Gastrointestinal Stromal Tumors of Colon (excluding Appendix)

Primary Site Histology Staging Type
C180, C182-C189 8935-8936 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

C180 Cecum C182 Ascending colon C183 Hepatic flexure of colon C184 Transverse colon C185 Splenic flexure of colon C186 Descending colon C187 Sigmoid colon C188 Overlapping lesion of colon C189 Colon, NOS **Note 1:** This schema is based on the UICC chapter *Gastrointestinal Stromal Tumour (GIST),* pages 78-81. **Note 2:** In addition to directly assigning TNM, Summary Stage 2000 (SS2000) must be captured. If directly assigning SS2000, use the *Colon* chapter on page 94 of the [SS2000 on-line manual](https://seer.cancer.gov/tools/ssm/ssm2000/SSSM2000-122012.pdf#page=94).

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
SSF11: Mitotic Count 999 Yes NAACCR #2865
csSiteSpecificFactor11
All None
SSF12: KIT Gene Immunohistochemistry (IHC) 988 No NAACCR #2866
csSiteSpecificFactor12
CCCR/Canada
COC
None
SSF13: KIT Gene Mutations 988 No NAACCR #2867
csSiteSpecificFactor13
None None
SSF14: PDGFRA Gene Mutation 988 No NAACCR #2868
csSiteSpecificFactor14
None None
SSF15: Tumor Multiplicity 988 No NAACCR #2869
csSiteSpecificFactor15
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
8935-8936

Start

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

Next Step

  1. Parse T
  2. clin_t_prefix
    tmp_clin_t

Next Step

  1. Parse N
  2. clin_n_prefix
    tmp_clin_n

Next Step

  1. Parse M
  2. tmp_clin_m
    clin_m_prefix

Next Step

  1. Parse T
  2. tmp_path_t
    path_t_prefix

Next Step

  1. Parse N
  2. tmp_path_n
    path_n_prefix

Next Step

  1. Parse M
  2. tmp_path_m
    path_m_prefix

Next Step

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

Next Step

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

Next Step

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

Next Step

  1. Mitotic Rate Calculation
  2. mitotic_rate

Next Step

  1. TNM 7 Stage Group GIST Small Intestine
  2. Clinical Stage Group

Next Step

  1. TNM 7 Path Stage Group GIST Small Intestine
  2. Pathologic Stage Group

Next Step

  1. Adjustments for No Clin or No Path
  2. 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
8935-8936

Start

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

Next Step

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

Next Step

  1. Combined T No Tis
  2. Source T
    tmp_combined_t

Next Step

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

Next Step

  1. Combined M
  2. tmp_combined_m
    tmp_source_m
    Source M

Next Step

  1. Determine Combined Prefix
  2. cmb_t_prefix

Next Step

  1. Determine Combined Prefix
  2. cmb_n_prefix

Next Step

  1. Determine Combined Prefix
  2. cmb_m_prefix

Next Step

  1. Concatenate T
  2. Combined T

Next Step

  1. Concatenate N
  2. Combined N

Next Step

  1. Concatenate M
  2. Combined M

Next Step

  1. TNM 7 Path Stage Group GIST Small Intestine
  2. 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