Derived Summary Stage 2018: Ampulla of Vater

Derived Summary Stage 2018

Default

9

NAACCR Item

NAACCR #762
SS2018 Description
0 **In situ, intraepithelial, noninvasive**
1 **Localized only (localized, NOS)** - Ampulla of Vater - Confined to ampulla, NOS - Duodenal submucosa - Perisphincteric invasion (invasion beyond sphincter of Oddi) - Sphincter of Oddi
2 **Regional by direct extension only** - Blood vessel(s) (major) + Common hepatic artery + Portal vein + Superior mesenteric artery - Celiac axis - Common bile duct - Duodenum, NOS - Extrahepatic bile duct(s) - Gallbladder - Hepatic flexure of colon - Lesser omentum - Liver including porta hepatis - Muscularis propria of the duodenum (duodenal wall) - Pancreas - Stomach (distal, proximal, NOS) - Transverse colon
3 **Regional lymph node(s) involved only** - Anterior to ampulla of Vater - Inferior to ampulla of Vater - Posterior to ampulla of Vater - Superior to ampulla of Vater - Celiac - Hepatic - Hepatic artery - Lateral aortic (lumbar) - Node of foramen of the Winslow (epiploic) (omental) - Pancreaticoduodenal - Peripancreatic (excluding nodes at tail of pancreas) - Periportal (portal vein) - Proximal mesenteric - Pyloric (infrapyloric, subpyloric) - Retroperitoneal - 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 sites (including further contiguous extension) + Periduodenal or peripancreatic soft tissue - Distant lymph node(s), NOS + At tail of pancreas + Para-aortic + Splenic - Distant metastasis, NOS + Carcinomatosis + Distant mets WITH or WITHOUT distant lymph node(s)
9 Unknown if extension or metastasis