EOD Regional Nodes

Notes

**Note 1:** Code only regional nodes and nodes, NOS, in this field. Distant nodes are coded in EOD Mets. **Note 2:** Regional lymph node metastases occur primarily in levels VI or VII located near the parathyroid.
Code Description SS2018 N
000 No regional lymph node involvement NONE
300 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 EOD Mets) - Esophageal groove - Paratracheal - below suprasternal notch - Pretracheal - below suprasternal notch RN
400 Unilateral, bilateral or contralateral nodes Level I - Level IA - Submental - Level IB - Submandibular (submaxillary), sublingual Level II - Upper jugular - Jugulodigastric (subdigastric) - Level IIA - Anterior - Level IIB - Posterior - Upper deep cervical 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 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 RN
800 Regional lymph node(s), NOS Lymph node(s), NOS RN
999 Unknown; regional lymph node(s) not stated Regional lymph node(s) cannot be assessed Not documented in patient record 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) Landry, C.S., Wang, T.S., Perrier, N.D., et al. **Parathyroid**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 903-910