Summary Stage 2018: Tongue Anterior (excluding Melanoma [8720-8790])
Summary Stage 2018
Notes
**Tongue Anterior** C020-C023, C028-C029 C020 Dorsal surface of tongue, NOS C021 Border of tongue (Tip) C022 Ventral surface of tongue, NOS C023 Anterior 2/3 of tongue, NOS C028 Overlapping lesion of tongue C029 Tongue, 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 7 *Lip and Oral Cavity*, 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:** Periosteum is a fibrous membrane that wraps the outer surface of bones. Cortical bone is the dense compact outer layer of the bone. Trabecular, cancellous, or spongy bone (spongiosa) is a porous network of tissue filling the interior of bone, decreasing weight and allowing room for blood vessels and marrow.NAACCR Item
NAACCR #764| SS2018 | Description |
|---|---|
| 0 | In situ: noninvasive, intraepithelial |
| 1 | Localized only (localized, NOS) - Confined to anterior tongue, NOS - Crosses midline/midline tumor - Invasive tumor on one side confined to + Lamina propria + Musculature of tongue, intrinsic or NOS + Submucosa |
| 2 | Regional by direct extension only - Base of tongue - Bone, NOS + Bone (mandible, maxilla, palatine) + Cartilage (mandible, maxilla, NOS) + Cortical bone, invasion of (mandible, maxilla, NOS) - Floor of mouth - Gingiva, lower - Lateral pharyngeal wall - Retromolar trigone - Soft palate, inferior surface - Sublingual gland - Tonsillar pillars and fossae - Tonsils |
| 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 site(s) (including further contiguous extension) + Deep (extrinsic) muscles of tongue * Genioglossus * Geniohyoid * Hyoglossus * Mylohyoid * Palatoglossus * Styloglossus + Internal carotid artery (encased) + Masticator space + Maxillary sinus (antrum) + Pterygoid plates + Skin of face + Skull base + Specified bone (other than mandible, maxilla) + Trabecular bone (mandible, maxilla, NOS) - Distant lymph node(s), NOS + Mediastinal (excluding superior mediastinal node(s), Level VII) - Distant metastasis, NOS + Carcinomatosis + Distant metastasis WITH or WITHOUT distant lymph node(s) |
| 9 | Unknown if extension or metastasis |