Summary Stage 2018: Testis

Summary Stage 2018

Notes

**Testis** C620-C621, C629 C620 Undescended testis C621 Descended testis C629 Testis, 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) (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 59 *Testis*, 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 - Germ cell neoplasia in situ - Intratubular germ cell neoplasia
1 Localized only (localized, NOS) - WITHOUT lymphovascular invasion + Body of testis + Rete testis + Surface implants (surface of tunica vaginalis) + Tunica albuginea + Tunica vaginalis involved + Tunica, NOS
2 Regional by direct extension only - WITH lymphovascular invasion + Tumor limited to testis (including rete testis invasion) - Any of the following sites WITH or WITHOUT lymphovascular invasion + Dartos muscle, ipsilateral + Epididymis + Hilar soft tissue + Mediastinum (of testis) + Scrotum, ipsilateral + Spermatic cord, ipsilateral + Vas deferens + Visceral mesothelial layer
3 Regional lymph node(s) involved only - Lymph nodes WITH or WITHOUT previous scrotal or inguinal surgery + Aortic, NOS * Lateral (lumbar) * Para-aortic * Periaortic * Preaortic * Retroaortic + Pericaval, NOS * Interaortocaval * Paracaval * Precaval * Retrocaval + Retroperitoneal, NOS + Spermatic vein + Regional lymph node(s), NOS * Lymph node(s), NOS - Lymph nodes WITH previous scrotal or inguinal surgery + External iliac + Inguinal node(s), NOS * Deep, NOS * Node of Cloquet or Rosenmuller (highest deep inguinal) * Superficial (femoral) + Pelvic, 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) + Adrenal (suprarenal gland) + Kidney + Penis + Retroperitoneum + Scrotum, contralateral + Testis, bilateral + Ulceration of scrotum - Distant lymph node(s), NOS + Deep, NOS + Node of Cloquet or Rosenmuller (highest deep inguinal) + Superficial (femoral) * Pelvic, NOS + Lymph nodes WITHOUT previous scrotal or inguinal surgery or UNKNOWN if previous scrotal or inguinal surgery * External iliac * Inguinal nodes, 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) Brimo, F., Srigley, J.R., Lin, D.W., et al. **Testis**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 727-735