EOD Regional Nodes
This input is used for staging
Notes
**Note 1:** **Regional nodes and nodes, NOS** * Code only regional nodes and nodes, NOS, in this field. Distant nodes are coded in EOD Mets. **Note 2:** **Gastrohepatic ligament or gastrohepatic level nodes** * Imaging studies often refer to involved nodes in the gastrohepatic ligament or at the gastrohepatic level for esophageal primaries. Code as left gastric nodes if there is no more specific information. **Note 3:** **CLINICAL AND PATHOLOGICAL codes** * This schema has lymph node codes that are defined as **CLINICAL** assessment only or **PATHOLOGICAL** assessment only. * **PATHOLOGICAL** assessment only codes (300, 700) are used when * 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 * Pathological codes 300, 700 take priority over codes 725-800 * **CLINICAL** assessment only codes (725-775) are used when the **only** information on nodal involvement is based on **physical exam or imaging** * These codes are specifically for when there is no **microscopic confirmation** of regional lymph nodes (*Regional Nodes Positive = 98, 99*) * **Note:** Use code 300 if *Regional Nodes Positive is 01-90, 95* * Remaining codes (no designation of **CLINICAL** or **PATHOLOGICAL** only assessment) can be used based on clinical and/or pathological information * **Code 000** is used when there is no evidence of regional lymph nodes clinically **OR** lymph nodes are negative pathologically (*Regional Nodes Positive = 00, 98*) * **Code 800** is used when there are positive nodes (clinical or pathological), but the specific lymph nodes or number of positive nodes is unknown (*Regional Nodes Positive = 97*) * **Code 999** is used when the lymph node status is unknown and *Regional Nodes Positive = 99*Default
999NAACCR Item
NAACCR #774| Code | Description | SS2018 N |
|---|---|---|
| 000 | No regional lymph node involvement | NONE |
| 300 | **PATHOLOGICAL ASSESSMENT ONLY** For all subsites (excluding GE junction) - Peri-/paraesophageal (8L, 8M) Cervical esophagus only - Cervical, NOS + Anterior deep cervical (laterotracheal) (recurrent laryngeal) + Deep cervical, NOS * Upper, NOS - Jugulodigastric (subdigastric) + Internal jugular, NOS - Scalene (inferior deep cervical) (1) - Supraclavicular (transverse cervical) (1) Intrathoracic esophagus, upper or middle, only - Internal jugular, NOS + Deep cervical, NOS * Lower, NOS - Jugulo-omohyoid (supraomohyoid) * Middle * Upper cervical, NOS - Jugulodigastric (subdigastric) - Intrabronchial + Carinal (tracheobronchial) (10R, 10L) (tracheal bifurcation) + Hilar (bronchopulmonary) (proximal lobar) (pulmonary root) + Peritracheal - Left gastric (superior gastric) (17) + Cardiac (cardial) + Lesser curvature + Perigastric, NOS - Posterior mediastinal (tracheoesophageal) - Superior mediastinal Intrathoracic esophagus, lower (abdominal) only - Left gastric (superior gastric) (17) + Cardiac (cardial) + Lesser curvature + Perigastric, NOS - Posterior mediastinal (3P) (tracheoesophageal) Esophagus GE Junction - Celiac (20) + Hepatic (excluding hepatoduodenal) + Left gastric (superior gastric), NOS * Cardiac * Cardioesophageal * Gastric, left (17) * Gastropancreatic, left * Lesser curvature * Lesser omental * Pericardial (16) + Pancreaticosplenic (pancreaticolineal) + Pancreatoduodenal + Perigastric, NOS + Peripancreatic + Right gastric (inferior gastric), NOS * Gastrocolic * Gastroduodenal * Gastroepiploic (gastro-omental), right or NOS * Gastrohepatic * Greater curvature * Greater omental * Pyloric, NOS - Infrapyloric (subpyloric) - Suprapyloric + Splenic (lineal), NOS * Gastroepiploic (gastro-omental), left * Splenic hilar Nodule(s) in perigastric fat | RN |
| 700 | **PATHOLOGICAL ASSESSMENT ONLY** All subsites - Anterior mediastinal (6) - Diaphragmatic (15) - Mediastinal, NOS - Pulmonary ligament (9) - Subcarinal (tracheal carina) (7) Cervical esophagus - Aortopulmonary (5) + Para-aortic (ascending aorta or phrenic) + Subaortic - Paratracheal (2R, 2L, 4R, 4L) - Posterior mediastinal (3P) - Superior mediastinal Intrathoracic esophagus, upper or middle, only - Aortopulmonary (5) + Para-aortic (ascending aorta or phrenic) - Cervical Lower thoracic (abdominal) esophagus - Aortopulmonary (5) + Para-aortic (ascending aorta or phrenic) + Subaortic - Celiac (20) - Paratracheal (2R, 2L, 4R, 4L) - Superior mediastinal Esophagus GE Junction - Paraesophageal, NOS - Periesophageal, NOS + Aortopulmonary (5) + Paraesophageal, lower (8l) + Paraesophageal, middle (8m) + Paratracheal, lower (4L, 4R) + Paratracheal, upper (2L, 2R) + Posterior mediastinal (3p) + Supraclavicular (1) + Tracheobronchial (hilar) (10L, 10R) | D |
| 725 | **CLINICAL ASSESSMENT ONLY** One-two positive nodes clinically OR stated as Clinical N1 | RN |
| 750 | **CLINICAL ASSESSMENT ONLY** Three-six positive nodes clinically OR stated as Clinical N2 | RN |
| 775 | **CLINICAL ASSESSMENT ONLY** Seven or more positive nodes clinically OR stated as Clinical N3 | RN |
| 800 | Positive nodes, number unknown Unknown if clinical or pathological assessment 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 |