Summary Stage 2018: Testis
Summary Stage 2018
Notes
**Testis**
8000-8700, 8720-8790, 9061, 9064-9065, 9070-9071, 9080-9081, 9084-9085, 9100-9101, 9104-9105, 9700-9701
C620-C621, C629
C620 Undescended testis
C621 Descended testis
C629 Testis, 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 59 *Testis*, 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, 8940-9060, 9062-9063, 9072-9073, 9082-9083, 9086-9091, 9102-9103, 9110-9137, 9141-9582: *Soft Tissue*
* 8935-8936: *GIST*
* 9140: *Kaposi Sarcoma*
| SS2018 |
Description |
| 0 |
In situ, intraepithelial, noninvasive
- Germ cell neoplasia in situ
- Intratubular germ cell neoplasia |
| 1 |
Localized only (localized, NOS)
- WITHOUT lymphovascular invasion
+ Body of testis
+ Rete testis
+ Surface implants (surface of tunica vaginalis)
+ Tunica albuginea
+ Tunica vaginalis involved
+ Tunica, NOS |
| 2 |
Regional by direct extension only
- WITH lymphovascular invasion
+ Tumor limited to testis (including rete testis invasion)
- Any of the following sites WITH or WITHOUT lymphovascular invasion
+ Dartos muscle, ipsilateral
+ Epididymis
+ Hilar soft tissue
+ Mediastinum (of testis)
+ Scrotum, ipsilateral
+ Spermatic cord, ipsilateral
+ Vas deferens
+ Visceral mesothelial layer |
| 3 |
Regional lymph node(s) involved only
- Lymph nodes WITH or WITHOUT previous scrotal or inguinal surgery
+ Aortic, NOS
* Lateral (lumbar)
* Para-aortic
* Periaortic
* Preaortic
* Retroaortic
+ Pericaval, NOS
* Interaortocaval
* Paracaval
* Precaval
* Retrocaval
+ Retroperitoneal, NOS
+ Spermatic vein
+ Regional lymph node(s), NOS
* Lymph node(s), NOS
- Lymph nodes WITH previous scrotal or inguinal surgery
+ External iliac
+ Inguinal node(s), NOS
* Deep, NOS
* Node of Cloquet or Rosenmuller (highest deep inguinal)
* Superficial (femoral)
+ Pelvic, 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)
+ Adrenal (suprarenal gland)
+ Kidney
+ Penis
+ Retroperitoneum
+ Scrotum, contralateral
+ Testis, bilateral
+ Ulceration of scrotum
- Distant lymph node(s), NOS
+ Deep, NOS
+ Node of Cloquet or Rosenmuller (highest deep inguinal)
+ Superficial (femoral)
* Pelvic, NOS
+ Lymph nodes WITHOUT previous scrotal or inguinal surgery or UNKNOWN if previous scrotal or inguinal surgery
* External iliac
* Inguinal nodes, 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) Brimo, F., Srigley, J.R., Lin, D.W., et al. **Testis**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 727-735
