Derived Summary Stage 2018: Nasal Cavity and Paranasal Sinuses

Derived Summary Stage 2018

Default

9

NAACCR Item

NAACCR #762
SS2018 Description
0 In situ: noninvasive, intraepithelial
1 Localized only (localized, NOS) - Nasal Cavity (C300) + Confined to nasal cavity, NOS + Invasive tumor confined to one or more of the following subsites WITHOUT bony invasion * Floor * Lateral wall, including + Meatus (superior, middle, inferior) + Nasal conchae (superior, middle, inferior) * Septum * Vestibule (edge of naris to mucocutaneous junction) - Maxillary Sinus (C310) + Confined to maxillary sinus, NOS + Confined to mucosa of maxillary sinus (antrum) * WITHOUT erosion or destruction of bone - Ethmoid Sinus (C311) + Confined to ethmoid sinus * WITH or WITHOUT bony invasion (involvement of perpendicular plate of ethmoid bone or ethmoid air cells)
2 Regional by direct extension only - All sites + Adjacent organs/structures, NOS + Base of skull, NOS + Nasopharynx + Pterygoid plates - Nasal Cavity (C300) + Confined to one or more subsites listed in code 1 WITH bony invasion + Choana + Cribriform plate + Ethmoid sinus + Frontal sinus + Hard palate + Nasolacrimal duct + Palatine bone - Maxillary sinus (C310) + Bone erosion or destruction + Ethmoid sinuses (anterior, posterior, NOS) + Floor or medial wall of orbit + Floor or posterior wall of maxillary sinus + Frontal sinus + Hard palate + Infratemporal fossa + Maxilla, NOS + Middle nasal meatus + Nasal cavity (floor, lateral wall, septum, turbinates) + Orbital contents including eye + Palatine bone + Pterygoid fossa + Pterygomaxillary fossa + Soft palate + Subcutaneous tissues + Temporal fossa - Ethmoid Sinus (C311) + Confined to both ethmoid sinuses * WITH or WITHOUT bony invasion (involvement of perpendicular plate of ethmoid bone or ethmoid air cells) + Anterior cranial fossa (minimal extension) + Anterior orbital contents + Brain + Clivus + Cranial nerves (other than V2, maxillary division of trigeminal nerve) + Cribriform plate + Dura + Frontal sinus + Maxillary sinus + Medial wall or floor of orbit + Middle cranial fossa + Nasal cavity WITH or WITHOUT bony invasion, one or more subsites * Floor * Lateral wall - Meatus (superior, middle, inferior) - Nasal conchae (superior, middle, inferior) * Septum - Turbinates * Vestibule (edge of naris to mucocutaneous junction) + Orbital apex + Orbital plate + Skin of cheek + Skin of nose + Sphenoid sinus
3 Regional lymph node(s) involved only - Level I + Level IA - Submental + Level IB - Submandibular (submaxillary), sublingual - Level II - Upper jugular + Jugulodigastric (subdigastric) + Upper deep cervical + Level IIA - Anterior + Level IIB - Posterior - Level III - Middle jugular + Middle deep cervical - Level IV - Lower jugular + Jugulo-omohyoid (supraomohyoid) + Lower deep cervical + Virchow node - Level V - Posterior triangle group + Posterior cervical + Level VA - Spinal accessory + Level VB - Transverse cervical, supraclavicular - Level VI - Anterior compartment group + Laterotracheal + Paralaryngeal + Paratracheal - above suprasternal notch + Perithyroidal + Precricoid (Delphian) + Prelaryngeal + Pretracheal - above suprasternal notch + Recurrent laryngeal - Level VII - Superior mediastinal group (for other mediastinal node(s), see code 7) + Esophageal groove + Paratracheal - below suprasternal notch + Pretracheal - below suprasternal notch - Other groups + Cervical, NOS + Deep cervical, NOS + Facial * Buccinator (buccal) * Mandibular * Nasolabial + Internal jugular, NOS + Parapharyngeal + Parotid * Infraauricular * Intraparotid * Periparotid * Preauricular + Retroauricular (mastoid) + Retropharyngeal + Suboccipital - Regional lymph node(s), NOS + Lymph node(s)
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) + Nasal Cavity (C300) * Anterior cranial fossa (minimal extension) * Anterior orbital contents * Brain * Clivus * Cranial nerves (other than V2, maxillary division of trigeminal nerve) * Dura * Maxillary sinus * Medial wall or floor of orbit * Middle cranial fossa * Orbital apex * Orbital plate * Skin of cheek * Skin of nose * Sphenoid sinus + Ethmoid Sinus (C311) * Hard palate - Distant lymph node(s), NOS + Mediastinal (excluding superior mediastinal node(s), Level VII) - Distant metastasis, NOS + Carcinomatosis + Distant metastasis WITH or WITHOUT distant lymph node(s)
9 Unknown if extension or metastasis