Summary Stage 2018: Kidney Parenchyma
Summary Stage 2018
Notes
**Kidney Parenchyma**
8000-8700, 8720-8790
C649
C649 Kidney, NOS (Renal parenchyma)
**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 60 *Kidney*, 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*
| SS2018 |
Description |
| 0 |
In situ: noninvasive, intraepithelial |
| 1 |
Localized only (localized, NOS)
- Confined (limited) to the kidney, NOS
- Invasion of renal capsule
- Invasive cancer confined to kidney cortex and/or medulla |
| 2 |
Regional by direct extension only
- Adrenal gland (ipsilateral) (contiguous involvement)
- Ascending colon from right kidney
- Beyond Gerota's fascia, NOS
- Blood vessel(s) (major)
+ Extrarenal portion of renal vein or segmental (muscle containing branches)
+ Hilar blood vessel
+ Inferior vena cava
+ Perirenal vein/fat
+ Renal artery
+ Renal vein, NOS/sinus fat
+ Tumor thrombus in a renal vein, NOS
- Descending colon from left kidney
- Diaphragm
- Duodenum from right kidney
- Pelvicalyceal system
- Perinephric tissue
- Peritoneum
- Psoas muscle
- Quadratus lumborum muscle
- Renal pelvis or calyces involved
- Retroperitoneal soft tissue
- Separate focus of tumor in renal pelvis/calyx
- Tail of pancreas
- Ureter (ipsilateral), including implant(s) |
| 3 |
Regional lymph node(s) involved only
- Aortic, NOS
+ Lateral (lumbar)
+ Para-aortic
+ Periaortic
+ Preaortic
+ Retroaortic
- Caval, NOS
+ Interaortocaval
+ Paracaval
+ Pericaval
+ Precaval
+ Retrocaval
- Renal hilar
- Retroperitoneal, NOS
- 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)
+ Adrenal gland (ipsilateral) (noncontiguous involvement) (see EOD Primary Tumor for contiguous involvement)
+ Adrenal gland (contralateral)
+ Aorta
+ Contralateral kidney
+ Contralateral ureter
+ Liver
+ Ribs
+ Spleen
+ Stomach
- 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) Rini, B.I., McKiernan, J.M., Stadler, W.M., et al. **Kidney**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017
