Summary Stage 2018: Melanoma Skin
Summary Stage 2018
Notes
**Melanoma Skin** C000-C002, C006, C210, C440-C449, C500, C510-C512, C518-C519, C600-C602, C608-C609, C632 C000 External upper lip C001 External lower lip C002 External lip, NOS C006 Commissure of lip C210 Anus C440 Skin of lip, NOS C441 Eyelid C442 External ear C443 Skin of other and unspecified parts of face C444 Skin of scalp and neck C445 Skin of trunk C446 Skin of upper limb and shoulder C447 Skin of lower limb and hip C448 Overlapping lesion of skin C449 Skin, NOS C500 Breast C510 Labium majus C511 Labium minus C512 Clitoris C518 Overlapping lesion of vulva C519 Vulva, NOS C600 Prepuce C601 Glans penis C602 Body of penis C608 Overlapping lesion of penis C609 Penis C632 Scrotum, NOS **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 47 *Melanoma of the Skin*, 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:** For melanoma of sites other than those above, use the appropriate site-specific schema. **Note 3:** If there is a discrepancy between the Clark level and the pathological description of extent (invasion into the layers of the dermis), use the higher (more extensive) code. **Note 4:** Code the greatest extent of invasion from any procedure performed on the lesion, whether it is described as a biopsy or an excision. For example, if a punch biopsy with involvement of Clark level IV is followed by a re-excision with residual tumor involving Clark level II, code 2 (Clark level IV). **Note 5:** Satellite lesions/nodules or in-transit metastases are coded as regional nodes (code 3).NAACCR Item
NAACCR #764| SS2018 | Description |
|---|---|
| 0 | In situ, intraepithelial, noninvasive - Basement membrane of the epidermis is intact - In situ, intraepidermal, intraepithelial, noninvasive + Clark level I |
| 1 | Localized only (localized, NOS) - Papillary dermis invaded + Clark level II - Papillary-reticular dermal interface invaded + Clark level III - Reticular dermis invaded + Clark level IV - Skin/dermis, NOS |
| 2 | Regional by direct extension only - Subcutaneous tissue (through entire dermis) + Clark's level V |
| 3 | Regional lymph node(s) involved only - All sites + Regional lymph node(s), NOS * Lymph node(s), NOS - Head and Neck sites (C000-C002, C440-C444) + Cervical - Lip (C000-C002, C440) + Facial (buccinator, buccal, nasolabial) + Mandibular (submandibular, submaxillary, NOS) + Parotid (infra-auricular, preauricular, NOS) + Submental - External ear/auditory canal (C442) + Mastoid (post-/retro-auricular) (occipital) + Preauricular - Face, Other (cheek, chin, forehead, jaw, nose and temple) (C443) + Facial (buccinator, buccal, nasolabial) + Mandibular (submandibular, submaxillary, NOS) + Parotid (infra-auricular, preauricular, NOS) + Submental - Scalp (C444) + Mastoid (post-/retro-auricular) (occipital) + Parotid (infra-auricular, preauricular, NOS) + Spinal accessory (posterior cervical) - Neck (C444) + Axillary + Mandibular, NOS + Mastoid (post-/retro-auricular) (occipital) + Parotid (infra-auricular, preauricular, NOS) + Spinal accessory (posterior cervical) + Submental + Supraclavicular (transverse cervical) - Upper Trunk (C446) + Axillary + Cervical + Internal mammary (parasternal) + Supraclavicular (transverse cervical) - Lower Trunk (C447) + Femoral (superficial inguinal) - Arm/Shoulder (C446) + Axillary + Epitrochlear for hand/forearm + Spinal accessory for shoulder - Leg/Hip (C447) + Femoral (superficial inguinal) + Popliteal for heel and calf - Vulva (C510-C512, C518-C519) + Deep inguinal, NOS + Femoral + Inguinal, NOS + Inguinofemoral (groin) + Node of Cloquet or Rosenmuller (highest deep inguinal) + Superficial inguinal (femoral) - Penis (C600-C602, C608-C609) + Iliac, NOS * External * Internal (hypogastric, obturator) + Inguinal, NOS * Node of Cloquet or Rosenmuller (highest deep inguinal) * Superficial [femoral] + Pelvic, NOS - Scrotum (C632) + Iliac, NOS * External * Internal (hypogastric), NOS - Obturator + Inguinal, NOS * Deep inguinal, NOS - Node of Cloquet or Rosenmuller (highest deep inguinal) * Superficial inguinal (femoral) - 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) + Bone + Central nervous system (CNS) + Lung + Skeletal muscle (including direct extension) + Skin or subcutaneous tissue beyond regional lymph nodes + Underlying cartilage + Visceral metastasis, NOS - Distant lymph node(s), NOS + Axillary (lower trunk) + Femoral (cephalad/caudal) (upper trunk) + Iliac (leg/hip) - Distant metastasis, NOS + Carcinomatosis + Distant metastasis WITH or WITHOUT distant lymph node(s |
| 9 | Unknown if extension or metastasis |