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{
  "id" : "ss2018_prostate_76172",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "SS2018: Prostate",
  "title" : "Summary Stage 2018: Prostate",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Prostate**\n\n8000-8700, 8720-8790, 9700-9701 \n\nC619\nC619 Prostate gland\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 58 *Prostate*, 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*\n\n**Note 3:** See the *Urethra* chapter for transitional cell (urothelial) carcinoma of the prostatic urethra (C680).\n\n**Note 4:** Assign code 1 when there is only a TURP.\n\n**Note 5:** Imaging is not used to determine the clinical extension unless the physician clearly incorporates imaging findings into their evaluation. \n\n**Note 6:** If there is no information from the DRE, but the physician assigns a clinical extent of disease, the registrar can use that.\n* *Example:*  DRE reveals prostate is “firm.” Physician stages the patient as a cT2a. \nThe T2a (localized) can be used since the physician has documented this.\n\n**Note 7:** Involvement of prostatic urethra does not alter the Summary Stage code.\n\n**Note 8:** “Frozen pelvis” is a clinical term which means tumor extends to pelvic sidewall(s) (code 7).\n\n**Note 9:**  When prostate cancer is an incidental finding during a prostatectomy for other reasons (for example, a cystoprostatectomy for bladder cancer), use the appropriate code for the extent of disease found.",
  "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) Buyyounouski, M.K., Lin, D.W., et al. **Prostate**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 715-726",
  "last_modified" : "2018-04-19T21:51:26.453Z",
  "definition" : [ {
    "key" : "ss2018",
    "name" : "SS2018",
    "type" : "INPUT"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  } ],
  "rows" : [ [ "0", "In situ, intraepithelial, noninvasive" ], [ "1", "Localized only (localized, NOS)\n- Clinically apparent or inapparent tumor \n- Confined to prostate, NOS\n- Intracapsular involvement only\n- Invasion into (but not beyond) prostatic capsule\n- No extracapsular extension\n- One or more lobes involved" ], [ "2", "Regional by direct extension only\n- Bladder neck\n- Bladder, NOS\n- External sphincter\n- Extraprostatic/extracapsular extension (beyond prostate capsule), unilateral, bilateral, NOS\n- Extraprostatic urethra (membranous urethra)\n- Fixation, NOS\n- Levator muscles\n- Periprostatic tissue\n- Rectovesical (Denonvillier's) fascia\n- Rectum\n- Seminal vesicles\n- Skeletal muscle\n- Through capsule, NOS\n- Ureter(s)" ], [ "3", "Regional lymph node(s) involved only \n- Hypogastric\n- Iliac, NOS\n    + External\n    + Internal (hypogastric) (obturator), NOS\n- Pelvic, NOS\n- Periprostatic\n- Sacral, NOS\n    + Lateral (laterosacral)\n    + Middle (promontory) (Gerota’s node)\n    + Presacral \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  + Extension to or fixation to pelvic wall or pelvic bone\n  + \"Frozen pelvis\", NOS \n  + Other organs\n  + Penis\n  + Sigmoid colon\n  + Soft tissue other than periprostatic\n- Distant lymph node(s), NOS\n  + Aortic (lateral [lumbar], para-aortic, periaortic, NOS)\n  + Cervical\n  + Common iliac\n  + Inguinal (deep, NOS)\n     * Node of Cloquet or Rosenmuller (highest deep inguinal)\n     * Superficial (femoral)\n  + Retroperitoneal, NOS\n  + Scalene (inferior deep cervical)\n  + Supraclavicular (transverse cervical)\n- Distant metastasis, NOS\n  + Carcinomatosis \n  + Distant metastasis WITH or WITHOUT distant lymph node(s)" ], [ "9", "Unknown if extension or metastasis" ] ]
}