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errataforms2010 erratainstructions2010 erratamanual2010 erratahandbook2010
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Since the publication of the 7th edition of the AJCC Cancer Staging Manual, a few minor staging clarifications were warranted as shown in Table 1. However, please be assured that the content of the 7th edition, as published in October 2009, is sound and accurate. The clarifications are listed below in ascending frequency of diagnosis.
Table 1:
Ch | Publication/Page | Chapter Name | Section | Change |
41 | Manual – p.457, 461 Handbook – p.525, 534 |
Prostate | Anatomic Stage/Prognostic Groups | For Stage IIA, for T2a N0 M0 PSA<20 the Gleason score should be 7 (not ≤ 7) Add T2a N0 M0 PSA≥10<20 Gleason ≤ 6 |
42 | Manual – p.469, 472 Handbook – p.539, 544 |
Testis | Anatomic Stage/Prognostic Groups | Serum tumor markers used in staging should all be measured post-orchiectomy |
33 | Manual – p.380 Handbook – p.465 |
Vulva | Regional Lymph Nodes (N) | In the regional lymph node definitions (yellow box) revise N1a to “One or two lymph node metastases” |
30 | Manual – p.315, 319 Handbook – p.378, 384 |
Merkel Cell Carcinoma | Anatomic Stage/Prognostic Groups | In the shaded stage group box, for Stage IIIB add cN1 |
Additionally, after the publication of 7th edition a validation of the ICD-O-3 site/type labels was performed by staff from the National Cancer Data Base and Surveillance, Epidemiology and End Results (SEER) to support cancer surveillance activities. As a result topography and histology codes were updated. These codes are used primarily by cancer registry staff and not clinicians. The updated codes are reflected in Table 2 below:
Table 2:
Ch | Publication | Chapter Name | Topography & Histology Codes |
5 | Manual – p.57 Handbook – p.81 |
Larynx | Delete C32.3 Clarify C32.8, C32.9 – stage by location of tumor bulk or epicenter |
9 | Manual – p.97 Handbook – p.123 |
Mucosal Melanoma of the Head and Neck | Change 8020-8090 to 8720-8790 |
10 | Manual – p.104 Handbook – p.130 |
Esophagus and Esophagogastric Junction | Add 8247-8248 |
11 | Manual – p.118 Handbook – p.146 |
Stomach | Add 8247-8248 |
12 | Manual – p.127 Handbook – p.153 |
Small Intestine | Add 8247-8248 |
14 | Manual – p.144 Handbook – p.174 |
Colon and Rectum | Add 8247-8248 |
16 | Manual – p.175 Handbook – p.219 |
Gastrointestinal Stromal Tumor | Replace C48.1 with C48.0, C48.2-C48.8 Replace C17.4 with C17.8 |
17 | Manual – p.181 | Neuroendocrine Tumors | Add C18.0, C18.2-C18.9 |
33 | Manual – p.379 Handbook – p.463 |
Vulva | Change 8276 to 8576 |
37 | Manual – p.419 Handbook – p.493 |
Ovary and Primary Peritoneal Carcinoma | Revise to 8000-8576, 8590-8671, 8930-9110 (C56.9 only) 8000-8576, 8590-8671, 8930-8934, 8940-9110 (C48.1-C48.8 only) |
53 | Manual – p.569 Handbook – p.631 |
Carcinoma of the Lacrimal Gland | Change 8982 to 8981 |
54 | Manual – p.577 Handbook – p.637 |
Sarcoma of the Orbit | Revise to 8800-8936, 8940-9136, 9141-9508, 9520-9582 |
(source : http://www.cancerstaging.org/products/errata.html)