SITE SPECIFIC DATA ITEMS (SSDI)/ GRADE

Description

This data item describes the status of pelvic lymph nodes associated with certain female genital cancers. In addition to assigning the N categories for vulva, vagina, and cervical cancers, the collection of specific lymph nodes and how they were assessed is important. * Status refers to positive or negative involvement * Assessment is the method by which the nodal status was determined There are 3 related data items that collect status information on regional lymph nodes, 1 data item for distant lymph nodes, and 1 data item for laterality. The LN status data items collect the individual status (positive, negative, unknown) involvement of femoral-inguinal, para-aortic, and pelvic lymph nodes, and distant lymph nodes mediastinal and scalene. These related data items include * 3957: LN Status: Pelvic * 3958: LN Status: Para-Aortic * 3959: LN Status: Femoral-Inguinal * 3875: LN Distant: Mediastinal, Scalene

Notes

**Note 1:** **Physician Statement** * Physician statement of pelvic status can be used to code this data item when no other information is available. **Note 2:** **Vulva and pelvic lymph nodes** * For Vulva, pelvic lymph nodes are distant **Note 3:** **Pelvic lymph nodes** * Iliac, NOS * Common * External * Internal (hypogastric) (obturator) * Paracervical * Parametrial * Pelvic, NOS * Sacral, NOS * Lateral (laterosacral) * Middle (promontorial) (Gerota’s node) * Uterosacral **Note 4:** **Isolated tumor cells** * For this data item, do not include isolated tumor cells (ITCs). **Note 5:** **Related data item** * The assessment method is recorded in the related data item 3873: LN Assessment Method Pelvic.