Summary Stage 2018: Intrahepatic Bile Ducts

Summary Stage 2018

Notes

**Intrahepatic Bile Ducts** 8000-8700, 8720-8790, 8980, 9700-9701 C221 C221 Intrahepatic bile duct **Note 1:** The following sources were used in the development of this chapter * 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 23 *Intrahepatic Bile Ducts*, 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 chapters for the listed histologies * 8710-8714, 8800-8934, 8940-8975, 8981-9137, 9141-9582: *Soft Tissue* * 8935-8936: *GIST* * 9140: *Kaposi Sarcoma* **Note 3:** Intrahepatic vascular invasion (code 1) includes the following * Major hepatic vessel invasion * First and second-order branches of the portal veins or hepatic arteries * Hepatic veins (right, middle, or left) * Microscopic invasion of smaller intraparenchymal vascular structures (identified on histopathological examination)

NAACCR Item

NAACCR #764
SS2018 Description
0 In situ, intraepithelial, noninvasive - Biliary intraepithelial neoplasia grade 3 (BiIIN-3) - Intraductal tumor
1 Localized only (localized, NOS) - Confined to intrahepatic bile duct, NOS - Solitary or Multiple tumors WITH or WITHOUT intrahepatic vascular invasion
2 Regional by direct extension only - Abdominal wall - Adjacent (connective) tissue, NOS - Colon - Common bile duct - Diaphragm - Duodenum - Extrahepatic bile ducts PLUS satellite nodules in more than one lobe - Extrahepatic structure(s), NOS + Retrohepatic vena cava + Vena cava - Hepatic artery (proper) - Gallbladder - Lesser omentum ligament(s) + Coronary + Falciform + Hepatoduodenal + Hepatogastric + Round (of liver) + Triangular - Peritoneum, NOS + Parietal + Visceral - Multiple tumors with major vascular invasion - Retrohepatic vena cava
3 Regional lymph node(s) involved only - Common bile duct - Cystic duct - Hepatic, NOS - Hepatic artery - Hepatic pedicle - Hepatoduodenal ligament - Hilar - Portal vein + Periportal + Porta hepatis + Portal - Portocaval (portacaval) - 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) + Multiple (satellite) nodules on surface of liver parenchyma + Pancreas + Pleura + Stomach - Distant lymph node(s), NOS + Aortic (para-aortic, periaortic) + Aortocaval + Cardiac + Caval (inferior vena cava) + Celiac + Diaphragmatic, NOS + Gastrohepatic + Inferior phrenic + Lateral (aortic) (lumbar) + Pancreaticoduodenal + Pericardial (pericardiac) + Periduodenal + Peripancreatic + Posterior mediastinal (tracheoesophageal) including juxtaphrenic nodes + Renal artery + Retroperitoneal, 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) Aloia, T., Pawlik, T.M., Vauthey, J.N., et al. **Intrahepatic Bile Ducts**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 295-302