| 0 |
In situ: noninvasive, intraepithelial |
| 1 |
Localized only (localized, NOS)
- Confined (limited) to the kidney, NOS
- Invasion of renal capsule
- Invasive cancer confined to kidney cortex and/or medulla |
| 2 |
Regional by direct extension only
- Adrenal gland (ipsilateral) (contiguous involvement)
- Ascending colon from right kidney
- Beyond Gerota's fascia, NOS
- Blood vessel(s) (major)
+ Extrarenal portion of renal vein or segmental (muscle containing branches)
+ Hilar blood vessel
+ Inferior vena cava
+ Perirenal vein/fat
+ Renal artery
+ Renal vein, NOS/sinus fat
+ Tumor thrombus in a renal vein, NOS
- Descending colon from left kidney
- Diaphragm
- Duodenum from right kidney
- Pelvicalyceal system
- Perinephric tissue
- Peritoneum
- Psoas muscle
- Quadratus lumborum muscle
- Renal pelvis or calyces involved
- Retroperitoneal soft tissue
- Separate focus of tumor in renal pelvis/calyx
- Tail of pancreas
- Ureter (ipsilateral), including implant(s) |
| 3 |
Regional lymph node(s) involved only
- Aortic, NOS
+ Lateral (lumbar)
+ Para-aortic
+ Periaortic
+ Preaortic
+ Retroaortic
- Caval, NOS
+ Interaortocaval
+ Paracaval
+ Pericaval
+ Precaval
+ Retrocaval
- Renal hilar
- Retroperitoneal, 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)
+ Adrenal gland (ipsilateral) (noncontiguous involvement) (see EOD Primary Tumor for contiguous involvement)
+ Adrenal gland (contralateral)
+ Aorta
+ Contralateral kidney
+ Contralateral ureter
+ Liver
+ Ribs
+ Spleen
+ Stomach
- Distant lymph node(s), NOS
- Distant metastasis, NOS
+ Carcinomatosis
+ Distant metastasis WITH or WITHOUT distant lymph node(s) |
| 9 |
Unknown if extension or metastasis |
