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:** Splenic lymph nodes and those located at the tail of the pancreas are not regional and should be coded in EOD Mets.
**Note 3:** Regional lymph nodes include
- Anterior to ampulla of Vater
- Inferior to ampulla of Vater
- Posterior to ampulla of Vater
- Superior to ampulla of Vater
- Celiac
- Hepatic
- Hepatic artery
- Lateral aortic (lumbar)
- Node of foramen of Winslow (epiploic) (omental)
- Pancreaticoduodenal
- Peripancreatic (excluding nodes at tail of pancreas)
- Periportal (portal vein)
- Proximal mesenteric
- Pyloric (infrapyloric, subpyloric)
- Retroperitoneal
- Superior mesenteric
**Note 4:** Code 800 if regional lymph nodes are involved, but there is no indication which ones are involved.
| Code |
Description |
SS2018 N |
| 000 |
No regional lymph node involvement |
NONE |
| 300 |
1-3 positive regional lymph node(s) |
RN |
| 400 |
4 or more positive regional lymph nodes |
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 medical 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
(5) Herman, J.M., Pawlik, T.M., Vauthey, J.N., et al. **Ampulla of Vater**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017
