0 |
In situ, intraepithelial, noninvasive
- Flat, sessile
- Noninvasive papillary carcinoma |
1 |
Localized only (localized, NOS)
- Confined to renal pelvis, NOS
- Confined to ureter, NOS
- Muscularis
+ Renal pelvis only
+ Ureter only
- Subepithelial connective tissue (lamina propria, submucosa)
+ Renal pelvis only
+ Ureter only |
2 |
Regional by direct extension only
- Extension to bladder from ureter
+ Muscularis of distal ureter and/or bladder
+ Subepithelial connective tissue of distal ureter and/or bladder
- Invasion beyond muscularis into
+ Peripelvic fat (renal pelvis)
+ Periureteric fat (ureter)
+ Retroperitoneal soft/connective tissue
- Renal pelvis and ureter (unifocal or multifocal)
+ Duodenum (from right renal pelvis or right ureter)
+ Ipsilateral adrenal gland (suprarenal) gland
+ Major blood vessel(s)
* Aorta
* Renal artery/vein
* Vena cava (inferior)
+ Muscularis
* Distal ureter from proximal ureter
* Renal pelvis from ureter
* Ureter from renal pelvis
+ Psoas muscle (ureter)
+ Subepithelial connective tissue
* Distal ureter from proximal ureter
* Renal pelvis from ureter
* Ureter from renal pelvis
+ Tumor thrombus in a renal vein, NOS
- Renal pelvis only
+ Ipsilateral kidney parenchyma and kidney, NOS |
3 |
Regional lymph node(s) involved only
- All sites
+ Lateral aortic (lumbar)
+ Paracaval
+ Renal hilar
+ Retroperitoneal, NOS
+ Regional lymph node(s), NOS
* Lymph node(s), NOS
- Renal Pelvis
+ Aortic (para-aortic, periaortic, NOS)
- Ureter
+ Iliac (common, external, NOS)
+ Internal (hypogastric) (obturator)
+ Pelvic, NOS
+ Periureteral |
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)
+ 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)
+ Spleen (from left renal pelvis or left ureter)
+ Uterus (ureter)
- Distant lymph node(s), NOS
- Distant metastasis, NOS
+ Carcinomatosis
+ Distant metastasis WITH or WITHOUT distant lymph node(s) |
9 |
Unknown if extension or metastasis |