EOD Mets
Notes
**Note:** Most pleural and pericardial effusions with lung cancer are due to tumor. In a few patients, however, multiple cytopathological examinations of pleural and/or pericardial fluid are negative for tumor, and the fluid is nonbloody and is not an exudate. Where these elements and clinical judgment dictate that the effusion is not related to the tumor, the effusion should be excluded as a staging element. Code 00 in the absence of any other metastasis.
| Code |
Description |
SS2018 M |
| 00 |
No distant metastasis
Unknown if distant metastasis |
NONE |
| 10 |
Pericardial effusion or pleural effusion (malignant) (ipsilateral, contralateral, bilateral, NOS)
Pleural tumor foci or nodules on ipsilateral lung (separate from direct extension) or contralateral lung
Pericardial nodules
Contralateral lung/main stem bronchus
Contralateral main stem bronchus
Separate tumor nodule(s) in contralateral lung |
D |
| 20 |
Single distant lymph node involved
- Cervical
- Distant lymph node, NOS |
D |
| 30 |
Single extrathoracic metastasis in a single organ |
D |
| 50 |
Multiple extrathoracic metastases in a single organ or in multiple organs
Abdominal organs
Skin of chest
Separate lesion in chest wall or diaphragm
Multiple distant lymph node(s)
- Cervical
- Distant lymph node(s), NOS
Carcinomatosis
Distant metastasis WITH or WITHOUT distant lymph node(s) |
D |
| 70 |
Distant metastasis, NOS |
D |
| 99 |
Death Certificate Only |
U |
(1) Fritz AG, Ries LAG (eds). **SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998)**, National Cancer Institute, NIH Pub. No. 98-2313, Bethesda, MD, 1998
(2) Young JL Jr, Roffers SD, Ries LAG, Fritz AG, Hurlbut AA (eds.). **SEER Summary Staging Manual-2000: Codes and Coding Instructions**, National Cancer Institute, NIH Pub. No. 01-4969, Bethesda, MD, 2001.
(3) Collaborative Stage Work Group of the American Joint Committee on Cancer. **Collaborative Stage Data Collection System User Documentation and Coding Instructions, version 02.05**. American Joint Committee on Cancer (Chicago, IL)
(4) Gress, D.M., Edge, S.B., Gershenwald, J.E., et al. **Principles of Cancer Staging**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 3-30
(5) Rami-Porta, R., Asamura, H., Travis, W.D., Rusch, V.W. **Lung**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 431-456
