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{
  "id" : "ss2018_penis_97065",
  "algorithm" : "eod_public",
  "version" : "1.0",
  "name" : "SS2018: Penis",
  "title" : "Summary Stage 2018: Penis",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Penis**\n\nC600-C602, C608-C609\nC600 Prepuce\nC601 Glans penis\nC602 Body of penis\nC608 Overlapping lesion of penis\nC609 Penis, NOS\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 57 *Penis*, 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:** See the following schemas for the listed histologies \n* 8247 Merkel Cell Skin \n* 8720-8790 Melanoma Skin\n* 9140 Kaposi Sarcoma \n* 9700-9701 Mycosis Fungoides\n\n**Note 3:** Code 0 if a verrucous carcinoma is described as noninvasive or as having a broad pushing border or penetration. \n* If there is destructive invasion of verrucous carcinoma into structures in code 1 or greater, assign the appropriate higher code",
  "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) Pettaway, C.A., Srigley, J.R., Amin, M.B., et al. **Penis**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 701-714",
  "last_modified" : "2018-03-12T16:39:58.664Z",
  "definition" : [ {
    "key" : "ss2018",
    "name" : "SS2018",
    "type" : "INPUT"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  } ],
  "rows" : [ [ "0", "In situ, intraepithelial, noninvasive\n- Bowen disease\n- Carcinoma in situ (Penile intraepithelial neoplasia [PeIN])\n- Erythroplasia of Queyrat\n- Noninvasive localized squamous cell carcinoma\n- Noninvasive verrucous carcinoma\n- Verrucous carcinoma, NOS" ], [ "1", "Localized only (localized, NOS)\n- Confined to penis\n  + WITH or WITHOUT perineural and/or lymphovascular invasion\n- Dartos fascia (foreskin)\n- Dermis (foreskin)\n- Lamina propria (glans and foreskin)\n- Subepithelial connective tissue (shaft)\n- Verrucous carcinoma, NOS" ], [ "2", "Regional by direct extension only\n- Corpus (cavernosum or spongiosum, including tunica albuginea) \n  + WITH or WITHOUT urethral invasion\n- Muscle, NOS\n  + Bulbospongiosus\n  + Ischiocavernosus\n  + Superficial transverse perineal\n- Prostate\n- Pubic bone\n- Scrotum\n- Skin (abdominal, perineum)" ], [ "3", "Regional lymph node(s) involved only\n- Iliac, NOS\n  + External\n  + Internal (hypogastric, obturator)\n     * Inguinal, NOS\n     * Node of Cloquet or Rosenmuller (highest deep inguinal)\n      * Superficial [femoral] \n  + Pelvic, NOS\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  + Testis\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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