Summary Stage 2018: SS2018: Soft Tissue and Sarcomas
Summary Stage 2018
Notes
**Soft Tissue and Sarcomas**
C470-C479, C490-C499: 8000-8934, 8940-9137, 9141-9582, 9700-9701
C000-C399, C420-C449, C480-C488, C500-C539, C569-C574, C577-C579, C589-C809 (varying histologies between 8710-8714, 8800-8934, 8940-9137, 9141-9582)
* *See Summary Stage 2018 Manual, Appendix II by primary site for a detailed listing of primary site/histology combinations for this schema*
**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 40 *Soft Tissue Sarcoma of the Head and Neck*, 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 41 *Soft Tissue Sarcoma of the Trunk and Extremities*, 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 42 *Soft Tissue Sarcoma and of the Abdomen and Thoracic Visceral Organs*, 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 45 *Soft Tissue Sarcoma - Unusual Histologies and Sites*, 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:** For C470-C479, C490-C499 only, see the following schemas for the listed histologies
* 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
- Deep tumor, NOS
- Superficial tumor, NOS |
| 2 |
Regional by direct extension only
- Adjacent (connective) tissue, NOS
+ Into tissue beyond organ
- Adjacent organ(s)/structure(s), NOS
- Major vessel invasion
- Superficial or deep tumor WITH involvement of
+ adjacent (connective) tissue or adjacent organ(s)/structure(s)
- Abdomen and Thoracic Visceral Organs
+ Mesentery
+ Serosa
+ Visceral peritoneum |
| 3 |
Regional lymph node(s) involved only
- Head and Neck
+ Cervical
- Lip
+ Facial, NOS
+ Buccinator (buccal)
+ Mandibular (submandibular, submaxillary, submental)
+ Nasolabial
+ Parotid (infra-auricular, preauricular)
- Eyelid/canthus
+ Facial (buccinator [buccal], nasolabial, NOS)
+ Mandibular (submandibular, submaxillary, submental)
+ Parotid, NOS (infra-auricular)
- External ear and auditory canal
+ Mastoid (posterior, retro-auricular) (occipital)
+ Preauricular
- Face, Other (cheek, chin, forehead, jaw, nose, and temple):
+ Facial, NOS (buccinator [buccal], nasolabial)
+ Mandibular (submandibular, submaxillary, submental)
+ Parotid (infra-auricular, preauricular)
- Scalp
+ Mastoid (posterior, retro-auricular) (occipital)
+ Parotid (infra-auricular, preauricular)
+ Spinal accessory (posterior cervical)
- Neck
+ Axillary
+ Mandibular
+ Mastoid (posterior, retro-auricular) (occipital)
+ Parotid (infra-auricular, preauricular)
+ Spinal accessory (posterior cervical)
+ Submental (bilateral or contralateral)
+ Supraclavicular (transverse cervical)
- Arm/shoulder
+ Axillary
+ Epitrochlear for hand/forearm
+ Spinal accessory for shoulder
- Leg/hip
+ Femoral (superficial inguinal)
+ Popliteal for heel and calf
- Thorax
+ Hilar (bronchopulmonary) (proximal lobar) (pulmonary root)
+ Mediastinal
- Abdomen
+ Celiac
+ Iliac
+ Para-aortic
- Pelvis
+ Deep inguinal, NOS
+ Rosenmuller or Cloquet node
+ Superficial inguinal (femoral)
- Upper trunk
+ Axillary
+ Cervical
+ Internal mammary
+ Supraclavicular (transverse cervical)
- Lower trunk
+ Superficial inguinal (femoral)
- 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)
+ Head and Neck subsites
* Brain parenchymal invasion
* Carotid artery encasement
* Central compartment visceral
* Central nervous system involvement via perineural spread
* Fascial skeleton
* Orbital invasion
* Prevertebral muscle invasion
* Pterygoid muscles
* Skull base/dural invasion
- 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) 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) O'Sullivan, B., Maki, R.G., Pollock, R.E., et al. **Soft Tissue Sarcoma of the Head and Neck**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 499-505
(7) Yoon, S.S., Maki, R.G., Pollock, R.E., et al. **Soft Tissue Sarcoma of the Trunk and Extremities**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 507-515
(8) Raut, C.P., Maki, R.G., Pollock, R.E., et al. **Soft Tissue Sarcoma of the Abdomen and Thoracic Visceral Organs**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 517-521
(9) Maki, R.G., Pollock, R.E., et al. **Soft Tissue Sarcoma - Unusual Histologies and Sites**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 539-545
