahepatic bile ducts PLUS satellite nodules in more than one lobe \n- Extrahepatic structure(s), NOS\n   + Retrohepatic vena cava\n   + Vena cava \n- Hepatic artery (proper)\n- Gallbladder\n- Lesser omentum ligament(s)\n  + Coronary \n  + Falciform \n  + Hepatoduodenal \n  + Hepatogastric \n  + Round (of liver) \n  + Triangular \n- Peritoneum, NOS\n  + Parietal\n  + Visceral\n- Multiple tumors with major vascular invasion\n- Retrohepatic vena cava" ], [ "3", "Regional lymph node(s) involved only\n- Common bile duct \n- Cystic duct \n- Hepatic, NOS\n- Hepatic artery\n- Hepatic pedicle\n- Hepatoduodenal ligament \n- Hilar\n- Portal vein\n  + Periportal \n  + Porta hepatis\n  + Portal \n- Portocaval (portacaval)\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  + Multiple (satellite) nodules on surface of liver parenchyma\n  + Pancreas\n  + Pleura\n  + Stomach\n- Distant lymph node(s), NOS\n  + Aortic (para-aortic, periaortic)\n  + Aortocaval\n  + Cardiac\n  + Caval (inferior vena cava)\n  + Celiac\n  + Diaphragmatic, NOS\n  + Gastrohepatic\n  + Inferior phrenic\n  + Lateral (aortic) (lumbar)\n  + Pancreaticoduodenal \n  + Pericardial (pericardiac)\n  + Periduodenal\n  + Peripancreatic\n  + Posterior mediastinal (tracheoesophageal) including juxtaphrenic nodes\n  + Renal artery\n  + Retroperitoneal, NOS\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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