Summary Stage 2018: SS2018: Soft Tissue and Sarcomas

Summary Stage 2018

Notes

**Soft Tissue and Sarcomas** C470-C479, C490-C499: 8000-8934, 8940-9138, 9141-9582 C000-C399, C420-C449, C480-C488, C500-C539, C569-C574, C577-C579, C589-C809 (varying histologies between 8710-8714, 8800-8934, 8940-9138, 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* * 9700-9701: *Mycosis Fungoides* **Note 3:** Code 0 is not applicable for this chapter.

NAACCR Item

NAACCR #764
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 (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 (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 (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 (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 (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