Summary Stage 2018: Ampulla of Vater
Summary Stage 2018
Notes
**Ampulla of Vater** 8000-8700, 8720-8790, 9700-9701 C241 C241 Ampulla of Vater **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 27 *Ampulla of Vater*, 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. * Chapter 30 *Neuroendocrine Tumors of the Duodenum and Ampulla of Vater*, 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, 8940-9137, 9141-9582: *Soft Tissue* * 8935-8936: *GIST* * 9140: *Kaposi Sarcoma*NAACCR Item
NAACCR #764| SS2018 | Description |
|---|---|
| 0 | In situ, intraepithelial, noninvasive |
| 1 | Localized only (localized, NOS) - Ampulla of Vater - Confined to ampulla, NOS - Duodenal submucosa - Perisphincteric invasion (invasion beyond sphincter of Oddi) - Sphincter of Oddi |
| 2 | Regional by direct extension only - Blood vessel(s) (major) + Common hepatic artery + Portal vein + Superior mesenteric artery - Celiac axis - Common bile duct - Duodenum, NOS - Extrahepatic bile duct(s) - Gallbladder - Hepatic flexure of colon - Lesser omentum - Liver including porta hepatis - Muscularis propria of the duodenum (duodenal wall) - Pancreas - Stomach (distal, proximal, NOS) - Transverse colon |
| 3 | Regional lymph node(s) involved only - Anterior to ampulla of Vater - Inferior to ampulla of Vater - Posterior to ampulla of Vater - Superior to ampulla of Vater - Celiac - Hepatic - Hepatic artery - Lateral aortic (lumbar) - Node of foramen of the Winslow (epiploic) (omental) - Pancreaticoduodenal - Peripancreatic (excluding nodes at tail of pancreas) - Periportal (portal vein) - Proximal mesenteric - Pyloric (infrapyloric, subpyloric) - Retroperitoneal - Superior mesenteric - 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 sites (including further contiguous extension) + Peripancreatic soft tissue - Distant lymph node(s), NOS + At tail of pancreas + Para-aortic + Splenic - Distant metastasis, NOS + Carcinomatosis + Distant mets WITH or WITHOUT distant lymph node(s) |
| 9 | Unknown if extension or metastasis |