Summary Stage 2018: Kidney Renal Pelvis

Summary Stage 2018

Notes

**Kidney Renal Pelvis** 8000-8700, 8720-8790, 9700-9701 C659, C669 C659 Renal pelvis C669 Ureter **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 61 *Renal Pelvis and Ureter*, 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, 8940-9137, 9141-9582: *Soft Tissue* * 8935-8936: *GIST* * 9140: *Kaposi Sarcoma* **Note 3:** Tumor involving both renal pelvis and ureter (unifocal or multifocal) is classified by the depth of greatest invasion in either organ. **Note 4:** Direct invasion of the bladder by a ureteral tumor is classified by the depth of greatest invasion of the bladder or ureter.

NAACCR Item

NAACCR #764
SS2018 Description
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
(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