Summary Stage 2018: Gallbladder
Summary Stage 2018
Notes
**Gallbladder**
8000-8700, 8720-8790, 8940-8960, 8965-8983, 9000, 9050-9111, 9270, 9300-9312, 9340-9363, 9380-9539, 9541
C239: Gallbladder
**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 24 *Gallbladder*, 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 Gallbladder sites**
* **GIST**: 8935-8936
* **Kaposi Sarcoma**: 9140
* **Mycosis Fungoides**: 9700-9701
* **Soft Tissue**: 8710-8714, 8800-8934, 8963-8964, 8990-8992, 9010-9045, 9120-9138, 9141-9262, 9271-9290, 9320-9330, 9364-9373, 9540, 9542-9582
| SS2018 |
Description |
| 0 |
**In situ: noninvasive, intraepithelial** |
| 1 |
**Localized only (localized, NOS)**
* Confined to gallbladder, NOS
* Lamina propria
* Mucosa, NOS
* Muscularis propria (layer)
* Submucosa (superficial invasion) |
| 2 |
**Regional by direct extension only**
* Ampulla of Vater
* Branch(es) of hepatic artery (right or left)
* Branch(es) of portal vein (right or left)
* Duodenum
* Extrahepatic bile duct(s)
* Liver, less than or equal to 2 cm OR distance not stated
* Omentum (greater, lesser, NOS)
* Pancreas
* Perimuscular connective tissue (peritoneal and hepatic side)
* Serosa (visceral peritoneum)
* Small intestine, NOS |
| 3 |
**Regional lymph node(s) involved only**
* Celiac artery
* Cystic duct (Calot's node)
* Hepatic artery
* Node of foramen of Winslow (omental) (epiploic)
* Pancreaticoduodenal
* Pericholedochal (common bile duct)
* Periduodenal
* Peripancreatic (near head of pancreas only)
* Porta hepatis (portal) (periportal) (hilar) (in hilus of liver)
* Portacaval
* Portal vein
* Retroperitoneal, NOS
* 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 site(s) (including further contiguous extension)
- Abdominal wall
- Colon
- Cystic artery/vein
- Diaphragm
- Hepatic artery (common, NOS)
- Liver, greater than 2 cm
- Portal vein (main, NOS)
- Stomach
- Two or more extrahepatic organs or structures
* Distant lymph node(s), NOS
- Para-aortic
- Pericaval
- Peripancreatic (along body and tail of pancreas only)
* 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) Zhu, A.X., Pawlik, T.M., Vauthey, J.N., et al. **Gallbladder**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017
