Summary Stage 2018: Major Salivary Glands

Summary Stage 2018


**Major Salivary Glands** C079-C081, C088-C089 C079 Parotid gland C080 Submandibular gland C081 Sublingual gland C088 Overlapping lesion of major salivary glands C089 Major salivary gland, NOS **Note:** The following sources were used in the development of this schema * SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998) ( * SEER Summary Staging Manual-2000: Codes and Coding Instructions ( * Collaborative Stage Data Collection System, version 02.05: * Chapter 8 *Major Salivary Glands*, 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.


SS2018 Description
0 In situ: noninvasive, intraepithelial
1 Localized only (localized, NOS) - Confined to gland/duct of origin - Confined to parotid gland, NOS - Confined to salivary gland, NOS - Confined to submandibular gland, NOS - Multiple foci confined to substance of parotid gland
2 Regional by direct extension only - Extension to another major salivary gland (parotid, sublingual, submandibular, submaxillary) - Deep extrinsic muscles (submandibular gland only) + Genioglossus + Geniohyoid + Hyoglossus + Mylohyoid + Styloglossus - Ear canal - External auditory meatus (parotid gland only) - Facial artery or vein - Internal carotid artery (encased) - Jugular vein (parotid gland only) - Mandible - Masseter (parotid gland only) - Mastoid/mastoid process (parotid gland only) - Maxillary artery - Nerves + Auricular (parotid gland only) + Facial (7th nerve) (submandibular and salivary gland only) + Lingual (submandibular and salivary gland only) - Periglandular soft/connective tissue (microscopic, macroscopic, NOS) - Periosteum of mandible - Maxillary artery - Pharyngeal mucosa (parotid gland only) - Skeletal muscle + Digastric + Masseter (parotid gland only) + Pterygoid + Sternocleidomastoid (parotid gland only) + Stylohyoid - Skin overlying gland (parotid gland only)
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
4 Regional by BOTH direct extension AND regional lymph node(s) involved - Codes (2) + (3)
7 Distant site(s)/lymph node(s) involved - Distant sites (including further contiguous extension) + External auditory meatus (submandibular and salivary gland only) + Nerves * Facial (7th nerve) (parotid gland only) * Lingual (parotid gland only) + Pterygoid plates + Skin overlying gland (submandibular and salivary gland only) + Skull (base, NOS) + Spinal accessory nerve - Distant lymph node(s), NOS + Mediastinal (excluding superior mediastinal node(s), Level VII) - Distant metastasis, NOS + Carcinomatosis + Distant mets 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) Lydiatt, W.M., Shah, J.P., et al. **Major Salivary Glands**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 95-101