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{
"id" : "ss2018_vulva_49198",
"algorithm" : "eod_public",
"version" : "1.0",
"name" : "SS2018: Vulva",
"title" : "Summary Stage 2018: Vulva",
"subtitle" : "Summary Stage 2018",
"notes" : "**Vulva**\n\nC510 Labium majus\nC511 Labium minus\nC512 Clitoris\nC518 Overlapping lesion of vulva\nC519 Vulva, 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 50 *Vulva*, 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:** Basal and squamous cell carcinomas of the skin of the vulva are coded to C519 and are reportable; basal and squamous carcinomas of the skin of the perineum would be coded to C445 and would not be reportable.",
"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) **Introduction to Female Reproductive Organs**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 631\n\n(6) Gibb, R.K., Olawaiye, A.B., Mutch, D.G., et al. **Vulva**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 633-640",
"last_modified" : "2018-03-12T16:39:56.649Z",
"definition" : [ {
"key" : "ss2018",
"name" : "SS2018",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "0", "In situ: noninvasive, intraepithelial" ], [ "1", "Localized only (localized, NOS)\n- FIGO Stage IA, IB, I [NOS]\n + Invasive carcinoma WITH or WITHOUT stromal invasion confined to\n * Musculature\n * Submucosa\n * Vulva including skin" ], [ "2", "Regional by direct extension only\n- FIGO Stage II\n + Adjacent perineal structures\n + Anus\n + Bladder wall or bladder, NOS excluding mucosa\n + Perianal skin\n + Rectal wall or rectum, NOS excluding mucosa\n + Urethra, NOS \n * Lower/distal third of urethra\n + Vagina, NOS\n + Vulva and perineum involved WITH or WITHOUT stromal invasion" ], [ "3", "Regional lymph node(s) involved only\n- FIGO Stage IIIA, IIIB, IIIC, III [NOS]\n + Deep inguinal, NOS\n + Femoral\n + Inguinal, NOS\n + Inguinofemoral (groin)\n + Node of Cloquet or Rosenmuller (highest deep inguinal)\n + Superficial inguinal (femoral)\n + Regional lymph node(s), NOS\n * Lymph node(s), NOS\n- FIGO Stage IVA based on regional lymph node involvement" ], [ "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 + FIGO Stage IVA, IVB, IV [NOS]\n * Bladder mucosa\n * Fixed to pubic bone (pelvic bone)\n * Perineal body\n * Rectal mucosa\n * Urethra: upper/proximal two-thirds\n- Distant lymph node(s), NOS\n + Common iliac\n + External iliac\n + Internal iliac (hypogastric)\n + Obturator\n + Pelvic, NOS\n- Distant metastasis, NOS\n + Carcinomatosis\n + Distant metastasis WITH or WITHOUT distant lymph node(s)" ], [ "9", "Unknown if extension or metastasis" ] ]
}
