Summary Stage 2018: Penis

Summary Stage 2018

Notes

**Penis** C600-C602, C608-C609 C600 Prepuce C601 Glans penis C602 Body of penis C608 Overlapping lesion of penis C609 Penis, 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 57 *Penis*, 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:** See the following schemas for the listed histologies * 8247 Merkel Cell Skin * 8720-8790 Melanoma Skin * 9140 Kaposi Sarcoma * 9700-9701 Mycosis Fungoides **Note 3:** Code 0 if a verrucous carcinoma is described as noninvasive or as having a broad pushing border or penetration. * If there is destructive invasion of verrucous carcinoma into structures in code 1 or greater, assign the appropriate higher code

NAACCR Item

NAACCR #764
SS2018 Description
0 In situ, intraepithelial, noninvasive - Bowen disease - Carcinoma in situ (Penile intraepithelial neoplasia [PeIN]) - Erythroplasia of Queyrat - Noninvasive localized squamous cell carcinoma - Noninvasive verrucous carcinoma - Verrucous carcinoma, NOS
1 Localized only (localized, NOS) - Confined to penis + WITH or WITHOUT perineural and/or lymphovascular invasion - Dartos fascia (foreskin) - Dermis (foreskin) - Lamina propria (glans and foreskin) - Subepithelial connective tissue (shaft) - Verrucous carcinoma, NOS
2 Regional by direct extension only - Corpus (cavernosum or spongiosum, including tunica albuginea) + WITH or WITHOUT urethral invasion - Muscle, NOS + Bulbospongiosus + Ischiocavernosus + Superficial transverse perineal - Prostate - Pubic bone - Scrotum - Skin (abdominal, perineum)
3 Regional lymph node(s) involved only - Iliac, NOS + External + Internal (hypogastric, obturator) * Inguinal, NOS * Node of Cloquet or Rosenmuller (highest deep inguinal) * Superficial [femoral] + Pelvic, NOS - 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) + Testis - 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) Pettaway, C.A., Srigley, J.R., Amin, M.B., et al. **Penis**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 701-714