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{
  "id" : "ss2018_major_salivary_glands_43893",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "SS2018: Major Salivary Glands",
  "title" : "Summary Stage 2018: Major Salivary Glands",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Major Salivary Glands**\n\n8000-8700, 8720-8790, 8941, 8974, 8980, 8982, 9700-9701 \n\nC079-C081, C088-C089\nC079 Parotid gland \nC080 Submandibular gland\nC081 Sublingual gland\nC088 Overlapping lesion of major salivary glands\nC089 Major salivary gland, NOS\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 8 *Major Salivary Glands*, 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, 8950-8973, 8975, 8981, 8983-9137, 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) Lydiatt, W.M., Patel, S.G., Shah, J.P., et al.  **Staging Head and Neck Cancers**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 55-65\n\n(6) Lydiatt, W.M., Shah, J.P., et al. **Major Salivary Glands**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 95-101",
  "last_modified" : "2018-04-19T21:51:25.876Z",
  "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 gland/duct of origin\n- Confined to parotid gland, NOS\n- Confined to salivary gland, NOS\n- Confined to submandibular gland, NOS\n- Multiple foci confined to substance of parotid gland" ], [ "2", "Regional by direct extension only\n- Extension to another major salivary gland (parotid, sublingual, submandibular, submaxillary)\n- Deep extrinsic muscles (submandibular gland only)\n    + Genioglossus\n    + Geniohyoid\n    + Hyoglossus\n    + Mylohyoid    \n    + Styloglossus\n- Ear canal\n- External auditory meatus (parotid gland only)\n- Facial artery or vein\n- Internal carotid artery (encased)\n- Jugular vein (parotid gland only)\n- Mandible\n- Masseter (parotid gland only)\n- Mastoid/mastoid process (parotid gland only)\n- Maxillary artery\n- Nerves \n     + Auricular (parotid gland only)\n     + Facial (7th nerve) (submandibular and salivary gland only)\n     + Lingual (submandibular and salivary gland only)\n- Periglandular soft/connective tissue (microscopic, macroscopic, NOS)\n- Periosteum of mandible \n- Maxillary artery\n- Pharyngeal mucosa (parotid gland only)\n- Skeletal muscle\n    + Digastric\n    + Masseter (parotid gland only)\n    + Pterygoid\n    + Sternocleidomastoid (parotid gland only)\n    + Stylohyoid\n- Skin overlying gland (parotid gland only)" ], [ "3", "Regional lymph node(s) involved only\n- Level I\n    + Level IA - Submental\n    + Level IB - Submandibular (submaxillary), sublingual\n- Level II - Upper jugular \n    + Jugulodigastric (subdigastric)\n    + Upper deep cervical        \n    + Level IIA - Anterior\n    + Level IIB - Posterior    \n- Level III - Middle jugular\n    + Middle deep cervical\n- Level IV - Lower jugular\n    + Jugulo-omohyoid (supraomohyoid)\n    + Lower deep cervical        \n    + Virchow node\n- Level V - Posterior triangle group\n    + Posterior cervical\n    + Level VA - Spinal accessory        \n    + Level VB - Transverse cervical, supraclavicular \n- Level VI - Anterior compartment group\n    + Laterotracheal\n    + Paralaryngeal\n    + Paratracheal - above suprasternal notch\n    + Perithyroidal\n    + Precricoid (Delphian)\n    + Prelaryngeal\n    + Pretracheal - above suprasternal notch\n    + Recurrent laryngeal\n- Level VII - Superior mediastinal group (for other mediastinal node(s) see code 7)\n    + Esophageal groove\n    + Paratracheal - below suprasternal notch\n    + Pretracheal - below suprasternal notch    \n- Other groups\n    + Cervical, NOS\n    + Deep cervical, NOS\n    + Facial\n        * Buccinator (buccal)\n        * Mandibular\n        * Nasolabial\n    + Internal jugular, NOS\n    + Parapharyngeal \n    + Parotid\n        * Infraauricular\n        * Intraparotid\n        * Periparotid\n        * Preauricular\n   + Retroauricular (mastoid)\n   + Retropharyngeal\n   + Suboccipital\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 sites (including further contiguous extension)\n  + External auditory meatus (submandibular and salivary gland only)\n  + Nerves\n    * Facial (7th nerve) (parotid gland only)\n    * Lingual (parotid gland only)\n  + Pterygoid plates\n  + Skin overlying gland (submandibular and salivary gland only) \n  + Skull (base, NOS)\n  + Spinal accessory nerve\n- Distant lymph node(s), NOS\n  + Mediastinal (excluding superior mediastinal node(s), Level VII)\n- Distant metastasis, NOS\n  + Carcinomatosis \n  + Distant mets WITH or WITHOUT distant lymph node(s)" ], [ "9", "Unknown if extension or metastasis" ] ]
}




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