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{
  "id" : "ss2018_kidney_renal_parenchyma_30980",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "SS2018: Kidney (Renal Parenchyma)",
  "title" : "Summary Stage 2018: Kidney (Renal Parenchyma)",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Kidney (Renal) Parenchyma**\n\n8000-8700, 8720-8790, 9700-9701\n\nC649\nC649 Kidney, NOS (Renal parenchyma) \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 60 *Kidney*, 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) Rini, B.I., McKiernan, J.M., Stadler, W.M., et al. **Kidney**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 739-748",
  "last_modified" : "2018-04-19T21:51:25.774Z",
  "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 (limited) to the kidney, NOS\n- Invasion of renal capsule \n- Invasive cancer confined to kidney cortex and/or medulla\n- Pelvicalyceal system\n- Renal pelvis or calyces involved\n- Separate focus of tumor in renal pelvis/calyx" ], [ "2", "Regional by direct extension only\n- Adrenal gland (ipsilateral) (contiguous metastasis)\n- Ascending colon from right kidney\n- Beyond Gerota’s fascia, NOS\n- Blood vessel(s) (major)\n  + Extrarenal portion of renal vein or segmental (muscle containing branches)\n  + Hilar blood vessel\n  + Inferior vena cava\n  + Perirenal vein/fat\n  + Renal artery\n  + Renal vein, NOS/sinus fat\n  + Tumor thrombus in a renal vein, NOS\n- Descending colon from left kidney\n- Diaphragm \n- Duodenum from right kidney\n- Perinephric tissue\n- Peritoneum\n- Psoas muscle\n- Quadratus lumborum muscle\n- Retroperitoneal soft tissue\n- Tail of pancreas\n- Ureter (ipsilateral), including implant(s)" ], [ "3", "Regional lymph node(s) involved only\n- Aortic, NOS\n  + Lateral (lumbar)\n  + Para-aortic\n  + Periaortic\n  + Preaortic\n  + Retroaortic\n- Caval, NOS\n  + Interaortocaval\n  + Paracaval\n  + Pericaval\n  + Precaval\n  + Retrocaval\n- Renal hilar\n- Retroperitoneal, 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  + Adrenal gland \n    * Contralateral\n    * Ipsilateral, noncontiguous \n  + Aorta\n  + Contralateral kidney\n  + Contralateral ureter\n  + Liver \n  + Ribs\n  + Spleen\n  + Stomach\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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