EOD Regional Nodes

This input is used for staging

Notes

**Note 1:** Code only regional nodes and nodes, NOS in this field. Distant nodes are coded in EOD Mets. **Note 2:** For Colon and Rectum ONLY, any unnamed nodes that are removed with a colon or rectal resection are presumed to be regional pericolic or perirectal lymph nodes and are included in the EOD Regional Nodes code 300 (pericolic for sites C180 - C189, C199 and perirectal for sites C199 or C209). This site-specific instruction applies only to colon and rectum tumors and was verified with subject matter experts.

Default

999

NAACCR Item

NAACCR #774

Code	Description	SS2018 N
000	No regional lymph node involvement	NONE
300	Colon subsites - Colic, NOS - Epicolic (adjacent to bowel wall) - Mesenteric, NOS - Mesocolic, NOS - Paracolic - Pericolic Cecum (C180) - Colic (right) - Ileocolic - Periappendiceal - Prececal (anterior, NOS) - Retrocecal (posterior) Ascending colon (C182) - Colic (middle-right branch, right) - Ileocolic Hepatic flexure (C183) - Colic (middle, right) - Ileocolic Transverse colon (C184) - Colic (left, middle) Splenic flexure (C185) - Colic (left, middle) - Mesenteric (inferior) Descending colon (C186) - Colic (left) - Mesenteric (inferior) - Sigmoid Sigmoid colon (C187) - Colic (left) - Mesenteric (inferior) - Rectal (superior) (hemorrhoidal) - Rectosigmoid - Sigmoid (sigmoidal) (sigmoid mesenteric) Rectosigmoid (C199) - Mesenteric (inferior) - Mesorectal - Pericolic - Perirectal - Rectal (superior) (hemorrhoidal) - Sigmoid Rectum (C209) - Iliac (hypogastric, internal, obturator) (see EOD Mets for common, external, NOS) - Mesenteric (inferior) - Mesorectal - Perirectal - Rectal (inferior, superior) (hemorrhoidal)	RN
800	Regional lymph node(s), NOS Lymph node(s), NOS	RN
999	Unknown; regional node(s) not stated Regional lymph node(s) cannot be assessed Not documented in medical record Death Certificate Only	U

(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) Shi, C., Woltering, E.A., Washington, M.K., et al. **Neuroendocrine Tumors of the Colon and Rectum**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017 (6) **Neuroendocrine Tumors of the Colon and Rectum**, from the AJCC Cancer Staging System Version 9 (2023). Used with permission of the American College of Surgeons, Chicago, Illinois.