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A cancer staging client library
{
"id" : "ss2018_melanoma_skin_64985",
"algorithm" : "eod_public",
"version" : "1.1",
"name" : "SS2018: Melanoma Skin",
"title" : "Summary Stage 2018: Melanoma Skin",
"subtitle" : "Summary Stage 2018",
"notes" : "**Melanoma Skin**\n\n8720-8790 (C000-C002, C006, C210, C440-C449, C500, C510-C512, C518-C519, C600-C602, C608-C609, C632)\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 47 *Melanoma of the Skin*, 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:** For melanoma of sites other than those above \n* C003-C005, C008-C069, C090-C148, C300-C329: See Melanoma Head and Neck\n* C690: See Melanoma Conjunctiva \n* C693, C694: See Melanoma Uvea\n* For all other sites, use the appropriate site-specific schema\n\n**Note 3:** Lymph nodes with isolated tumor cells (ITCs) are counted as positive lymph nodes. ITCs are defined as any tumor deposits in lymph nodes less than or equal to 0.2 mm.\n\n**Note 4:** If there is a discrepancy between the Clark level and the pathological description of extent (invasion into the layers of the dermis), use the higher (more extensive) code.\n\n**Note 5:** Code the greatest extent of invasion from any procedure performed on the lesion, whether it is described as a biopsy or an excision. For example, if a punch biopsy with involvement of Clark level IV is followed by a re-excision with residual tumor involving Clark level II, code 2 (Clark level IV).\n\n**Note 6:** Satellite lesions/nodules or in-transit metastases are coded as regional nodes (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) Gershenwald, J.E., Scolyer, R.A., et al. **Melanoma of the Skin**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 563-585",
"last_modified" : "2018-04-19T21:51:25.728Z",
"definition" : [ {
"key" : "ss2018",
"name" : "SS2018",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "0", "In situ, intraepithelial, noninvasive\n- Basement membrane of the epidermis is intact\n- In situ, intraepidermal, intraepithelial, noninvasive \n + Clark level I" ], [ "1", "Localized only (localized, NOS)\n- Papillary dermis invaded\n + Clark level II \n- Papillary-reticular dermal interface invaded\n + Clark level III\n- Reticular dermis invaded\n + Clark level IV\n- Skin/dermis, NOS" ], [ "2", "Regional by direct extension only\n- Subcutaneous tissue (through entire dermis)\n + Clark level V" ], [ "3", "Regional lymph node(s) involved only\n- All sites\n + Regional lymph node(s), NOS\n * Lymph node(s), NOS\n- Skin of head and neck (C000-C002, C006, C440-C444)\n + Levels I-VII \n + Axillary (neck only, C444)\n + Cervical, NOS\n + Deep cervical, NOS\n + Facial (buccinator, buccal, nasolabial)\n + Internal jugular, NOS\n + Parapharyngeal \n + Parotid (infraauricular, intraparotid, periparotid, preauricular)\n + Retroauricular (mastoid)\n + Retropharyngeal\n + Suboccipital\n- Skin of upper limb and shoulder (C446)\n + Axillary\n + Cervical\n + Epitrochlear for hand/forearm\n + Internal mammary (parasternal)\n + Spinal accessory for shoulder\n + Supraclavicular (transverse cervical)\n- Skin of lower limb and hip (C447)\n + Femoral (superficial inguinal)\n + Popliteal for heel and calf\n- Vulva (C510-C512, C518-C519)\n + Deep inguinal, NOS\n + Femoral\n + Inguinal, NOS\n + Inguinofemoral (groin)\n + Node of Cloquet or Rosenmuller (highest deep inguinal)\n + Superficial inguinal (femoral)\n- Penis (C600-C602, C608-C609)\n + Iliac, NOS\n * External\n * Internal (hypogastric, obturator)\n + Inguinal, NOS\n * Node of Cloquet or Rosenmuller (highest deep inguinal)\n * Superficial [femoral] \n + Pelvic, NOS\n- Scrotum (C632)\n + Iliac, NOS\n * External\n * Internal (hypogastric), NOS\n - Obturator\n + Inguinal, NOS\n * Deep inguinal, NOS\n - Node of Cloquet or Rosenmuller (highest deep inguinal)\n * Superficial inguinal (femoral)" ], [ "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 + Central nervous system (CNS)\n + Lung\n + Skeletal muscle (including direct extension)\n + Skin or subcutaneous tissue beyond regional lymph nodes\n + Underlying cartilage\n + Visceral metastasis, NOS\n- Distant lymph node(s), NOS\n + Axillary (lower trunk)\n + Femoral (cephalad/caudal) (upper trunk)\n + Iliac (leg/hip)\n- Distant metastasis, NOS\n + Carcinomatosis\n + Distant metastasis WITH or WITHOUT distant lymph node(s)" ], [ "9", "Unknown if extension or metastasis" ] ]
}