Derived Summary Stage 2018: Melanoma Skin

Derived Summary Stage 2018

Default

9

NAACCR Item

NAACCR #762
SS2018 Description
0 In situ, intraepithelial, noninvasive - Basement membrane of the epidermis is intact - In situ, intraepidermal, intraepithelial, noninvasive + Clark level I
1 Localized only (localized, NOS) - Papillary dermis invaded + Clark level II - Papillary-reticular dermal interface invaded + Clark level III - Reticular dermis invaded + Clark level IV - Skin/dermis, NOS
2 Regional by direct extension only - Subcutaneous tissue (through entire dermis) + Clark level V
3 Regional lymph node(s) involved only - All sites (Single, Multiple, Ipsilateral) (See Code 7 for contralateral or bilateral nodes (except for head and neck skin primaries)) + Isolated tumor cells (ITCs) WITH or WITHOUT regional lymph node involvement + In-transit, satellite, and/or microsatellite metastasis WITH or WITHOUT regional lymph node involvement + Regional lymph node(s), NOS * Lymph node(s), NOS - Head and Neck skin primaries only (C000-C002, C006, C440, C442-C444) (includes contralateral and bilateral nodes) + Levels I-VII + Axillary (neck only, C444) + Cervical, NOS + Deep cervical, NOS + Facial (buccinator, buccal, nasolabial) + Internal jugular, NOS + Parapharyngeal + Parotid (infraauricular, intraparotid, periparotid, preauricular) + Retroauricular (mastoid) + Retropharyngeal + Suboccipital - Skin of trunk (C445) + Upper trunk * Axillary * Cervical * Internal mammary * Supraclavicular + Lower trunk * Superficial inguinal (femoral) - Skin of upper limb and shoulder (C446) + Axillary + Cervical + Epitrochlear for hand/forearm + Internal mammary (parasternal) + Spinal accessory for shoulder + Supraclavicular (transverse cervical) - Skin of lower limb and hip (C447) + Femoral (superficial inguinal) + Inguinal + Popliteal for heel and calf - Vulva (C510-C512, C518-C519) + Deep inguinal, NOS + Femoral + Inguinal, NOS + Inguinofemoral (groin) + Node of Cloquet or Rosenmuller (highest deep inguinal) + Superficial inguinal (femoral) - Penis (C600-C602, C608-C609) + Iliac, NOS * External * Internal (hypogastric, obturator) + Inguinal, NOS * Node of Cloquet or Rosenmuller (highest deep inguinal) * Superficial [femoral] + Pelvic, NOS - Scrotum (C632) + Iliac, NOS * External * Internal (hypogastric), NOS - Obturator + Inguinal, NOS * Deep inguinal, NOS - Node of Cloquet or Rosenmuller (highest deep inguinal) * Superficial inguinal (femoral)
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) + Bone + Central nervous system (CNS) + Lung + Skeletal muscle (including direct extension) + Skin or subcutaneous tissue beyond regional lymph nodes + Underlying cartilage + Visceral metastasis, NOS - Distant lymph node(s), NOS + Axillary (lower trunk) + Femoral (cephalad/caudal) (upper trunk) + Iliac (leg/hip) - Distant metastasis, NOS + Carcinomatosis + Distant metastasis WITH or WITHOUT distant lymph node(s)
9 Unknown if extension or metastasis