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{
  "id" : "ss2018_kidney_renal_pelvis_29650",
  "algorithm" : "eod_public",
  "version" : "1.0",
  "name" : "SS2018: Kidney Renal Pelvis",
  "title" : "Summary Stage 2018: Kidney Renal Pelvis",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Kidney Renal Pelvis**\n\nC659, C669\nC659 Renal pelvis \nC669 Ureter \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 61 *Renal Pelvis and Ureter*, 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:** Tumor involving both renal pelvis and ureter (unifocal or multifocal) is classified by the depth of greatest invasion in either organ. \n\n**Note 3:** Direct invasion of the bladder by a ureteral tumor is classified by the depth of greatest invasion of the bladder or ureter.",
  "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) McKiernan, J.M., Hansel, D.E., Stadler, W.M., et al. **Renal Pelvis and Ureter**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 749-755",
  "last_modified" : "2018-03-12T16:39:56.898Z",
  "definition" : [ {
    "key" : "ss2018",
    "name" : "SS2018",
    "type" : "INPUT"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  } ],
  "rows" : [ [ "0", "In situ, intraepithelial, noninvasive\n- Flat, sessile\n- Noninvasive papillary carcinoma" ], [ "1", "Localized only (localized, NOS)\n- Confined to renal pelvis, NOS\n- Confined to ureter, NOS\n- Muscularis \n  + Renal pelvis only\n  + Ureter only\n- Subepithelial connective tissue (lamina propria, submucosa) \n  + Renal pelvis only\n  + Ureter only" ], [ "2", "Regional by direct extension only\n- Extension to bladder from ureter\n  + Muscularis of distal ureter and/or bladder\n  + Subepithelial connective tissue of distal ureter and/or bladder\n- Invasion beyond muscularis into\n  + Peripelvic fat (renal pelvis)\n  + Periureteric fat (ureter)\n  + Retroperitoneal soft/connective tissue\n- Renal pelvis and ureter (unifocal or multifocal)\n  + Duodenum (from right renal pelvis or right ureter)\n  + Ipsilateral adrenal gland (suprarenal) gland\n  + Major blood vessel(s)\n     * Aorta\n     * Renal artery/vein\n     * Vena cava (inferior)\n   + Muscularis\n     * Distal ureter from proximal ureter \n     * Renal pelvis from ureter\n     * Ureter from renal pelvis\n    + Psoas muscle (ureter)\n    + Subepithelial connective tissue\n       * Distal ureter from proximal ureter\n       * Renal pelvis from ureter\n       * Ureter from renal pelvis\n    + Tumor thrombus in a renal vein, NOS\n- Renal pelvis only\n  + Ipsilateral kidney parenchyma and kidney, NOS" ], [ "3", "Regional lymph node(s) involved only\n- All sites\n  + Lateral aortic (lumbar)\n  + Paracaval\n  + Renal hilar\n  + Retroperitoneal, NOS\n  + Regional lymph node(s), NOS\n     * Lymph node(s), NOS\n- Renal Pelvis\n  + Aortic (para-aortic, periaortic, NOS)\n- Ureter\n  + Iliac (common, external, NOS)\n  + Internal (hypogastric) (obturator)\n  + Pelvic, NOS\n  + Periureteral" ], [ "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  + Ascending colon (from right renal pelvis or right ureter)\n  + Bladder (wall or mucosa) from renal pelvis\n  + Colon, NOS\n  + Descending colon (from right renal pelvis or right ureter)\n  + Ipsilateral kidney parenchyma from ureter\n  + Liver (from right renal pelvis or right ureter)\n  + Pancreas\n  + Perirenal (perinephric) fat (via kidney)\n  + Prostate (ureter)\n  + Spleen (from left renal pelvis or left ureter)\n  + Uterus (ureter)\n- Distant lymph node(s), 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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