Summary staging is the most basic way of
categorizing how far a cancer has spread from its point
of origin. Summary staging has also been called General
Staging, California
Staging, and SEER Staging. |
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Summary staging uses all information
available in the medical record; in other words, it
is a combination of the most precise clinical and pathological
documentation of the extent of disease.
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Summary staging is a required data item for facilities and
central registries participating in the National
Program of Cancer Registries (NPCR) of the Centers
for Disease Control and Prevention (CDC). Many
cancer registries report their data using summary stage because
the staging categories are broad enough to measure the success
of cancer control efforts and other epidemiologic efforts.
However, even though summary staging is used frequently in
cancer registries, it is not always understood by physicians.
Rather physicians are more likely to understand AJCC
TNM staging.
Summary staging is based on the theory of cancer growth.
Intraepithelial,
noninvasive, or non-infiltrating cancer is described as in
"situ." In situ tumors fulfill all microscopic criteria
for malignancy except invasion of the basement
membrane of the organ. A "localized"
tumor is confined to the organ of origin without extension
beyond the primary organ. "Regional extension" of
tumor can be by direct extension to adjacent organs or structures
or by spread to regional lymph nodes. If the cancer has spread
to parts of the body remote from the primary tumor, it is
recorded as "distant" stage. Sometimes there is
insufficient information to assign a stage, such as in cases
without thorough diagnostic workups or cases in which there
is ambiguous or contradictory information.
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