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)
| 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
