Neuroendocrine Tumors of Small Intestine

Primary Site Histology Staging Type
C170-C173, C178-C179 8153, 8240-8242, 8246, 8249 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

C170 Duodenum C171 Jejunum C172 Ileum (excludes ileocecal valve C180) C173 Meckel diverticulum (site of neoplasm) C178 Overlapping lesion of small intestine C179 Small intestine, NOS **Note 1:** This schema is based on the UICC chapter *Gastric, Small & Large Intestinal Carcinoid Tumours,* pages 94-99. **Note 2:** For this schema, TNM only stages well-differentiated neuroendocrine tumors. Note that the "concept" of well-differentiated is reflected in the histology code. The grade code is not needed in order to select the correct schema, but does need to be coded. **Note 3:** In addition to directly assigning TNM, Summary Stage 2000 (SS2000) must be captured. If directly assigning SS2000, use the *Small Intestine* chapter on page 86 of the [SS2000 on-line manual](https://seer.cancer.gov/tools/ssm/ssm2000/SSSM2000-122012.pdf#page=86).

Main Data Items

Name Default Value Used for Staging NAACCR Item Required By Metadata
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
SSF6: Mitotic Count 988 No NAACCR #2930
csSiteSpecificFactor6 		None None
SSF11: Serum Chromogranin A (CgA) Lab Value 988 No NAACCR #2865
csSiteSpecificFactor11 		CCCR/Canada
COC		 None
SSF12: Urinary 5-HIAA Lab Value 988 No NAACCR #2866
csSiteSpecificFactor12 		CCCR/Canada
COC		 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

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TNM 7 Stage

Inclusion Table

Histology
8153
8240-8242
8246
8249

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. TNM 7 Stage Group
  3. Clinical Stage Group

Next Step

  2. TNM 7 Path Stage Group
  3. 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
8153
8240-8242
8246
8249

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
  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. TNM 7 Path Stage Group
  3. 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