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:** **Hepatoduodenal and Pancreaticoduodenal lymph nodes**
* Per AJCC, Hepatoduodenal and Pancreaticoduodenal nodes are regional for all subsites of the stomach. Previously they were regional only for the lesser curvature and greater curvature.
**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 |
Celiac artery
Common hepatic artery
Hepatic, NOS
Left gastric (superior gastric), NOS
- Cardial, NOS
- Cardioesophageal
- Gastric artery
- Gastric, left
- Gastrohepatic
- Gastropancreatic, left
- Lesser curvature
- Lesser omentum
- Paracardial
Pancreaticosplenic (pancreaticolineal)
Perigastric, NOS
Peripancreatic
Pyloric, NOS
- Infrapyloric (subpyloric)
- Suprapyloric
Right gastric (inferior gastric, NOS)
- Gastrocolic
- Gastroduodenal
- Gastroepiploic (gastro-omental), right or NOS
- Gastrohepatic
- Greater curvature
- Greater omentum
- Pancreaticoduodenal
Splenic (lineal), NOS
- Gastroepiploic (gastro-omental), left
- Splenic hilar/hilum
Nodule(s) in perigastric fat |
RN |
| 700 |
Hepatoduodenal and Pancreaticoduodenal lymph nodes (See Note 2)
* All subsites of stomach |
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) Woltering, E.A., Bergsland, E.K., et al. **Neuroendocrine Tumors of the Stomach**. In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (Eds.) AJCC Cancer Staging Manual. 8th Ed. New York: Springer; 2017
(6) **Neuroendocrine Tumors of the Stomach,** from the AJCC Cancer Staging System Version 9 (2023). Used with permission of the American College of Surgeons, Chicago, Illinois.
