Derived Summary Stage 2018: Vagina

Derived Summary Stage 2018

Default

9

NAACCR Item

NAACCR #762
SS2018 Description
0 In situ: noninvasive, intraepithelial
1 Localized only (localized, NOS) * Confined to vagina * Musculature involved * Submucosa (stroma) (vagina) FIGO Stage I
2 Regional by direct extension only + Bladder wall or bladder, NOS (excluding mucosa) + Cervix + Cul de sac (rectouterine pouch) + Extension to lower third of the vagina (from proximal vagina) + "Frozen pelvis" (clinically diagnosed) + Hydronephrosis or nonfunctioning kidney + Parametrium + Paravaginal soft tissue + Pelvic wall * Fascia * Muscle * Neurovascular structures * Skeletal portions of bony pelvis + Rectal wall or rectum, NOS excluding mucosa + Rectovaginal septum + Vesicovaginal septum + Vulva FIGO Stage II FIGO Stage III WITHOUT lymph node involvement
3 Regional lymph node(s) involved only - Lower third of vagina (ipsilateral and bilateral) + Femoral + Inguinal, NOS + Inguinofemoral (groin) + Node of Cloquet or Rosenmuller (highest deep inguinal) + Superficial inguinal - Upper two thirds of vagina + Pelvic, NOS + 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 III * 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) * Bladder mucosa (excluding bullous edema) * Extension beyond true pelvis * Rectal mucosa * Urethra - Distant lymph node(s), NOS + All sites + Mediastinal + Para-aortic, NOS + Aortic + Lateral aortic/lateral lumbar + Periaortic + Retroperitoneal, NOS + Scalene + Lower third of vagina (ipsilateral and bilateral) + Pelvic, NOS + Iliac, NOS + Common + External + Internal (hypogastric) (obturator) + Paracervical + Parametrial + Sacral, NOS + Lateral (laterosacral) + Middle (promontorial) (Gerota's node) + Presacral + Uterosacral + Upper two thirds of vagina + Femoral + Inguinal, NOS + Inguinofemoral (groin) + Node of Cloquet or Rosenmuller (highest deep inguinal) + Superficial inguinal - 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