Summary Stage 2018: Cervical Lymph Nodes and Unknown Primary Tumors of Head and Neck
Summary Stage 2018
Notes
**Cervical Lymph Nodes and Unknown Primary Tumor of the Head and Neck**
C000-C006, C008-C009: Lip
C019: Base of Tongue, NOS
C020-C024, C028, C029: Other and Unspecified Parts of Tongue
C030-C031, C039: Gum
C040-C041, C048-C049: Floor of Mouth
C050-C052, C058-C059: Palate
C060-C062, C068-C069: Other and Unspecified Parts of Mouth
C079: Parotid gland
C080-C081, C088-C089: Major Salivary Glands
C090-C091, C098-C099: Tonsil
C100-C104, C108-C109: Oropharynx
C110-C113, C118-C119: Nasopharynx
C129: Pyriform sinus
C130-C132, C138-C139: Hypopharynx
C140, C142, C148: Other and Ill-Defined Sites in Lip, Oral Cavity and Pharynx
C300: Nasal cavity
C301: Middle ear
C310-C313, C318-C319: Accessory Sinuses
C320-C323, C328-C329: Larynx
C440: Skin of lip
C442: Skin of ear & external auricular canal
C443: Skin of other & unspecified parts of face
C444: Skin of scalp & neck
C448: Overlapping lesion of skin
C809: Unknown primary site
**Note 1:** The following sources were used in the development of this schema
* SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998) (https://seer.cancer.gov/archive/manuals/EOD10Dig.3rd.pdf)
* SEER Summary Staging Manual-2000: Codes and Coding Instructions (https://seer.cancer.gov/tools/ssm/)
* Collaborative Stage Data Collection System, version 02.05: https://cancerstaging.org/cstage/Pages/default.aspx
* Chapter 6 *Cervical Lymph Nodes and Unknown Primary Tumors of the Head and Neck*, 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.
**Note 2:** Codes 0, 1, 2, and 4 are not applicable for this schema.
SS2018 |
Description |
3 |
Regional lymph node(s) involved only
- Level I
+ Level IA - Submental
+ Level IB - Submandibular (submaxillary), sublingual
- Level II - Upper jugular
+ Jugulodigastric (subdigastric)
+ Upper deep cervical
+ Level IIA - Anterior
+ Level IIB - Posterior
- Level III - Middle jugular
+ Middle deep cervical
- Level IV - Lower jugular
+ Jugulo-omohyoid (supraomohyoid)
+ Lower deep cervical
+ Virchow node
- Level V - Posterior triangle group
+ Posterior cervical
+ Level VA - Spinal accessory
+ Level VB - Transverse cervical, supraclavicular
- Level VI - Anterior compartment group
+ Laterotracheal
+ Paralaryngeal
+ Paratracheal - above suprasternal notch
+ Perithyroidal
+ Precricoid (Delphian)
+ Prelaryngeal
+ Pretracheal - above suprasternal notch
+ Recurrent laryngeal
- Level VII - Superior mediastinal group (for other mediastinal node(s) see code 7)
+ Esophageal groove
+ Paratracheal - below suprasternal notch
+ Pretracheal - below suprasternal notch
- Other groups
+ Cervical, NOS
+ Deep cervical, NOS
+ Facial
* Buccinator (buccal)
* Mandibular
* Nasolabial
+ Internal jugular, NOS
+ Parapharyngeal
+ Parotid
* Infraauricular
* Intraparotid
* Periparotid
* Preauricular
+ Retroauricular (mastoid)
+ Retropharyngeal
+ Suboccipital
- Regional lymph node(s), NOS
+ Lymph node(s), NOS |
7 |
Distant site(s)/lymph node(s) involved
- Distant site(s) (including further contiguous extension)
+ Bone, NOS
+ Cartilage, NOS
+ Cortical bone (mandible, maxilla, NOS)
+ Deep (extrinsic) muscle of tongue
* Genioglossus
* Hyoglossus
* Palatoglossus
* Styloglossus
+ Hard palate including cortical palatine bone
+ Internal carotid artery (encased)
+ Mandible, NOS
+ Masticator space
+ Maxilla, NOS
+ Maxillary sinus (antrum)
+ Nasal cavity
+ Pterygoid plates
+ Skin of cheek (WITH or WITHOUT ulceration)
+ Skull base
+ Soft palate
+ Specified bone (other than maxilla, mandible, palatine)
+ Tongue
+ Trabecular bone (mandible, maxilla, palatine, NOS)
- Distant lymph node(s), NOS
+ Mediastinal (excluding superior mediastinal node(s))
- Distant metastasis, NOS
+ Carcinomatosis
+ Distant metastasis WITH or WITHOUT distant lymph node(s) |
9 |
Unknown if extension or metastasis |
(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
(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.
(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)
(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
(5) Lydiatt, W.M., Patel, S.G., Shah, J.P., et al. **Staging Head and Neck Cancers**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 55-65
(6) Patel, S.G., Lydiatt, W.M., Shah, J.P., et al. **Cervical Lymph Nodes and Unknown Primary Tumors of the Head and Neck**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 67-78