Summary Stage 2018: Conjunctiva

Summary Stage 2018

Notes

**Conjunctiva (excluding melanoma [8720-8790])** C690 C690 Conjunctiva **Note:** 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 65 *Conjunctival 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.

NAACCR Item

NAACCR #764
SS2018 Description
0 In situ, intraepithelial, noninvasive - CIN III (conjunctival intraepithelial neoplasia III) - SIN III (squamous intraepithelial neoplasia III)
1 Localized only (localized, NOS) - Confined to conjunctiva, NOS - Confined to one subsite of conjunctiva + Bulbar conjunctiva + Forniceal conjunctiva + Palpebral conjunctiva + Tarsal conjunctiva - Cornea (3, 6, 9, or 12 o'clock hours) - Intraocular compartments - Intraocular extension WITHOUT invasion of adjacent structures
2 Regional by direct extension only - More than one subsite of conjunctiva involved - Adjacent extraocular extension + Anterior eyelid lamella + Caruncle + Eyelid margin (lower and/or upper) + Lacrimal punctum and canaliculi (lower and/or upper) + Plica + Posterior eyelid lamella - Adjacent paranasal sinuses - Bone, bone of orbit - Orbit, NOS - Orbital soft tissues WITHOUT bone invasion
3 Regional lymph node(s) involved only - Cervical, NOS - Mandibular, NOS + Submandibular (submaxillary) - Parotid, NOS + Infra-auricular + Preauricular - Regional lymph node(s), NOS + Lymph node(s), NOS
4 Regional by BOTH direct extension AND regional lymph node(s) involved - Codes (2) + (3)
7 Distant site(s)/lymph node(s) involved - Distant site(s) (including further contiguous extension) + Brain + Sinus - Distant lymph node(s), NOS - 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) Conway, R.M., Finger, P.T., et al. **Conjunctival Carcinoma**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 787-793