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{
  "id" : "ss2018_middle_ear_16857",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "SS2018: Middle Ear",
  "title" : "Summary Stage 2018: Middle Ear",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Middle Ear**\n\n8000-8700, 9700-9701 \n\nC301\nC301  Middle ear \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\n**Note 2:** See the following chapters for the listed histologies \n* 8710-8714, 8800-8934, 8940-9137, 9141-9582: *Soft Tissue*\n* 8720-8790: *Melanoma Head and Neck*\n* 8935-8936: *GIST*\n* 9140: *Kaposi Sarcoma*\n\n**Note 3:** Summary Stage is the only applicable staging system for this site/histology/schema.",
  "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)",
  "last_modified" : "2018-04-19T21:51:26.615Z",
  "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\n   + Auditory bone(s) (incus, malleus, stapes)\n   + Vestibulocochlear organ\n     * Cochlea\n     * Semicircular ducts (ampullae, saccule, utricle)\n     * Septum \n     * Tympanic membrane (ear drum)" ], [ "2", "Regional by direct extension only\n- Adjacent connective tissue\n  + Auditory tube (Eustachian tube, pharyngotympanic tube)\n  + Nerve(s)\n- Adjacent organ(s)/structure(s)\n  + External auditory meatus (ear canal)\n  + Internal carotid artery\n  + Mastoid antrum\n  + Nasopharynx\n  + Temporal bone" ], [ "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  + Meninges\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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