Summary Stage 2018: Penis
Summary Stage 2018
Notes
**Penis**
8000-8040, 8042-8180, 8191-8246, 8248-8700
C600-C602, C608-C609
C600 Prepuce
C601 Glans penis
C602 Body of penis
C608 Overlapping lesion of penis
C609 Penis, NOS
**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/ssm2000/)
* Collaborative Stage Data Collection System, version 02.05: https://cancerstaging.org/cstage/Pages/default.aspx
* Chapter 57 *Penis*, 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
* 8041, 8190, 8247: *Merkel Cell Skin*
* 8710-8714, 8800-8934, 8940-9137, 9141-9582: *Soft Tissue*
* 8720-8790: *Melanoma Skin*
* 8935-8936: *GIST*
* 9140: *Kaposi Sarcoma*
* 9700-9701: *Mycosis Fungoides*
**Note 3:** Code 0 if a verrucous carcinoma is described as noninvasive or as having a broad pushing border or penetration.
* If there is destructive invasion of verrucous carcinoma into structures in code 1 or greater, assign the appropriate higher code
| SS2018 |
Description |
| 0 |
In situ, intraepithelial, noninvasive
- Bowen disease
- Carcinoma in situ (Penile intraepithelial neoplasia [PeIN])
- Erythroplasia of Queyrat
- Noninvasive localized squamous cell carcinoma
- Noninvasive verrucous carcinoma
- Verrucous carcinoma, NOS |
| 1 |
Localized only (localized, NOS)
- Confined to penis
+ WITH or WITHOUT perineural and/or lymphovascular invasion
- Dartos fascia (foreskin)
- Dermis (foreskin)
- Lamina propria (glans and foreskin)
- Subepithelial connective tissue (shaft)
- Verrucous carcinoma, NOS |
| 2 |
Regional by direct extension only
- Corpus (cavernosum or spongiosum, including tunica albuginea)
+ WITH or WITHOUT urethral invasion
- Muscle, NOS
+ Bulbospongiosus
+ Ischiocavernosus
+ Superficial transverse perineal
- Prostate
- Pubic bone
- Scrotum
- Skin (abdominal, perineum) |
| 3 |
Regional lymph node(s) involved only
- Iliac, NOS
+ External
+ Internal (hypogastric, obturator)
* Inguinal, NOS
* Node of Cloquet or Rosenmuller (highest deep inguinal)
* Superficial [femoral]
+ Pelvic, NOS
- 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)
+ Testis
- Distant lymph node(s), 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) Pettaway, C.A., Srigley, J.R., Amin, M.B., et al. **Penis**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 701-714
