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{
  "id" : "ss2018_soft_tissue_heart_mediastinum_pleura_63956",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "SS2018: Heart, Mediastinum and Pleura",
  "title" : "Summary Stage 2018: Heart, Mediastinum and Pleura",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Heart, Mediastinum and Pleura**\n\n8000-8803, 8810-8921, 8932-8934, 8940-8990, 9000-9016, 9030, 9040-9043, 9045-9137, 9141-9230, 9240-9580, 9582, 9700-9701 (excluding 9050-9053 for C384)\n\nC380-C384, C388\nC380 Heart\nC381 Anterior mediastinum\nC382 Posterior mediastinum\nC383 Mediastinum, NOS\nC384 Pleura\nC388 Overlapping lesion of heart, mediastinum, and pleura\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 42 *Soft Tissue Sarcoma of the Abdomen and Thoracic Visceral Organs*, 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 schemas for the listed histologies \n* 8804-8806, 8930-8931, 8991, 9020, 9044, 9231, 9581: *Soft Tissue*\n* 8935-8936: *GIST*\n* 9050-9053 (C384): *Pleural Mesothelioma*\n* 9140: *Kaposi Sarcoma*\n\n**Note 3:** Code 0 is not applicable for this chapter.",
  "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) Pollock, R.E., Maki, R.G. **Introduction to Soft Tissue Sarcoma**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 489-497\n\n(6) Raut, C.P., Maki, R.G., Pollock, R.E., et al. **Soft Tissue Sarcoma of the Abdomen and Thoracic Visceral Organs**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 517-521",
  "last_modified" : "2018-04-19T21:51:26.162Z",
  "definition" : [ {
    "key" : "ss2018",
    "name" : "SS2018",
    "type" : "INPUT"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  } ],
  "rows" : [ [ "1", "Localized only (localized, NOS)\n- Confined to site of origin" ], [ "2", "Regional by direct extension only\n- All sites\n  + Adjacent (connective) tissue, NOS\n  + Adjacent organ(s)/structure(s), NOS\n  + Mesentery\n  + Serosa\n  + Visceral peritoneum\n- Heart (C380)\n  + Ascending aorta\n  + Parietal pericardium\n  + Vena cava\n- Mediastinum (C381-C383, C388)\n  + Descending aorta\n  + Esophagus\n  + Large (named) artery(ies) or vein(s)\n  + Pericardium (parietal, visceral [pericardium], NOS)\n  + Phrenic nerve(s)\n  + Pleura (parietal, visceral, NOS)\n  + Sternum\n  + Sympathetic nerve trunk(s)\n  + Thoracic duct\n  + Thymus\n  + Trachea, parietal pleura\n  + Vertebra(e)\n- Pleura (C384)\n  + Chest wall\n  + Diaphragm\n  + Endothoracic fascia\n  + Heart muscle\n  + Lung involvement, NOS\n  + Mediastinal organs or tissues\n  + Pericardium\n  + Rib" ], [ "3", "Regional lymph node(s) involved only\n- All sites\n  + Aortic (above diaphragm), NOS\n    * Peri/para-aortic, NOS\n       - Ascending aorta (phrenic)\n    * Subaortic (aortico-pulmonary window)\n  + Carinal (tracheobronchial) (tracheal bifurcation)\n  + Mediastinal (anterior, posterior [tracheoesophageal], NOS)\n  + Pericardial\n  + Peri-/paraesophageal\n  + Peri-/paratracheal (lower [azygos], upper, NOS)\n  + Pretracheal and retrotracheal (precarinal), NOS\n  + Pulmonary ligament\n  + Subcarinal\n  + Regional lymph node(s), NOS\n    * Lymph node(s), NOS\n- Pleura (C384)\n  + Hilar (bronchopulmonary) (proximal lobar) (pulmonary root)\n  + Intrapulmonary, NOS\n  + Interlobar\n  + Lobar\n    * Segmental\n    * Subsegmental\n  + Peri/parabronchial\n  + Precarinal" ], [ "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  + Pleura\n    * Cervical (neck) tissues\n    * Contralateral lung\n    * Contralateral pleura\n    * Intra-abdominal organs\n    * Peritoneum\n    * Pleural effusion\n- Distant lymph node(s), NOS\n  + Pleura\n    * Contralateral/bilateral hilar (bronchopulmonary) (proximal lobar) (pulmonary root)\n    * Contralateral/bilateral mediastinal\n    * Scalene (inferior deep cervical), ipsilateral or contralateral\n    * Supraclavicular (transverse cervical), ipsilateral or contralateral\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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