Summary Stage 2018: Heart, Mediastinum and Pleura
Summary Stage 2018
Notes
**Heart, Mediastinum and Pleura**
8000-8803, 8810-8921, 8932-8934, 8940-8990, 9000-9016, 9030, 9040-9043, 9045-9138, 9141-9230, 9240-9580, 9582 (excluding 9050-9053 for C384)
C380-C384, C388
C380 Heart
C381 Anterior mediastinum
C382 Posterior mediastinum
C383 Mediastinum, NOS
C384 Pleura
C388 Overlapping lesion of heart, mediastinum, and pleura
**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 42 *Soft Tissue Sarcoma 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.
**Note 2:** See the following schemas for the listed histologies
* 8804-8806, 8930-8931, 8991-8992, 9020, 9044, 9231, 9581: *Soft Tissue*
* 8935-8936: *GIST*
* 9050-9053 (C384): *Pleural Mesothelioma*
* 9140: *Kaposi Sarcoma*
* 9700-9701: *Mycosis Fungoides*
**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
- All sites
+ Adjacent (connective) tissue, NOS
+ Adjacent organ(s)/structure(s), NOS
+ Mesentery
+ Serosa
+ Visceral peritoneum
- Heart (C380)
+ Ascending aorta
+ Parietal pericardium
+ Vena cava
- Mediastinum (C381-C383, C388)
+ Descending aorta
+ Esophagus
+ Large (named) artery(ies) or vein(s)
+ Pericardium (parietal, visceral [pericardium], NOS)
+ Phrenic nerve(s)
+ Pleura (parietal, visceral, NOS)
+ Sternum
+ Sympathetic nerve trunk(s)
+ Thoracic duct
+ Thymus
+ Trachea, parietal pleura
+ Vertebra(e)
- Pleura (C384)
+ Chest wall
+ Diaphragm
+ Endothoracic fascia
+ Heart muscle
+ Lung involvement, NOS
+ Mediastinal organs or tissues
+ Pericardium
+ Rib |
| 3 |
Regional lymph node(s) involved only
- All sites
+ Aortic (above diaphragm), NOS
* Peri/para-aortic, NOS
- Ascending aorta (phrenic)
* Subaortic (aortico-pulmonary window)
+ Carinal (tracheobronchial) (tracheal bifurcation)
+ Mediastinal (anterior, posterior [tracheoesophageal], NOS)
+ Pericardial
+ Peri-/paraesophageal
+ Peri-/paratracheal (lower [azygos], upper, NOS)
+ Pretracheal and retrotracheal (precarinal), NOS
+ Pulmonary ligament
+ Subcarinal
+ Regional lymph node(s), NOS
* Lymph node(s), NOS
- Pleura (C384)
+ Hilar (bronchopulmonary) (proximal lobar) (pulmonary root)
+ Intrapulmonary, NOS
+ Interlobar
+ Lobar
* Segmental
* Subsegmental
+ Peri/parabronchial
+ Precarinal |
| 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)
+ Pleura
* Cervical (neck) tissues
* Contralateral lung
* Contralateral pleura
* Intra-abdominal organs
* Peritoneum
* Pleural effusion
- Distant lymph node(s), NOS
+ Pleura
* Contralateral/bilateral hilar (bronchopulmonary) (proximal lobar) (pulmonary root)
* Contralateral/bilateral mediastinal
* Scalene (inferior deep cervical), ipsilateral or contralateral
* Supraclavicular (transverse cervical), ipsilateral or contralateral
- 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) 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
