EOD Regional Nodes
This input is used for staging
Notes
**Note 1:** For head and neck schemas, this field includes all lymph nodes defined as Levels I-VII and Other by TNM. **Note 2:** This schema has lymph node codes that are defined as **CLINICAL** assessment only or **PATHOLOGICAL** assessment only. + **CLINICAL** assessment only codes (300, 400) are used when there is a clinical work up only and there is no surgical resection of the primary tumor or site. This includes FNA, core biopsy, sentinel node biopsy, or lymph node excision - *Exception:* If patient has neoadjuvant therapy, and the clinical assessment is greater than the pathological assessment, then the clinical assessment code would take priority + **PATHOLOGICAL** assessment only codes (500) are used when - Primary tumor or site surgically resected with - Any microscopic examination of regional lymph nodes. Includes - FNA, core biopsy, sentinel node biopsy or lymph node excision done during the clinical work up and/or - Lymph node dissection performed + Remaining codes (no designation of **CLINICAL** or **PATHOLOGICAL** only assessment) can be used based on clinical and/or pathological information **Note 3:** If laterality of lymph nodes is not specified, assume nodes are ipsilateral. Midline nodes are ipsilateral. **Note 4:** Supraclavicular lymph nodes can be either Level IV or Level V * Level IV: deep to the sternocleidomastoid muscle, in the lower jugular chain * Level V: in the posterior triangle, inferior to the transverse cervical artery, supraclavicular lymph nodes, NOS **Note 5:** For codes 300, 400, or 500, use the list below for named regional lymph nodes. If the only information available is "regional lymph nodes, NOS" or "lymph nodes," code 800. **The following lymph nodes are regional for Head and Neck tumors** **Level I** - Level IA - Submental - Level IB - Submandibular (submaxillary), sublingual **Level II - Upper jugular** - Jugulodigastric (subdigastric) - Upper deep cervical - Level IIA - Anterior - Level IIB - Posterior **Level III - Middle jugular** - Middle deep cervical **Level IV - Lower jugular** - Jugulo-omohyoid (supraomohyoid) - Lower deep cervical - Virchow node **Level V - Posterior triangle group** - Posterior cervical - Level VA - Spinal accessory - Level VB - Transverse cervical, supraclavicular **Level VI - Anterior compartment group** - Laterotracheal - Paralaryngeal - Paratracheal - above suprasternal notch - Perithyroidal - Precricoid (Delphian) - Prelaryngeal - Pretracheal - above suprasternal notch - Recurrent laryngeal **Level VII - Superior mediastinal group (for other mediastinal node(s), see EOD Mets)** - Esophageal groove - Paratracheal - below suprasternal notch - Pretracheal - below suprasternal notch **Other groups** - Cervical, NOS - Deep cervical, NOS - Facial + Buccinator (buccal) + Mandibular + Nasolabial - Internal jugular, NOS - Parapharyngeal - Parotid + Infraauricular + Intraparotid + Periparotid + Preauricular - Retroauricular (mastoid) - Retropharyngeal - Suboccipital - Regional lymph node(s), NOS - Lymph node(s), NOS **Note 6:** Code 800 if regional lymph nodes are involved, but there is no indication which ones are involved.Default
999NAACCR Item
NAACCR #774| Code | Description | SS2018 N |
|---|---|---|
| 000 | No regional lymph node involvement | NONE |
| 300 | CLINICAL assessment only Ipsilateral regional lymph node(s) | RN |
| 400 | CLINICAL assessment only Bilateral or contralateral regional lymph node(s) | RN |
| 500 | PATHOLOGICAL assessment only Regional lymph node(s) involved | RN |
| 800 | Regional lymph node(s), NOS Lymph node(s), NOS | RN |
| 999 | Unknown; regional lymph node(s) not stated Regional lymph node(s) cannot be assessed Not documented in medical record Death Certificate Only | U |