Summary Stage 2018: Penis

Summary Stage 2018

Notes

**Penis** 8000-8040, 8042-8180, 8191-8246, 8248-8700, 8940-8960, 8965-8983, 9000, 9050-9111, 9270, 9300-9312, 9340-9363, 9380-9539, 9541 C600-C602, C608-C609 C600: Prepuce C601: Glans penis C602: Body of penis C608: Overlapping lesion of penis C609: Penis, 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 57 *Penis*, 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 Penis sites** * **GIST**: 8935-8936 * **Kaposi Sarcoma**: 9140 * **Melanoma Skin**: 8720-8790 * **Merkel Cell Skin**: 8041, 8190, 8247: *Merkel Cell Skin* * **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 **Note 3:** **Verrucous carcinoma** * Code 0 if a verrucous carcinoma is described as noninvasive or as having a broad pushing border or penetration. * If there is destructive invasion of verrucous carcinoma into structures in code 1 or greater, assign the appropriate higher code

NAACCR Item

NAACCR #764

SS2018	Description
0	In situ, intraepithelial, noninvasive * Bowen disease * Carcinoma in situ (Penile intraepithelial neoplasia [PeIN]) * Erythroplasia of Queyrat * Noninvasive localized squamous cell carcinoma * Noninvasive verrucous carcinoma * Verrucous carcinoma, NOS
1	Localized only (localized, NOS) * Confined to penis - WITH or WITHOUT perineural and/or lymphovascular invasion * Dartos fascia (foreskin) * Dermis (foreskin) * Lamina propria (glans and foreskin) * Subepithelial connective tissue (shaft) * Verrucous carcinoma, NOS
2	Regional by direct extension only * Corpus (cavernosum or spongiosum, including tunica albuginea) - WITH or WITHOUT urethral invasion * Muscle, NOS - Bulbospongiosus - Ischiocavernosus - Superficial transverse perineal * Prostate * Pubic bone * Scrotum * Skin (abdominal, perineum)
3	Regional lymph node(s) involved only * Iliac, NOS - External - Internal (hypogastric, obturator) + Inguinal, NOS + Node of Cloquet or Rosenmuller (highest deep inguinal) + Superficial [femoral] - Pelvic, NOS * 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) - Testis * Distant lymph node(s), NOS * 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) Pettaway, C.A., Srigley, J.R., Amin, M.B., et al. **Penis**. 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 * Bowen disease * Carcinoma in situ (Penile intraepithelial neoplasia [PeIN]) * Erythroplasia of Queyrat * Noninvasive localized squamous cell carcinoma * Noninvasive verrucous carcinoma * Verrucous carcinoma, NOS
1	Localized only (localized, NOS) * Confined to penis - WITH or WITHOUT perineural and/or lymphovascular invasion * Dartos fascia (foreskin) * Dermis (foreskin) * Lamina propria (glans and foreskin) * Subepithelial connective tissue (shaft) * Verrucous carcinoma, NOS
2	Regional by direct extension only * Corpus (cavernosum or spongiosum, including tunica albuginea) - WITH or WITHOUT urethral invasion * Muscle, NOS - Bulbospongiosus - Ischiocavernosus - Superficial transverse perineal * Prostate * Pubic bone * Scrotum * Skin (abdominal, perineum)
3	Regional lymph node(s) involved only * Iliac, NOS - External - Internal (hypogastric, obturator) + Inguinal, NOS + Node of Cloquet or Rosenmuller (highest deep inguinal) + Superficial [femoral] - Pelvic, NOS * 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) - Testis * Distant lymph node(s), NOS * Distant metastasis, NOS - Carcinomatosis - Distant metastasis WITH or WITHOUT distant lymph node(s)
9	Unknown if extension or metastasis