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*
| 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 |
(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) Herman, J.M., Pawlik, T.M., Vauthey, J.N., et al. **Ampulla of Vater**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 327-335
(6) Bergsland, E.K., Woltering, E.A., Klimstra, D.S., et al. **Neuroendocrine Tumors of the Duodenum and Ampulla of Vater**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 361-373
