Summary Stage 2018: Pharynx Other
Summary Stage 2018
Notes
**Pharynx Other**
8000-8700
C140, C142, C148
C140 Pharynx, NOS
C142 Waldeyer ring
C148 Overlapping lesion of lip, oral cavity
**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
**Note 2:** **Other Summary Stage Chapters with other Pharynx sites**
* **GIST**: 8935-8936
* **Kaposi Sarcoma**: 9140
* **Melanoma Head and Neck**: 8720-8790
* **Mycosis Fungoides**: 9700-9701
* **Soft Tissue Other**: 8992
* **Soft Tissue**: 8710-8714, 8800-8934, 8940-9138, 9141-9582
**Note 3:** **Only staging system**
* Summary Stage is the only applicable staging system for this site/histology/schema.
| SS2018 |
Description |
| 0 |
**In situ: noninvasive, intraepithelial** |
| 1 |
**Localized only (localized, NOS)**
- Invasive tumor confined to site of origin |
| 2 |
**Regional by direct extension only**
- Extension to adjacent structure(s)
- Fixation
- More than one region of pharynx involved
+ Hypopharynx
+ Nasopharynx
+ Oropharynx
- Pharynx and oral cavity involved |
| 3 |
**Regional lymph node(s) involved only**
- 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 code 7)
+ 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 |
| 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)
+ Meninges
- Distant lymph node(s), NOS
+ Mediastinal (excluding superior mediastinal node(s))
-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)
