EOD Mets
Notes
**Note:** Distant lymph node(s) for Colon, Rectum and Rectosigmoid include
**Colon**
- Iliac (common, external)
- Inferior mesenteric (cecum, ascending colon, hepatic flexure, transverse colon)
- Para-aortic
- Retroperitoneal
- Superior mesenteric
**Rectosigmoid/Rectum**
- Colic (left) (rectum)
- Hemorrhoidal, inferior (rectosigmoid)
- Iliac (common, external)
- Internal iliac (hypogastric), NOS (rectosigmoid)
- Obturator (rectosigmoid)
- Rectal, inferior (rectosigmoid)
- Superior mesenteric
| Code |
Description |
SS2018 M |
| 00 |
No distant metastasis
Unknown if distant metastasis |
NONE |
| 10 |
SINGLE distant lymph node chain |
D |
| 20 |
SINGLE distant organ (except peritoneum) |
D |
| 30 |
Metastasis to MULTIPLE distant lymph node chains
WITH or WITHOUT single distant organ (except peritoneum) |
D |
| 40 |
MULTIPLE distant organs (excluding peritoneum)
WITH or WITHOUT distant lymph node(s) |
D |
| 50 |
Peritoneal surface metastasis (peritoneum)
WITH or WITHOUT distant lymph node(s) or distant organ(s)
Carcinomatosis |
D |
| 70 |
Distant lymph node(s), NOS
- Not specified as single or multiple chains
Distant metastasis, NOS
- Not specified as single or multiple organs, or peritoneum |
D |
| 99 |
Death Certificate Only |
U |
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(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) Jessup, J.M., Goldberg, R.M., et al. **Colon and Rectum**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 251-274
