Derived Summary Stage 2018: Liver

Derived Summary Stage 2018

Default

9

NAACCR Item

NAACCR #762
SS2018 Description
0 In situ: noninvasive, intraepithelial
1 Localized only (localized, NOS) - Confined to liver, NOS - Single tumor (one lobe) WITH or WITHOUT vascular invasion - Multiple (satellite) nodules/tumor confined to one lobe WITH or WITHOUT vascular invasion
2 Regional by direct extension only - Diaphragm - Extrahepatic bile duct(s) - Extrahepatic blood vessel(s) + Hepatic artery + Portal vein + Vena cava - Gallbladder - Ligament(s) + Coronary + Falciform + Hepatoduodenal + Hepatogastric + Round (of liver) + Triangular - Omentum (lesser and omentum, NOS) (See code 7 for greater omentum) - Peritoneum, NOS + Parietal + Visceral - Major vascular invasion, NOS - More than one lobe involved by contiguous growth (single lesion) + WITH or WITHOUT vascular invasion - Multiple (satellite) nodules/ tumors in more than one lobe of liver or on surface of parenchyma + WITH or WITHOUT vascular invasion
3 Regional lymph node(s) involved only - Caval - Hepatic, NOS + Hepatic artery + Hepatic pedicle + Inferior vena cava + Porta hepatis (portal) (hilar) [in hilus of liver]Hepatoduodenal ligament - Periportal - Portal vein - 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) + Greater omentum (See code 2 for lesser omentum and omentum, NOS) + Pancreas + Pleura + Stomach - Distant lymph node(s), NOS + Aortic (para-aortic, periaortic) + Cardiac + Coronary artery + Diaphragmatic, NOS + Inferior phrenic nodes + Lateral (aortic) (lumbar) + Pericardial (pericardiac) + Peripancreatic (near head of pancreas only) + Posterior mediastinal (tracheoesophageal) including juxtaphrenic nodes + Renal artery + Retroperitoneal, NOS - Distant metastasis, NOS + Carcinomatosis + Distant metastasis WITH or WITHOUT distant lymph node(s)
9 Unknown if extension or metastasis