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{
  "id" : "ss2018_thyroid_33058",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "SS2018: Thyroid",
  "title" : "Summary Stage 2018: Thyroid",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Thyroid**\n\n8000-8700, 8720-8790, 9700-9701\n\nC739\nC739 Thyroid 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 73 *Thyroid-Differentiated and Anaplastic Carcinoma*, 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* Chapter 74 *Thyroid-Medullary*, 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*",
  "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) Tuttle, R.M., Perrier, N.D., et al. **Thyroid – Differentiated and Anaplastic Carcinoma**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 873-890\n\n(6) Rosen, J.E., Lloyd, R.V., Perrier, N.D., et al. **Thyroid – Medullary**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 891-901",
  "last_modified" : "2018-04-19T21:51:25.436Z",
  "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 thyroid, NOS\n- Into thyroid capsule, but not beyond\n- Multiple foci confined to thyroid\n- Single invasive tumor confined to thyroid" ], [ "2", "Regional by direct extension only\n- Blood vessel(s) (major)\n  + Carotid artery (encased)\n  + Jugular vein\n  + Thyroid artery or vein\n- Cricoid cartilage\n- Esophagus\n- Extrathyroidal extension (microscopic, macroscopic, NOS)\n- Larynx\n- Nerves\n  + Recurrent laryngeal\n  + Vagus nerve\n- Parathyroid\n- Pericapsular soft tissue/connective tissue\n- Sternocleidomastoid muscle \n- Strap muscle(s)\n  + Omohyoid\n  + Sternohyoid\n  + Sternothyroid\n  + Thyrohyoid\n- Subcutaneous soft tissue\n- Thyroid cartilage\n- Trachea\n- Tumor described as “FIXED to adjacent tissues”" ], [ "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   + Gross extrathyroidal extension invading \n      * Bone\n      * Mediastinal tissues\n      * Prevertebral fascia\n      * Skeletal muscle, other than strap or sternocleidomastoid muscle \n- Distant lymph node(s), NOS\n- Distant metastasis, NOS\n  + Carcinomatosis \n  + Distant mets WITH or WITHOUT distant lymph node(s)" ], [ "9", "Unknown if extension or metastasis" ] ]
}




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