Bone

Primary Site Histology Staging Type
C400-C403, C408-C414, C418-C419 8000-8799, 9141, 9700-9701 Summary Stage only
C400-C403, C408-C414, C418-C419 8800-9136, 9142-9582 TNM 7 and Summary Stage

If you are working with a site/histology that only summary stages and you need to directly code it, please use the SEER Summary Stage 2000 manual

Notes

C400 Long bones of upper limb, scapula and associated joints C401 Short bones of upper limb and associated joints C402 Long bones of lower limb and associated joints C403 Short bones of lower limb and associated joints C408 Overlapping lesion of bones, joints and articular cartilage of limbs C409 Bone of limb, NOS C410 Bones of skull and face and associated joints (excludes mandible C411) C411 Mandible C412 Vertebral column (excludes sacrum and coccyx C414) C413 Rib, sternum, clavicle and associated joints C414 Pelvic bones, sacrum, coccyx and associated joints C418 Overlapping lesion of bones, joints and articular cartilage C419 Bone, NOS **Note 1:** This schema is based on the UICC chapter *Bone,* pages 153-156. **Note 2:** Laterality must be coded for C400-C403, and C413-C414. * For sternum, sacrum, coccyx, and symphysis pubis, laterality is coded 0 **Note 3:** In addition to directly assigning TNM, Summary Stage 2000 (SS2000) must be captured. If directly assigning SS2000, use the *Bones, Joints, and Articular Cartilage* chapter on page 168 of the [SS2000 on-line manual](https://seer.cancer.gov/tools/ssm/ssm2000/SSSM2000-122012.pdf#page=168).

Main Data Items

Name Default Value Used for Staging NAACCR Item Required By Metadata
Grade <BLANK> Yes NAACCR #440
grade 		None
Clinical T <BLANK> Yes NAACCR #940
tnmClinT 		None
Clinical N <BLANK> Yes NAACCR #950
tnmClinN 		None
Clinical M <BLANK> Yes NAACCR #960
tnmClinM 		None
TNM Clin Stage Group 99 Yes NAACCR #970
tnmClinStageGroup 		None
Pathologic T <BLANK> Yes NAACCR #880
tnmPathT 		None
Pathologic N <BLANK> Yes NAACCR #890
tnmPathN 		None
Pathologic M <BLANK> Yes NAACCR #900
tnmPathM 		None
TNM Path Stage Group 99 Yes NAACCR #910
tnmPathStageGroup 		None
SSF1: Tumor Size - Second Largest Dimension 988 No NAACCR #2880
csSiteSpecificFactor1 		None None
SSF2: Tumor Size - Third Largest Dimension 988 No NAACCR #2890
csSiteSpecificFactor2 		None None
SSF3: Percent Necrosis Post Neoadjuvant Chemotherapy 988 No NAACCR #2900
csSiteSpecificFactor3 		CCCR/Canada
COC		 None
SSF4: Resected Pulmonary Metastasis 988 No NAACCR #2910
csSiteSpecificFactor4 		None None

Additional Data Items

Name Default Value Used for Staging NAACCR Item Required By Metadata
Year of Diagnosis <BLANK> No NAACCR #390
dateOfDiagnosis 		None
Primary Site <BLANK> Yes NAACCR #400
primarySite 		None
Histology <BLANK> Yes NAACCR #522
histologicTypeIcdO3 		None
RX Summ Systemic/Surgery Sequence <BLANK> Yes NAACCR #1639
rxSummSystemicSurSeq 		None
RX Summ Surgery/Radiation Sequence <BLANK> Yes NAACCR #1380
rxSummSurgRadSeq 		None
Regional Nodes Positive <BLANK> Yes NAACCR #820
regionalNodesPositive 		None

Initial Context

Staging Methods

Expand All | Collapse All

TNM 7 Stage

Inclusion Table

Histology
8800-9136
9142-9582

Start

Additional Context
Pathologic Stage Group = 90
Clinical Stage Group = 90

Next Step

  2. Parse T
  3. clin_t_prefix
    tmp_clin_t

Next Step

  2. Parse N
  3. clin_n_prefix
    tmp_clin_n

Next Step

  2. Parse M
  3. tmp_clin_m
    clin_m_prefix

Next Step

  2. Parse T
  3. tmp_path_t
    path_t_prefix

Next Step

  2. Parse N
  3. tmp_path_n
    path_n_prefix

Next Step

  2. Parse M
  3. tmp_path_m
    path_m_prefix

Next Step

  2. Determine Default T
  3. Source T
    tmp_path_t
    tmp_clin_t
    tmp_combined_t

Next Step

  2. Determine Default N
  3. tmp_combined_n
    tmp_clin_n
    tmp_path_n
    Source N

Next Step

  2. Determine Default M
  3. tmp_path_m
    tmp_combined_m
    tmp_clin_m
    Source M

Next Step

  2. Histologies Stage
  3. stage_table
    Clinical Stage Group

Next Step

  2. Histologies Path Stage
  3. stage_table
    Pathologic Stage Group

Next Step

  2. Adjustments for No Clin or No Path
  3. tmp_combined_n
    tmp_combined_m
    Source T
    Clinical Stage Group
    Pathologic Stage Group
    Source N
    tmp_combined_t
    Source M

End

Combined Stage

Inclusion Table

Histology
8800-9136
9142-9582

Start

Additional Context
Combined Stage Group = 90
Combined N = 90
Combined M = 90
Combined T = 90

Next Step

  2. Stop if No Clin and No Path
  3. Combined M
    Combined N
    Source T
    tmp_continue
    Combined T
    Combined Stage Group
    Source N
    Source M

Next Step

  2. Combined T No Tis
  3. Source T
    tmp_combined_t

Next Step

  2. Combined N No Tis, Path N=cN0 allowed
  3. tmp_combined_n
    Source N

Next Step

  2. Combined M
  3. tmp_combined_m
    tmp_source_m
    Source M

Next Step

  2. Determine Combined Prefix
  3. cmb_t_prefix

Next Step

  2. Determine Combined Prefix
  3. cmb_n_prefix

Next Step

  2. Determine Combined Prefix
  3. cmb_m_prefix

Next Step

  2. Concatenate T
  3. Combined T

Next Step

  2. Concatenate N
  3. Combined N

Next Step

  2. Concatenate M
  3. Combined M

Next Step

  2. Histologies Path Stage
  3. stage_table
    Combined Stage Group

End

Outputs

Name Default Value Description NAACCR Item Metadata
Derived Version {{ctx_alg_version}} None None
Derived SEER Clin Stage Group 88 NAACCR #3610
derivedSeerClinStgGrp 		None
Derived SEER Path Stage Group 88 NAACCR #3605
derivedSeerPathStgGrp 		None
Derived SEER Combined Stage Group 88 NAACCR #3614
derivedSeerCmbStgGrp 		None
Derived SEER Combined T 88 NAACCR #3616
derivedSeerCombinedT 		None
Derived SEER Combined N 88 NAACCR #3618
derivedSeerCombinedN 		None
Derived SEER Combined M 88 NAACCR #3620
derivedSeerCombinedM 		None
Derived SEER Combined T Source <BLANK> NAACCR #3622
derivedSeerCmbTSrc 		None
Derived SEER Combined N Source <BLANK> NAACCR #3624
derivedSeerCmbNSrc 		None
Derived SEER Combined M Source <BLANK> NAACCR #3626
derivedSeerCmbMSrc 		None