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{
  "id" : "ss2018_melanoma_head_and_neck_8720_8790_46168",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "SS2018: Melanoma Head and Neck (8720-8790)",
  "title" : "Summary Stage 2018: Melanoma Head and Neck (8720-8790)",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Melanoma Head and Neck**\n\n8720-8790 (C003-C005, C008-C069, C090-C148, C300-C329)\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 14 *Mucosal Melanoma of the Head and Neck*, 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:** Mucosal melanomas occur throughout the mucosa of the lip and oral cavity (C003-C005, C008-C069, C090-C148) and the nasal cavity and middle ear (C300-C301), accessory sinuses (C310-C319) and the larynx (C320-C329). For a more detailed description of anatomy, refer to the appropriate Summary Stage 2018 chapter based on the location of the mucosal melanoma. \n\n**Note 3:** Code 1 for localized tumors when no other information is available or for extension involving the mucosa only of adjacent sites.\n\n**Note 4:** Extension involving the deeper tissues of the primary or adjacent sites are either regional or distant, depending on the involvement.  \n* Code 2 for regional when the only information available is “deep tissue involvement.”\n\n**Note 5:** The description of lymph nodes has been standardized across the head and neck chapters.  Levels I-VII and the “other” lymph nodes are regional (code 3).",
  "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., Brandwein-Gensler, M., Shah, J.P., et al. **Mucosal Melanoma of the Head and Neck**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 163-169",
  "last_modified" : "2018-04-19T21:51:25.861Z",
  "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 site of origin, NOS\n- Mucosa WITH or WITHOUT soft tissue (immediately underlying)" ], [ "2", "Regional by direct extension only\n- Deep soft tissue involvement \n- Moderately advanced disease, NOS\n- Overlying skin" ], [ "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 site(s) (including further contiguous extension) \n  + Bone\n  + Brain\n  + Cartilage\n  + Carotid artery\n  + Deep extrinsic muscle of tongue\n     * Genioglossus\n     * Hyoglossus\n     * Palatoglossus\n     * Styloglossus\n   + Dura\n   + Lower cranial nerves (IX, X, XI, XII)\n   + Masticator space\n   + Mediastinal structures\n   + Prevertebral space\n   + Skull base\n   + Very advanced disease, NOS\n- Distant lymph node(s), NOS\n  + Mediastinal (excluding superior mediastinal node(s))\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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