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{
  "id" : "ss2018_liver_84469",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "SS2018: Liver",
  "title" : "Summary Stage 2018: Liver",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Liver**\n\n8000-8700, 8720-8790, 9700-9701\n\nC220\nC220 Liver\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 22 *Liver*, 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) Abou-Alfa, G.K., Pawlik, T.M., Vauthey, J.N., et al. **Liver**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 287-293",
  "last_modified" : "2018-04-19T21:51:26.678Z",
  "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 liver, NOS\n- Single tumor (one lobe) \n  + WITHOUT or UNKNOWN vascular invasion\n- Multiple (satellite) nodules/tumors (one lobe)\n  + WITHOUT or UNKNOWN vascular invasion" ], [ "2", "Regional by direct extension only\n- Diaphragm\n- Extrahepatic bile duct(s)\n- Extrahepatic blood vessel(s)\n  + Hepatic artery\n  + Portal vein\n  + Vena cava\n- Gallbladder\n- Lesser omentum\n- Ligament(s)\n  + Coronary\n  + Falciform \n  + Hepatoduodenal\n  + Hepatogastric\n  + Round (of liver)\n  + Triangular\n- Peritoneum, NOS\n  + Parietal \n  + Visceral\n- Major vascular invasion, NOS\n- More than one lobe involved by contiguous growth (single lesion)\n   + WITH or WITHOUT vascular invasion\n - Multiple (satellite) nodules/ tumors in more than one lobe of liver or on surface of parenchyma \n    + WITH or WITHOUT vascular invasion\n- Single lesion (one lobe) WITH vascular invasion" ], [ "3", "Regional lymph node(s) involved only\n- Caval\n- Hepatic, NOS\n    + Hepatic artery\n    + Hepatic pedicle\n    + Inferior vena cava\n    + Porta hepatis (portal) (hilar) [in hilus of liver]Hepatoduodenal ligament\n- Periportal\n- Portal vein \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  + Pancreas\n  + Pleura\n  + Stomach \n- Distant lymph node(s), NOS\n  + Aortic (para-aortic, periaortic)\n  + Cardiac\n  + Coronary artery\n  + Diaphragmatic, NOS\n  + Inferior phrenic nodes\n  + Lateral (aortic) (lumbar)\n  + Pericardial (pericardiac)\n  + Peripancreatic (near head of pancreas only)\n  + Posterior mediastinal (tracheoesophageal) including juxtaphrenic nodes\n  + Renal artery\n  + Retroperitoneal, 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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