EOD Regional Nodes
Notes
**Note 1:** **Regional nodes and nodes, NOS**
* Code only regional nodes and nodes, NOS, in this field.
* Distant nodes are coded in EOD Mets.
**Note 2:** **"Vocal cord paralysis" or "Superior vena cava syndrome"**
* "Vocal cord paralysis," "superior vena cava syndrome," and "compression of the trachea or the esophagus" are classified as either direct extension from the primary tumor or mediastinal lymph node involvement
* **Caused by direct extension of the primary tumor**
* Code as primary tumor involvement (EOD Primary Tumor, code 650)
* **Primary tumor is peripheral and clearly unrelated to vocal cord paralysis, SVC obstruction, or compression of the trachea, or the esophagus**
* These manifestations are secondary to lymph node involvement; code as mediastinal lymph node involvement (EOD Lymph Nodes, code 400)
* **Unable to determine if manifestations due to direct extension or mediastinal lymph node involvement**
* Record as mediastinal lymph node involvement (EOD Lymph Nodes, code 400)
**Note 3:** **Lymph nodes, NOS**
* 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 |
IPSILATERAL NODES ONLY, HILAR, BRONCHIAL
Bronchial
- Peri/parabronchial
Hilar (bronchopulmonary) (proximal lobar) (pulmonary root)
Intrapulmonary
- Interlobar
- Lobar
- Segmental
- Subsegmental |
RN |
| 400 |
IPSILATERAL NODES ONLY, MEDIASTINAL
Carinal (tracheobronchial) (tracheal bifurcation)
Mediastinal, ipsilateral or NOS
- Anterior
- Aortic (above diaphragm), NOS
+ Peri/para-aortic, NOS
* Ascending aorta (phrenic)
+ Subaortic (aortic-pulmonary window)
- Inferior mediastinal
+ Paraesophageal
+ Pulmonary ligament
+ Subcarinal
- Periesophageal
- Pericardial
- Posterior (tracheoesophageal)
- Precarinal
- Pretracheal, NOS
- Superior mediastinal
+ Paratracheal (left, right, upper, low, NOS)
- Azygos (lower paratracheal)
+ Prevascular
+ Retrotracheal |
RN |
| 600 |
IPSILATERAL or CONTRALATERAL
Low cervical
Proximal root
Scalene (inferior deep cervical)
Sternal notch
Supraclavicular (transverse cervical) |
D |
| 700 |
CONTRALATERAL OR BILATERAL
Hilar/Bronchial
* Bronchial (peri/parabronchial)
* Bronchopulmonary
* Interlobar
* Lobar
* Proximal lobar
* Pulmonary root
* Segmental
* Subsegmental
Superior mediastinal
+ Paratracheal (left, right, upper, low, NOS)
- Azygos (lower paratracheal) |
D |
| 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) Rami-Porta, R., Asamura, H., Travis, W.D., Rusch, V.W. **Lung**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017
