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{
"id" : "ss2018_small_intestine_including_net_85335",
"algorithm" : "eod_public",
"version" : "1.0",
"name" : "SS2018: Small Intestine (including NET)",
"title" : "Summary Stage 2018: Small Intestine (including NET)",
"subtitle" : "Summary Stage 2018",
"notes" : "**Small Intestine (including NET)**\n\nC170-C173, C178-C179\nC170 Duodenum\nC171 Jejunum\nC172 Ileum (excluding ileocecal valve C18.0)\nC173 Meckel diverticulum (site of neoplasm)\nC178 Overlapping lesion of small intestine\nC179 Small intestine, NOS\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 18 *Small Intestine*, 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 30 *Neuroendocrine Tumors of the Duodenum and Ampulla of Vater*, 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 31 *Neuroendocrine Tumors of the Jejunum and Ileum*, 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) Coit, D.G., Kelsen, D., Hofstetter, W.L., et al. **Small Intestine**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 221-234\n\n(6) Bergsland, E.K., Woltering, E.A., Klimstra, D.S., et al. **Neuroendocrine Tumors of the Duodenum and Ampulla of Vater**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 361-373\n\n(7) Woltering, E.A., Bergsland, E.K., et al. **Neuroendocrine Tumors of the Jejunum and Ileum**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 375-387",
"last_modified" : "2018-03-12T16:39:56.670Z",
"definition" : [ {
"key" : "ss2018",
"name" : "SS2018",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "0", "In situ, intraepithelial, noninvasive\n- (Adeno)carcinoma, noninvasive, in a polyp or adenoma" ], [ "1", "Localized only (localized, NOS)\n- Confined to small intestine, NOS\n + Intramucosa, NOS\n + Invasion of \n + Lamina propria\n + Mucosa, NOS\n + Muscularis mucosae\n + Muscularis, NOS\n + Muscularis propria\n + Submucosa (superficial invasion)\n- Extension through wall, NOS\n- Intraluminal spread to other segments of small intestine or cecum\n- Polyp (head, stalk, NOS)\n- Subserosal tissue/(sub)serosal fat invaded\n- Transmural, NOS \n- Wall, NOS" ], [ "2", "Regional by direct extension only\n- All sites\n + Abdominal wall (via serosa)\n + Adjacent organ(s)/structure(s)\n + Adjacent tissue(s) (connective), NOS\n + Fat, NOS\n + Mesenteric fat\n + Mesentery (adjacent loops of bowel)\n + Mesothelium\n + Nonperitonealized perimuscular tissue\n + Other loops of small intestine\n + Other segments of small intestine (via serosa)\n + Retroperitoneum\n + Serosa\n + Tunica serosa\n + Visceral peritoneum\n- Duodenum (C170)\n + Ampulla of Vater \n + Blood vessel(s), major\n * Aorta\n * Gastroduodenal artery\n * Portal vein\n * Renal vein\n * Superior mesenteric artery or vein\n * Vena cava\n + Diaphragm\n + Extrahepatic bile duct(s)\n + Gallbladder\n + Hepatic flexure\n + Kidney (right or NOS)\n + Liver (quadrate lobe, right lobe or NOS)\n + Omentum\n + Pancreas (pancreatic duct)\n + Stomach\n + Transverse colon\n + Ureter, right\n- Jejunum and Ileum (C171, C172)\n + Colon including appendix" ], [ "3", "Regional lymph node(s) involved only\n- All sites\n + Regional lymph node(s), NOS\n * Lymph node(s), NOS\n- Duodenum (C170)\n + Duodenal\n + Gastroduodenal\n + Hepatic \n + Pancreaticoduodenal (inferior)\n + Pericholodochal (common bile duct)\n + Pyloric (infrapyloric, subpyloric, NOS)\n + Retropancreatic\n + Superior mesenteric\n- Jejunum and ileum (C171, C172)\n + Cecal (anterior, posterior, retrocecal) (terminal ileum only)\n + Ileocecal (ileocolic) (terminal ileum only)\n + Mesenteric, NOS\n + Superior mesenteric" ], [ "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 + Jejunum and Ileum (C171, C172)\n * Bladder\n * Fallopian tube(s)\n * Ovary(ies)\n * Uterus\n- Distant lymph node(s), NOS\n + Celiac \n + Pericholedochal (jejunum and ileum only)\n- Distant metastasis, NOS\n + Carcinomatosis \n + Distant metastasis WITH or WITHOUT distant lymph node(s)" ], [ "9", "Unknown if extension or metastasis" ] ]
}