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{
  "id" : "ss2018_vagina_94653",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "SS2018: Vagina",
  "title" : "Summary Stage 2018: Vagina",
  "subtitle" : "Summary Stage 2018",
  "notes" : "**Vagina**\n\n8000-8700, 8720-8790, 8933, 8980, 9071, 9110, 9700-9701 \n\nC529\nC529 Vagina, NOS\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 51 *Vagina*, 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, 8800-8932, 8934, 8940-8975, 8981-9070, 9072-9105, 9120-9137, 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) **Introduction to Female Reproductive Organs**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 631\n\n(6) Gibb, R.K., Olawaiye, A.B., Mutch, D.G., et al. **Vagina**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 641-647",
  "last_modified" : "2018-04-19T21:51:24.206Z",
  "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- FIGO Stage I\n  + Confined to vagina \n  + Musculature involved\n  + Submucosa (stroma) (vagina)" ], [ "2", "Regional by direct extension only\n- FIGO Stage II\n  + Bladder wall or bladder, NOS (excluding mucosa)\n  + Cervix\n  + Cul de sac (rectouterine pouch)\n  + Extension to lower third of the vagina (from proximal vagina)\n  + “Frozen pelvis” (clinically diagnosed)\n  + Hydronephrosis or nonfunctioning kidney\n  + Parametrium\n  + Paravaginal soft tissue\n  + Pelvic wall \n     * Fascia \n     * Muscle\n     * Neurovascular structures\n     * Skeletal portions of bony pelvis\n  + Rectal wall or rectum, NOS excluding mucosa \n  + Rectovaginal septum\n  + Vesicovaginal septum\n  + Vulva" ], [ "3", "Regional lymph node(s) involved only\n- Lower third of vagina\n  + Femoral [superficial inguinal]\n  + Inguinal, NOS \n- Upper two thirds of vagina\n  + Iliac (common, external, NOS)\n  + Internal iliac (hypogastric)\n  + Middle sacral (promontorial) (Gerota’s node)\n  + Obturator\n  + Para-aortic\n  + Parametrial\n  + Pelvic, NOS\n  + Presacral\n  + Sacral\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  + FIGO Stage IVA\n     * Bladder mucosa (excluding bullous edema)\n     * Extension beyond true pelvis\n     * Rectal mucosa\n     * Urethra\n- Distant lymph node(s), NOS \n   + All sites\n      * Aortic (lateral [lumbar], para-aortic, periaortic, NOS)\n      * Retroperitoneal, NOS\n   + Lower third of vagina\n      * Iliac (common, external, NOS)\n      * Internal iliac (hypogastric)\n      * Middle sacral (promontorial) (Gerota’s node)\n      * Obturator\n      * Para-aortic\n      * Parametrial\n      * Pelvic, NOS\n      * Presacral\n      * Sacral\n      * Superficial inguinal (femoral)\n    + Upper two thirds of vagina\n        * Inguinal, NOS\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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