Summary Stage 2018: Vagina
Summary Stage 2018
Notes
**Vagina** C529 C529 Vagina, 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 51 *Vagina*, 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: noninvasive, intraepithelial |
| 1 | Localized only (localized, NOS) - FIGO Stage I + Confined to vagina + Musculature involved + Submucosa (stroma) (vagina) |
| 2 | Regional by direct extension only - FIGO Stage II + Bladder wall or bladder, NOS (excluding mucosa) + Cervix + Cul de sac (rectouterine pouch) + Extension to lower third of the vagina (from proximal vagina) + “Frozen pelvis” (clinically diagnosed) + Hydronephrosis or nonfunctioning kidney + Parametrium + Paravaginal soft tissue + Pelvic wall * Fascia * Muscle * Neurovascular structures * Skeletal portions of bony pelvis + Rectal wall or rectum, NOS excluding mucosa + Rectovaginal septum + Vesicovaginal septum + Vulva |
| 3 | Regional lymph node(s) involved only - Lower third of vagina + Femoral [superficial inguinal] + Inguinal, NOS - Upper two thirds of vagina + Iliac (common, external, NOS) + Internal iliac (hypogastric) + Middle sacral (promontorial) (Gerota’s node) + Obturator + Para-aortic + Parametrial + Pelvic, NOS + Presacral + Sacral - 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) + FIGO Stage IVA * Bladder mucosa (excluding bullous edema) * Extension beyond true pelvis * Rectal mucosa * Urethra - Distant lymph node(s), NOS + All sites * Aortic (lateral [lumbar], para-aortic, periaortic, NOS) * Retroperitoneal, NOS + Lower third of vagina * Iliac (common, external, NOS) * Internal iliac (hypogastric) * Middle sacral (promontorial) (Gerota’s node) * Obturator * Para-aortic * Parametrial * Pelvic, NOS * Presacral * Sacral * Superficial inguinal (femoral) + Upper two thirds of vagina * Inguinal, NOS - Distant metastasis, NOS + Carcinomatosis + Distant metastasis WITH or WITHOUT distant lymph node(s) |
| 9 | Unknown if extension or metastasis |