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