Summary Stage 2018: Ampulla of Vater

Summary Stage 2018

Notes

**Ampulla of Vater** 8000-8700, 8720-8790 C241 C241 Ampulla of Vater **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 27 *Ampulla of Vater*, 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. * Chapter 30 *Neuroendocrine Tumors of the Duodenum and Ampulla of Vater*, 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. * *Neuroendocrine Tumors of the Duodenum and Ampulla of Vater*, from the AJCC Cancer Staging System Version 9 (2023). Used with permission of the American College of Surgeons, Chicago, Illinois. **Note 2:** **Other Summary Stage Chapters with Ampulla of Vater 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, intraepithelial, noninvasive**
1 **Localized only (localized, NOS)** - Ampulla of Vater - Confined to ampulla, NOS - Duodenal submucosa - Perisphincteric invasion (invasion beyond sphincter of Oddi) - Sphincter of Oddi
2 **Regional by direct extension only** - Blood vessel(s) (major) + Common hepatic artery + Portal vein + Superior mesenteric artery - Celiac axis - Common bile duct - Duodenum, NOS - Extrahepatic bile duct(s) - Gallbladder - Hepatic flexure of colon - Lesser omentum - Liver including porta hepatis - Muscularis propria of the duodenum (duodenal wall) - Pancreas - Stomach (distal, proximal, NOS) - Transverse colon
3 **Regional lymph node(s) involved only** - Anterior to ampulla of Vater - Inferior to ampulla of Vater - Posterior to ampulla of Vater - Superior to ampulla of Vater - Celiac - Hepatic - Hepatic artery - Lateral aortic (lumbar) - Node of foramen of the Winslow (epiploic) (omental) - Pancreaticoduodenal - Peripancreatic (excluding nodes at tail of pancreas) - Periportal (portal vein) - Proximal mesenteric - Pyloric (infrapyloric, subpyloric) - Retroperitoneal - Superior mesenteric - 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 sites (including further contiguous extension) + Periduodenal or peripancreatic soft tissue - Distant lymph node(s), NOS + At tail of pancreas + Para-aortic + Splenic - Distant metastasis, NOS + Carcinomatosis + Distant mets 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) Herman, J.M., Pawlik, T.M., Vauthey, J.N., et al. **Ampulla of Vater**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017 (6) Bergsland, E.K., Woltering, E.A., Klimstra, D.S., et al. **Neuroendocrine Tumors of the Duodenum and Ampulla of Vater**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017 (7) **Neuroendocrine Tumors of the Duodenum and Ampulla of Vater,** from the AJCC Cancer Staging System Version 9 (2023). Used with permission of the American College of Surgeons, Chicago, Illinois.