EOD Primary Tumor

This input is used for staging

Notes

**Note 1:** In case of multifocal non-invasive and in situ tumors, code 050. **Note 2:** Tumor involving both renal pelvis and ureter (unifocal or multifocal) is classified by the depth of greatest invasion in either organ. **Note 3:** Direct invasion of the bladder by a ureteral tumor is classified by the depth of greatest invasion of the bladder or ureter.

Default

999

NAACCR Item

NAACCR #772

Code	Description	SS2018 T
000	Noninvasive papillary carcinoma	IS
050	In situ, intraepithelial, noninvasive (flat, sessile)	IS
100	Subepithelial connective tissue (lamina propria, submucosa) of renal pelvis only OR Subepithelial connective tissue (lamina propria, submucosa) of ureter only Confined to renal pelvis, NOS Confined to ureter, NOS Localized, NOS	L
200	Renal pelvis and ureter (unifocal or multifocal) - Subepithelial connective tissue + Renal pelvis from ureter + Ureter from renal pelvis + Distal ureter from proximal ureter Extension to bladder from ureter - Subepithelial connective tissue of distal ureter and/or bladder	RE
300	Muscularis of renal pelvis only OR Muscularis of ureter only	L
400	Code 200 + 300 Renal pelvis and ureter (unifocal or multifocal) - Muscularis + Distal ureter from proximal ureter + Renal pelvis from ureter + Ureter from renal pelvis Extension to bladder from ureter - Muscularis of distal ureter and/or bladder	RE
500	Invasion beyond muscularis into - Peripelvic fat (renal pelvis) - Periureteric fat (ureter) - Retroperitoneal soft/connective tissue For renal pelvis only - Ipsilateral kidney parenchyma and kidney, NOS	RE
600	Duodenum (from right renal pelvis or right ureter) Ipsilateral adrenal (suprarenal) gland Major blood vessel(s) - Aorta - Renal artery/vein - Vena cava (inferior) Psoas muscle (ureter) Tumor thrombus in a renal vein, NOS	RE
700	Ascending colon (from right renal pelvis or right ureter) Bladder (wall or mucosa) from renal pelvis Colon, NOS Descending colon (from right renal pelvis or right ureter) Ipsilateral kidney parenchyma from ureter Liver (from right renal pelvis or right ureter) Pancreas Perirenal (perinephric) fat (via kidney) Prostate (ureter) Uterus (ureter) Spleen (from left renal pelvis or left ureter) Further contiguous extension	D
800	No evidence of primary tumor	U
999	Unknown; extension not stated Primary tumor cannot be assessed Not documented in patient record Death Certificate Only	U

(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) McKiernan, J.M., Hansel, D.E., Stadler, W.M., et al. **Renal Pelvis and Ureter**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 749-755