Summary Stage 2018: Lymphoma
Summary Stage 2018
Notes
**Lymphoma**
9590, 9596-9663, 9673-9699, 9702-9719, 9725-9726, 9735, 9737-9738, 9823, 9826-9827 (varying primary sites and histologies)
* *See Summary Stage 2018 Manual, Appendix III for a detailed listing of primary site/histology combinations for this schema*
9591 and Schema Discriminator 1: 3, 9 (C000-C440, C442-C689, C691-C694, C698-C809)
**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 79 *Hodgkin and Non-Hodgkin Lymphomas*, 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.
* Chapter 80 *Pediatric Hodgkin and Non-Hodgkin Lymphomas*, 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 schemas for the listed histologies
* C441, C690, C695-C696 (9590-9699, 9702-9719, 9725-9726, 9735, 9737-9738, 9823, 9826-9827): *Lymphoma Ocular Adnexa*
* C440, C442-C449, C510, C609, C632 (9597, 9680, 9708-9709, 9712, 9718-9719, 9726): *Primary Cutaneous Lymphomas*
* C700, C710-C719 (9680, 9699, 9700-9714): *Brain*
* C701, C709, C720-C725, C728-C729 (9680, 9699, 9700-9714): *CNS Other*
* C751-C753 (9680, 9699, 9700-9714): *Intracranial Gland*
* 9591 and Schema Discriminator 1: 1, 2 (C000-C440, C442-C689, C691-C694, C698-C809): *HemeRetic*
**Note 3:** Chapter includes the preferred terms based on the *2017 WHO Classification of Haematopoietic and Lymphoid Tissues*
9590 Malignant lymphoma, NOS
9591 Non-Hodgkin lymphoma, NOS
9596 B-cell lymphoma, unclassifiable, with features intermediate between DLBCL and classic Hodgkin lymphoma
9597 Primary cutaneous follicle centre lymphoma
9650 Classical Hodgkin lymphoma
9651 Lymphocyte-rich classic Hodgkin lymphoma
9652 Mixed cellularity classic Hodgkin lymphoma
9653 Lymphocyte-depleted classic Hodgkin lymphoma
9659 Nodular lymphocyte predominant Hodgkin lymphoma
9663 Nodular sclerosis classic Hodgkin lymphoma
9673 Mantle cell lymphoma
9678 Primary effusion lymphoma
9679 Primary mediastinal (thymic) large B-cell lymphoma
9680 Diffuse large B-cell lymphoma (DLBCL)
9687 Burkitt lymphoma
9688 T-cell/histiocyte-rich large B-cell lymphoma
9689 Splenic marginal zone lymphoma
9690 Follicular lymphoma
9691 Follicular lymphoma, grade 2
9695 Follicular lymphoma, grade 1
9698 Follicular lymphoma, grade 3
9699 Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma)
9702 Peripheral T-cell lymphoma, NOS
9705 Angioimmunoblastic T-cell lymphoma
9708 Subcutaneous panniculitis-like T-cell lymphoma
9709 Primary cutaneous peripheral T-cell lymphomas
9712 Intravascular large B-cell lymphoma
9714 Anaplastic large cell lymphoma, ALK-positive
9716 Hepatosplenic T-cell lymphoma
9717 Enteropathy-associated T-cell lymphoma
9718 Primary cutaneous anaplastic large cell lymphoma
9719 Extranodal NK/T-cell lymphoma, nasal type
9725 Hydroa vacciniforme-like lymphoma
9726 Primary cutaneous gamma-delta T-cell lymphoma
9735 Plasmablastic lymphoma
9737 ALK-positive large B-cell lymphoma
9738 HHV8-positive DLBCL, NOS
9823 Chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma
9826 Burkitt cell leukemia
9827 Adult T-cell leukemia/lymphoma
**Note 4:** Any mention of the terms including fixed, matted, mass in the hilum, mediastinum, retroperitoneum, and/or mesentery, palpable, enlarged, shotty, lymphadenopathy are all regarded as involvement for lymphomas when determining appropriate code.
**Note 5:** If there is peripheral blood or bone marrow involvement, code 7.
| SS2018 |
Description |
| 1 |
Localized only
- Involvement of multiple nodal chains in the SAME lymph node region
- Multifocal involvement of one extralymphatic organ/site (except lung/liver) WITHOUT nodal involvement
- Single extralymphatic site WITHOUT nodal involvement
- Single lymph node region involved |
| 2 |
Regional, NOS
- Bulky disease present
- Contiguous extension between extralymphatic sites and regional nodes
+ WITH or WITHOUT involvement of other nodal regions on SAME side of diaphragm
- Localized involvement of a single extralymphatic organ/site
+ WITH involvement of its regional lymph node(s) OR
+ WITH involvement of other lymph node(s) on the SAME side of the diaphragm
- Two or more lymph node regions involved SAME side of diaphragm |
| 7 |
Distant site(s)/lymph node(s) involved
- Distant involvement
+ Diffuse or disseminated (multifocal) involvement of ONE extralymphatic organ/site
* WITH associated lymph node involvement OR
+ Diffuse or disseminated (multifocal) involvement of ONE or MORE extralymphatic organ(s)/site(s)
* WITH or WITHOUT associated lymph node involvement
+ Involvement of isolated extralymphatic organ in absence of involvement of adjacent lymph nodes, but in conjunction with disease in distant sites
+ Involvement of lymph node regions on BOTH sides of the diaphragm
* OR nodes ABOVE the diaphragm involved WITH spleen involvement
+ Multifocal involvement of one extralymphatic organ/site WITH nodal involvement
+ Noncontiguous extralymphatic organ involvement in conjunction with nodal disease (two or more sites involved)
- Distant metastasis, NOS
+ Blood/peripheral blood
+ Bone marrow
+ Cerebrospinal fluid (CSF)
+ Liver
+ Lung (other than by direct extension in code 2) |
| 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 Hematologic Malignancies**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 931-935
(6) Zelenetz, A.D., Jaffe, E.S., Leonard, J.P., et al. **Hodgkin and Non-Hodgkin Lymphomas**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 937-958
(7) Link, M.P., Jaffe, E.S., Leonard, J.P. **Pediatric Hodgkin and Non-Hodgkin Lymphomas**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 959-965
