EOD Mets

Notes

**Note:** For cases with positive metastases, Serum LDH is an additional data item that is predictor of survival outcome. * Serum LDH is coded in data item LDH (Lactate Dehydrogenase) Pretreatment Level [#3869]

Code	Description	SS2018 M
00	No distant metastasis Unknown if distant metastasis	NONE
10	Distant lymph node(s), NOS - Axillary (lower trunk) - Femoral (cephalad/caudal) (upper trunk) - Iliac (leg/hip)	D
20	Bone Skeletal muscle (excluding direct extension) Skin or subcutaneous tissue beyond regional lymph nodes Underlying cartilage WITH or WITHOUT distant lymph node(s) (code 10)	D
30	Lung WITH or WITHOUT metastasis in codes 10 or 20	D
50	Distant metastasis to non-CNS visceral sites Visceral metastasis, NOS WITH or WITHOUT metastasis to sites in codes 10, 20 or 30 Carcinomatosis	D
60	CNS Metastasis WITH or WITHOUT metastasis in codes 10, 20, 30, or 50	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) Gershenwald, J.E., Scolyer, R.A., et al. **Melanoma of the Skin**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017: 563-585