Summary Stage 2018: Testis

Summary Stage 2018

Notes

**Testis** 8000-8700, 8720-8790, 9061, 9064-9065, 9070-9071, 9080-9081, 9084-9085, 9100-9101, 9104-9105 C620-C621, C629 C620 Undescended testis C621 Descended testis C629 Testis, NOS **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 59 *Testis*, 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 Testis sites** * **GIST**: 8935-8936 * **Kaposi Sarcoma**: 9140 * **Mycosis Fungoides**: 9700-9701 * **Soft Tissue**: 8710-8714, 8800-8934, 8940-9060, 9062-9063, 9072-9073, 9082-9083, 9086-9091, 9102-9103, 9110-9138, 9141-9582

NAACCR Item

NAACCR #764

SS2018	Description
0	In situ, intraepithelial, noninvasive - Germ cell neoplasia in situ - Intratubular germ cell neoplasia
1	Localized only (localized, NOS) - WITH OR WITHOUT lymphovascular invasion + Body of testis + Rete testis + Surface implants (surface of tunica vaginalis) + Tunica albuginea + Tunica vaginalis involved + Tunica, NOS * Confined to testis, NOS + WITH or WITHOUT lymphovascular invasion
2	Regional by direct extension only Any of the following sites WITH or WITHOUT lymphovascular invasion * Dartos muscle, ipsilateral * Epididymis * Hilar soft tissue * Mediastinum (of testis) * Scrotum, ipsilateral * Spermatic cord, ipsilateral * Vas deferens * Visceral mesothelial layer
3	Regional lymph node(s) involved only - Lymph nodes WITH or WITHOUT previous scrotal or inguinal surgery + Aortic, NOS * Lateral (lumbar) * Para-aortic * Periaortic * Preaortic * Retroaortic + Pericaval, NOS * Interaortocaval * Paracaval * Precaval * Retrocaval + Retroperitoneal, NOS + Spermatic vein + Regional lymph node(s), NOS * Lymph node(s), NOS - Lymph nodes WITH previous scrotal or inguinal surgery + External iliac + Inguinal node(s), NOS * Deep, NOS * Node of Cloquet or Rosenmuller (highest deep inguinal) * Superficial (femoral) + Pelvic, 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 (suprarenal gland) + Kidney + Penis + Retroperitoneum + Scrotum, contralateral + Testis, bilateral + Ulceration of scrotum - Distant lymph node(s), NOS + Lymph nodes WITHOUT previous scrotal or inguinal surgery or UNKNOWN if previous scrotal or inguinal surgery * External iliac * Inguinal nodes, NOS + Deep, NOS + Node of Cloquet or Rosenmuller (highest deep inguinal) + Superficial (femoral) * Pelvic - 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) Brimo, F., Srigley, J.R., Lin, D.W., et al. **Testis**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017

SS2018	Description
0	In situ, intraepithelial, noninvasive - Germ cell neoplasia in situ - Intratubular germ cell neoplasia
1	Localized only (localized, NOS) - WITH OR WITHOUT lymphovascular invasion + Body of testis + Rete testis + Surface implants (surface of tunica vaginalis) + Tunica albuginea + Tunica vaginalis involved + Tunica, NOS * Confined to testis, NOS + WITH or WITHOUT lymphovascular invasion
2	Regional by direct extension only Any of the following sites WITH or WITHOUT lymphovascular invasion * Dartos muscle, ipsilateral * Epididymis * Hilar soft tissue * Mediastinum (of testis) * Scrotum, ipsilateral * Spermatic cord, ipsilateral * Vas deferens * Visceral mesothelial layer
3	Regional lymph node(s) involved only - Lymph nodes WITH or WITHOUT previous scrotal or inguinal surgery + Aortic, NOS * Lateral (lumbar) * Para-aortic * Periaortic * Preaortic * Retroaortic + Pericaval, NOS * Interaortocaval * Paracaval * Precaval * Retrocaval + Retroperitoneal, NOS + Spermatic vein + Regional lymph node(s), NOS * Lymph node(s), NOS - Lymph nodes WITH previous scrotal or inguinal surgery + External iliac + Inguinal node(s), NOS * Deep, NOS * Node of Cloquet or Rosenmuller (highest deep inguinal) * Superficial (femoral) + Pelvic, 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 (suprarenal gland) + Kidney + Penis + Retroperitoneum + Scrotum, contralateral + Testis, bilateral + Ulceration of scrotum - Distant lymph node(s), NOS + Lymph nodes WITHOUT previous scrotal or inguinal surgery or UNKNOWN if previous scrotal or inguinal surgery * External iliac * Inguinal nodes, NOS + Deep, NOS + Node of Cloquet or Rosenmuller (highest deep inguinal) + Superficial (femoral) * Pelvic - Distant metastasis, NOS + Carcinomatosis + Distant metastasis WITH or WITHOUT distant lymph node(s)
9	Unknown if extension or metastasis