CS Lymph Nodes

Notes

**Note 1**: Code only regional nodes and nodes, NOS in this field. Distant nodes are coded in CS Mets at DX. **Note 2**: Regional lymph nodes are defined as those in the vicinity of the primary tumor. **Note 3**: Regional lymph node involvement is rare. For this schema, if there is no mention of lymph node involvement clinically, assume that lymph nodes are negative. Use code 999 (Unknown) only when there is no available information on the extent of the patient's disease, for example when a lab-only case is abstracted from a biopsy report and no clinical history is available. **Note 4**: For head, neck, and trunk primaries only, regional lymph nodes include bilateral or contralateral nodes.
Code Description AJCC 7 N TNM 6 N Summary Stage 1977 N Summary Stage 2000 N
000 No regional lymph node involvement N0 N0 NONE NONE
100 Regional lymph nodes by primary site:
All Head and Neck Subsites:
Cervical
Lip:
Facial, NOS:
Buccinator (buccal)
Nasolabial
Mandibular
Submandibular (submaxillary)
Submental
Parotid, NOS:
Infra-auricular
Preauricular
Eyelid/canthus:
Facial, NOS:
Buccinator (buccal)
Nasolabial
Mandibular:
Submandibular (submaxillary)
Submental
Parotid, NOS:
Infra-auricular
External ear and auditory canal:
Mastoid (posterior, retro-auricular) (occipital)
Preauricular
Face, Other (cheek, chin, forehead, jaw, nose, and temple):
Facial, NOS:
Buccinator (buccal)
Nasolabial
Mandibular:
Submandibular (submaxillary)
Submental
Parotid, NOS:
Infra-auricular
Preauricular
Scalp:
Mastoid (posterior, retro-auricular) (occipital)
Parotid, NOS:
Infra-auricular
Preauricular
Spinal accessory (posterior cervical)
Neck:
Axillary
Mastoid (posterior, retro-auricular) (occipital)
Mandibular
Parotid, NOS:
Infra-auricular
Preauricular
Spinal accessory (posterior cervical)
Supraclavicular (transverse cervical)
Arm/shoulder:
Axillary
Spinal accessory for shoulder
Epitrochlear for hand/forearm
Leg/hip:
Femoral (superficial inguinal)
Popliteal for heel and calf
Thorax:
Hilar (bronchopulmonary) (proximal lobar) (pulmonary root)
Mediastinal
Abdomen:
Celiac
Iliac
Para-aortic
Pelvis:
Deep inguinal, NOS:
Rosenmuller or Cloquet node
Superficial inguinal (femoral)
Upper trunk:
Axillary
Cervical
Internal mammary
Supraclavicular (transverse cervical)
Lower trunk:
Superficial inguinal (femoral)
All sites:
Regional lymph node(s), NOS

Stated as N1 with no other information on regional lymph nodes
N1 N1 RN RN
120 Submental nodes for neck primary only
(Including bilateral or contralateral nodes)
N1 N1 D RN
150 Neck primary only:
120 + 100
N1 N1 D RN
800 Lymph nodes, NOS N1 N1 RN RN
999 Unknown; regional lymph nodes not stated
Regional lymph nodes cannot be assessed
Not documented in patient record
(See Note 3)
NX NX U U