Summary Stage 2018: Vagina
Summary Stage 2018
Notes
**Vagina**
8000-8700, 8720-8790, 8933, 8980, 9071, 9110, 9700-9701
C529
C529 Vagina, 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 51 *Vagina*, 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, 8800-8932, 8934, 8940-8975, 8981-9070, 9072-9105, 9120-9137, 9141-9582: *Soft Tissue*
* 8935-8936: *GIST*
* 9140: *Kaposi Sarcoma*
| SS2018 |
Description |
| 0 |
In situ: noninvasive, intraepithelial |
| 1 |
Localized only (localized, NOS)
- FIGO Stage I
+ Confined to vagina
+ Musculature involved
+ Submucosa (stroma) (vagina) |
| 2 |
Regional by direct extension only
- FIGO Stage II
+ Bladder wall or bladder, NOS (excluding mucosa)
+ Cervix
+ Cul de sac (rectouterine pouch)
+ Extension to lower third of the vagina (from proximal vagina)
+ “Frozen pelvis” (clinically diagnosed)
+ Hydronephrosis or nonfunctioning kidney
+ Parametrium
+ Paravaginal soft tissue
+ Pelvic wall
* Fascia
* Muscle
* Neurovascular structures
* Skeletal portions of bony pelvis
+ Rectal wall or rectum, NOS excluding mucosa
+ Rectovaginal septum
+ Vesicovaginal septum
+ Vulva |
| 3 |
Regional lymph node(s) involved only
- Lower third of vagina
+ Femoral [superficial inguinal]
+ Inguinal, NOS
- Upper two thirds of vagina
+ Iliac (common, external, NOS)
+ Internal iliac (hypogastric)
+ Middle sacral (promontorial) (Gerota’s node)
+ Obturator
+ Para-aortic
+ Parametrial
+ Pelvic, NOS
+ Presacral
+ Sacral
- 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)
+ FIGO Stage IVA
* Bladder mucosa (excluding bullous edema)
* Extension beyond true pelvis
* Rectal mucosa
* Urethra
- Distant lymph node(s), NOS
+ All sites
* Aortic (lateral [lumbar], para-aortic, periaortic, NOS)
* Retroperitoneal, NOS
+ Lower third of vagina
* Iliac (common, external, NOS)
* Internal iliac (hypogastric)
* Middle sacral (promontorial) (Gerota’s node)
* Obturator
* Para-aortic
* Parametrial
* Pelvic, NOS
* Presacral
* Sacral
* Superficial inguinal (femoral)
+ Upper two thirds of vagina
* Inguinal, 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) **Introduction to Female Reproductive Organs**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 631
(6) Gibb, R.K., Olawaiye, A.B., Mutch, D.G., et al. **Vagina**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 641-647
