Summary Stage 2018: Extrahepatic Bile Ducts

Summary Stage 2018

Notes

**Extrahepatic Bile Ducts** 8000-8700, 8720-8790 C240 C240 Cystic duct C240 Distal bile ducts C240 Perihilar bile ducts **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 24 *Gallbladder*, 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 25 *Perihilar Bile Ducts*, 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 26 *Distal Bile Duct*, 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, 8940-9138, 9141-9582: *Soft Tissue* * 8935-8936: *GIST* * 9140: *Kaposi Sarcoma* * 9700-9701: *Mycosis Fungoides*

NAACCR Item

NAACCR #764
SS2018 Description
0 In situ, intraepithelial, noninvasive High-grade biliary intraepithelial neoplasia (BilIn-3)
1 Localized only (localized, NOS) - Confined to + Cystic duct, NOS + Distal bile duct(s), NOS + Extrahepatic bile duct(s), NOS + Perihilar bile duct(s), NOS - Lamina propria - Mucosa, NOS - Muscle layer of fibrous tissue (bile ducts perihilar only) - Muscularis propria - Subepithelial connective tissue (tunica mucosa) (bile ducts perihilar only) - Submucosa (superficial invasion)
2 Regional by direct extension only - All sites + Adipose tissue + Adjacent (connective) tissue, NOS + Colon + Duodenum + Gallbladder + Hepatic artery (common, NOS) + Liver + Main portal vein or its branches bilaterally + Omentum (greater, lesser, NOS) + Pancreas + Periductal/fibromuscular connective tissue + Portal vein, NOS + Stomach - Cystic duct + Ampulla of Vater + Beyond wall of cystic duct + Perimuscular connective tissue + Perimuscular tissue, NOS + Serosa (visceral peritoneum) + Small intestine + Unilateral branches of hepatic artery (right or left) + Unilateral branches of portal vein (right or left) - Distal bile duct(s) + Adjacent hepatic parenchyma + Beyond wall of bile duct + Porta hepatis + Unilateral branches of hepatic artery (right or left) + Unilateral branches of portal vein (right or left) - Perihilar bile duct(s) + Beyond wall of bile duct + Second-order biliary radicals bilaterally * Unilateral second-order biliary radicals * WITH contralateral portal vein or hepatic artery involvement + Unilateral branches of hepatic artery (right or left) + Unilateral branches of portal vein (right or left)
3 Regional lymph node(s) involved only - Choledochal (bile ducts perihilar only) - Cystic duct (node of the neck of the gallbladder) (Calot's node) - Hepatic/hepatic artery nodes (common, NOS) - Hilar (porta hepatic) (portal) (in hilus of liver) - Node of the foramen of Winslow (omental) (epiploic) - Pancreaticoduodenal (anterior, posterior) (bile ducts distal only) - Pancreaticoduodenal, NOS (cystic duct only) - Pericholedochal (node along common bile duct) - Periduodenal - Peripancreatic (near head of pancreas only) - Periportal - Portal vein - 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) + Abdominal wall + Celiac axis (bile ducts distal only) + Superior mesenteric artery (bile ducts distal only) - Distant lymph node(s), NOS + Celiac (axis) artery + Para-aortic + Periaortic (cystic duct only) + Pericaval + Peripancreatic (along body and tail of pancreas only) + Superior mesenteric artery + Superior mesenteric vein - 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) Zhu, A.X., Pawlik, T.M., Vauthey, J.N., et al. **Gallbladder**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017 (6) Nagorney, D.M., Pawlik, T.M., Vauthey, J.N., et al. **Perihilar Bile Ducts**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017 (7) Krasinskas, A., Pawlik, T.M., Vauthey, J.N., et al. **Distal Bile Duct**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017