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.

NAACCR Item

NAACCR #764
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