Summary Stage 2018: Retroperitoneum
        
        
        
            Summary Stage 2018
        
        
        
        
        
            
                
Notes
                **Retroperitoneum**
C480 (8000-8803, 8810-8921, 8932-8934, 8940-8990, 9000-9016, 9030-9043, 9045-9137, 9141-9230, 9240-9580, 9582, 9700-9701) 
C481- C482, C488 (8710-8714, 8800-8803, 8810-8821, 8823-8921, 8932, 8934, 8940-8941, 8951-8959, 8963-8975, 8981-8990, 9010-9016, 9030-9043, 9045, 9051, 9053-9055, 9061-9065, 9072, 9081-9084, 9086, 9101-9105, 9120-9137, 9141-9230, 9240-9580, 9582)
C481-C482, C488 and Sex: 1, 3, 4, 5, 9 (8000-8700, 8720-8790, 8822, 8933, 8950, 8960, 8980, 9000, 9050, 9052, 9060, 9070-9071, 9073, 9080, 9085, 9090-9091, 9100, 9110, 9700-9701)
C480-C482, C488
C480 Retroperitoneum
C481 Specified parts of peritoneum (including omentum and mesentery)
C482 Peritoneum, NOS
C488 Overlapping lesion of retroperitoneum and peritoneum
**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 44 *Soft Tissue Sarcoma of the Retroperitoneum*, 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 
* C481-C482, C488 and Sex: 2, 6 (8000-8700, 8720-8790, 8806, 8822, 8930-8931, 8933, 8950, 8960, 8980, 9000, 9050, 9052, 9060, 9070-9071, 9073, 9080, 9085, 9090-9091, 9100, 9110, 9700-9701: *Primary Peritoneal Carcinoma*
* 8804-8805, 8991, 9020, 9044, 9231, 9581: *Soft Tissue*
* 8806, 8930-8931 (C480; C481-C488 with Sex 1, 3, 5, 9): *Soft Tissue* 
* 8935-8936: *GIST*
* 9140: *Kaposi Sarcoma*
**Note 3:** Code 0 is not applicable for this chapter.
            
        
        
        
        
        
            
        
        
        
        
        
            
                
                
                    
                        
    
        
    
        
            | SS2018 | 
        
            Description | 
        
    
    
    
        
    
    
        
            
                | 1 | 
            
        
            
                
                    
                        Localized only (localized, NOS)
- Confined to site of origin | 
                    
                
            
        
    
    
    
        
            
                | 2 | 
            
        
            
                
                    
                        Regional by direct extension only
- Adjacent connective tissue, NOS
- Adjacent organs/structures, NOS
- Bone/cartilage 
- Retroperitoneum (C480)
    + Adrenal(s) (suprarenal gland(s))
    + Aorta
    + Colon (ascending and descending)
    + Kidney(s)
    + Pancreas
    + Vena cava
    + Vertebra
- Peritoneum (C481, C482, C488)
    + Colon (except ascending and descending colon)
    + Esophagus
    + Gallbladder
    + Liver
    + Small intestine
    + Spleen
    + Stomach | 
                    
                
            
        
    
    
    
        
            
                | 3 | 
            
        
            
                
                    
                        Regional lymph node(s) involved only
- Intra-abdominal
- Paracaval
- Pelvic
- Subdiaphragmatic 
- 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)
  + Peritoneum (C481, C482, C488)
     * Colon (ascending and descending colon) 
- Distant lymph node(s), NOS
- Distant metastasis, NOS
  + Carcinomatosis 
  + Distant mets 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) Pollock, R.E., Maki, R.G. **Introduction to Soft Tissue Sarcoma**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 489-497
(6) Pollock, R.E., Maki, R.G., et al. **Soft Tissue Sarcoma of the Retroperitoneum**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 531-537