Summary Stage 2018: Testis

Summary Stage 2018

Notes

**Testis** 8000-8700, 8720-8790, 8940-8960, 8965-8983, 9000, 9050-9111, 9270, 9300-9312, 9340-9363, 9380-9539, 9541 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, 8963-8964, 8990-8992, 9010-9045, 9120-9138, 9141-9262, 9271-9290, 9320-9330, 9364-9373, 9540, 9542-9582

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