Summary Stage 2018: Kidney Parenchyma

Summary Stage 2018

Notes

**Kidney Parenchyma** 8000-8700, 8720-8790 C649 C649 Kidney, NOS (Renal parenchyma) **Note 1:** **Sources 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:** **Other Summary Stage Chapters with Kidney sites** * **GIST**: 8935-8936 * **Kaposi Sarcoma**: 9140 * **Mycosis Fungoides**: 9700-9701 * **Soft Tissue**: 8710-8714, 8800-8934, 8940-9138, 9141-9582

NAACCR Item

NAACCR #764
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