Derived Summary Stage 2018: Cervix

Derived Summary Stage 2018

Default

9

NAACCR Item

NAACCR #762
SS2018 Description
0 In situ, intraepithelial, noninvasive - Cancer in situ WITH endocervical gland involvement - Cervical intraepithelial neoplasia (CIN) Grade III - Preinvasive
1 Localized only (localized, NOS) * Clinically visible lesion (macroscopic), including superficial invasion * Confined to cervix uteri or uterus, NOS, except corpus uteri, NOS (see code 2 for corpus uteri) + Not clinically visible or unknown if clinically visible * Measured stromal invasion less than 5 mm or less measured from the based of the epithelium AND horizontal spread of 7.0 mm or less FIGO Stage I (IA1, IA2, IA NOS, IB1, IB2, IB3, IB NOS, I NOS)
2 Regional by direct extension only * Bladder wall * Bladder, NOS excluding mucosa (see code 7 for bladder mucosa) * Bullous edema of bladder mucosa * Confined to corpus uteri, size, depth and horizontal spread unknown * Corpus uteri, NOS * Cul de sac (rectouterine pouch) * Fallopian tube(s) * "Frozen pelvis" (clinically described) * Hydronephrosis or nonfunctioning kidney * Invasion beyond uterus, NOS * Ligament(s) (broad, cardinal, uterosacral) * Ovary(ies) * Parametrial (paracervical soft tissue) invasion * Pelvic wall(s) * Rectal wall * Rectum, NOS excluding mucosa (see code 7 for rectal mucosa) * Upper two-thirds of vagina including fornices * Ureter (intra- and extramural) * Urethra * Vagina (lower third (not extending into pelvic wall), NOS) * Vaginal wall, NOS * Vulva FIGO Stage II (IIA, IIB, II NOS) FIGO Stage III (IIIA, IIIB, III NOS)
3 Regional lymph node(s) involved only - Para-aortic + Aortic + Lateral aortic/lateral lumbar + Periaortic - Pelvic + Iliac, NOS + Common + External + Internal (hypogastric) (obturator) + Paracervical + Parametrial + Sacral, NOS + Lateral (laterosacral) + Middle (promontorial) (Gerota's node) + Presacral + Uterosacral - Regional lymph node(s), NOS + Lymph node(s), NOS FIGO Stage IIIC (IIIC1, IIIC2, IIIC NOS) + Localized tumor WITH regional lymph node involvement
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) + Adnexa + Bladder mucosa + Peritoneal spread + Rectal mucosa + Sigmoid colon + Small intestine + Uterine serosa - Distant lymph node(s), NOS + Inguinal, NOS + Inguinofemoral (groin) + Node of Cloquet or Rosenmuller (highest deep inguinal) + Superficial inguinal89654 + Mediastinal + Scalene + Supraclavicular - Distant metastasis, NOS + Carcinomatosis + Distant metastasis WITH or WITHOUT distant lymph node(s) FIGO Stage IV (IVA, IVB, IV NOS)
9 Unknown if extension or metastasis