EOD Primary Tumor

Notes

**Note:** When both the Federation Internationale de Gynecologie et d'Obstetrique (FIGO) stage and extension information on the primary tumor are available, use the extension information to code primary tumor in preference to a statement of FIGO stage.
Code Description SS2018 T
000 In situ, intraepidermal, intraepithelial, noninvasive IS
100 Any size tumor confined to vagina - Musculature involved - Submucosa (stroma) (vagina) Localized, NOS FIGO Stage I L
300 Any size tumor invading - Cervix - Cul de sac (rectouterine pouch) - Parametrium - Paravaginal soft tissue - Rectovaginal septum - Vesicovaginal septum - Vulva RE
400 Tumor invading paravaginal soft tissues, NOS (size unknown) FIGO Stage II RE
500 Extension to lower third of the vagina (from proximal vagina) Bladder wall or bladder, NOS (excluding mucosa) “Frozen pelvis” (clinically diagnosed) Hydronephrosis or nonfunctioning kidney Pelvic sidewall - Fascia - Muscle - Neurovascular structures - Skeletal portions of bony pelvis Rectal wall or rectum, NOS excluding mucosa RE
600 FIGO Stage III [NOS] RE
700 Bladder mucosa (excluding bullous edema) Rectal mucosa Urethra Extension beyond true pelvis Further contiguous extension FIGO Stage IVA D
800 No evidence of primary tumor U
999 Unknown; extension not stated Primary tumor 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) **Introduction to Female Reproductive Organs**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 631 (6) Gibb, R.K., Olawaiye, A.B., Mutch, D.G., et al. **Vagina**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 641-647