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{
  "id" : "ss2018_gallbladder_15174",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "SS2018: Gallbladder",
  "title" : "Summary Stage 2018: Gallbladder",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Gallbladder**\n\n8000-8700, 8720-8790, 9700-9701\n\nC239\nC239  Gallbladder\n\n**Note 1:** The following sources were used in the development of this chapter\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 24 *Gallbladder*, 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 chapters for the listed histologies \n* 8710-8714, 8800-8934, 8940-9137, 9141-9582: *Soft Tissue*\n* 8935-8936: *GIST*\n* 9140: *Kaposi Sarcoma*",
  "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) Zhu, A.X., Pawlik, T.M., Vauthey, J.N., et al. **Gallbladder**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 303-309",
  "last_modified" : "2018-04-19T21:51:26.676Z",
  "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- Confined to gallbladder, NOS \n- Lamina propria\n- Mucosa, NOS\n- Muscularis propria (layer)\n- Submucosa (superficial invasion)" ], [ "2", "Regional by direct extension only\n- Ampulla of Vater\n- Branch(es) of hepatic artery (right or left)   \n- Branch(es) of portal vein (right or left)\n- Duodenum\n- Extrahepatic bile duct(s)\n- Liver, less than or equal to 2 cm OR distance not stated\n- Omentum (greater, lesser, NOS)\n- Pancreas\n- Perimuscular connective tissue (peritoneal and hepatic side)\n- Serosa (visceral peritoneum)\n- Small intestine, NOS" ], [ "3", "Regional lymph node(s) involved only\n- Celiac artery\n- Cystic duct (Calot’s node)\n- Hepatic artery\n- Node of foramen of Winslow (omental) (epiploic)\n- Pancreaticoduodenal\n- Pericholedochal (common bile duct)\n- Periduodenal\n- Peripancreatic (near head of pancreas only)\n- Porta hepatis (portal) (periportal) (hilar) (in hilus of liver)\n- Portal vein\n- Retroperitoneal, NOS\n- Superior mesenteric\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  + Abdominal wall\n  + Colon\n  + Cystic artery/vein\n  + Diaphragm\n  + Hepatic artery (common, NOS)\n  + Liver, greater than 2 cm\n  + Portal vein (main, NOS)\n  + Stomach \n  + Two or more extrahepatic organs or structures\n- Distant lymph node(s), NOS\n  + Para-aortic\n  + Pericaval\n  + Peripancreatic (along body and tail of pancreas only)\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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