Schema Discriminator 1: Lacrimal Gland/Lacrimal Sac

This input is used for staging

Description

Lacrimal gland and lacrimal sac have the same ICD-O topography code (C695). However, for purposes of the AJCC Staging System stage grouping, lacrimal gland is AJCC staged while lacrimal sac is not (Summary Stage only). A schema discriminator is necessary to distinguish between these primary sites so that the appropriate system/schema is used. The lacrimal (also spelled lachrymal) gland is the only epithelial structure normally present within the orbit. Its composition is the same as epithelial salivary glands and AJCC TNM staging parallels that of the major salivary gland classification

Rationale

A schema discriminator is used to assign AJCC ID when site and histology alone are insufficient to identify the applicable AJCC staging method and to assign Schema ID, which links each case to the appropriate SSDIs, Grade, Summary Stage and EOD data collection system.

Additional Info

**Source documents:** pathology report, imaging

Notes

**Note:** **Schema Discriminator for C695** * A schema discriminator is used to discriminate between lacrimal gland and lacrimal sac tumors with primary site code C695: Lacrimal Gland. Code the site in which the tumor arose. * **Lacrimal Gland (see code 1)** * **Lacrimal Sac (see code 2)** * Histology is transitional cell carcinoma (8120/3, 8130/3) * Subsites include lacrimal sac, lacrimal duct (NOS), nasal lacrimal duct

Default

9

NAACCR Item

NAACCR #3926

Metadata

SSDI
Code Description Schema ID #/Description
1 Lacrimal gland 00690: Lacrimal Gland
2 Lacrimal sac Lacrimal duct, NOS Nasal lacrimal duct/sac Nasolacrimal duct 00698: Lacrimal Sac
9 Lacrimal, NOS 00698: Lacrimal Sac