![]() ![]() In: Amin, M.B., Edge, S.B., Greene, F.L., et al. (5) Brimo, F., Srigley, J.R., Lin, D.W., et al. (4) Gress, D.M., Edge, S.B., Gershenwald, J.E., et al. American Joint Committee on Cancer (Chicago, IL) **Collaborative Stage Data Collection System User Documentation and Coding Instructions, version 02.05**. (3) Collaborative Stage Work Group of the American Joint Committee on Cancer. **SEER Summary Staging Manual-2000: Codes and Coding Instructions**, National Cancer Institute, NIH Pub. (2) Young JL Jr, Roffers SD, Ries LAG, Fritz AG, Hurlbut AA (eds.). The final pathological diagnosis was submandibular lymph node metastasis of Tg-positive PTC. **SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998)**, National Cancer Institute, NIH Pub. Regional lymph node(s) cannot be assessed Unknown regional lymph node(s) not stated Metastasis in a lymph node larger than 5 cm in greatest dimension Metastasis in a lymph node, between 2 cm and 5 cmĮxtranodal extension of lymph nodes present Metastasis lymph node(s) between 2 cm and 5 cm Metastasis in lymph node(s), all less than 2 cm **Note 5:** Code 800 if regional lymph nodes are involved, but there is no indication which ones are involved. + Node of Cloquet or Rosenmuller (highest deep inguinal) Lymph nodes **WITH** previous scrotal or inguinal surgery Retroperitoneal below the diaphragm or NOS **Note 4:** Regional lymph nodes include: **Note 3:** Involvement of inguinal, pelvic, or external iliac lymph nodes WITHOUT or unknown if previous scrotal or inguinal surgery prior to presentation of the testis tumor is coded in EOD Mets as distant lymph node involvement. + Remaining codes (no designation of **CLINICAL** or **PATHOLOGICAL** only assessment) can be used based on clinical and/or pathological information FNA, core biopsy, sentinel node biopsy or lymph node excision done during the clinical work up and/or Detection of false-negative LNs is essential in selecting an optimal treatment strategy, and most importantly, the presence of false-negative LN is itself a significant prognostic indicator. Any microscopic examination of regional lymph nodes. Preoperative clinical diagnosis of lymph node (LN) metastasis and subsequent pathological diagnosis are often not in agreement. Primary tumor or site surgically resected with + **PATHOLOGICAL** assessment only codes (200, 400, 500) are used when ![]() *Exception:* If patient has neoadjuvant therapy, and the clinical assessment is greater than the pathological assessment, then the clinical assessment code would take priority This includes FNA, core biopsy, sentinel node biopsy, or lymph node excision + **CLINICAL** assessment only codes (100, 300) are used when there is a clinical work up only and there is no surgical resection of the primary tumor or site. **Note 2:** This schema has lymph node codes that are defined as **CLINICAL** assessment only or **PATHOLOGICAL** assessment only. Notes **Note 1:** Code only regional nodes and nodes, NOS, in this field. ![]()
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