Summary Stage is the most basic way of categorizing how far a cancer has spread from its point of origin. Historically, Summary Stage has also been called General Stage, California Stage, historic stage, and SEER Stage. The 2018 version of Summary Stage applies to every site and/or histology combination, including lymphomas and leukemias. Summary Stage 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.
The chapters of this manual are provided below as individual files and as a single PDF.
- Summary Stage 2018 General Coding Instructions (PDF, 857 KB)
- Head and Neck (PDF, 1.4 MB)
- Digestive and Hepatobiliary Systems (PDF, 1.0 MB)
- Respiratory Tract and Thorax (PDF, 661 KB)
- Bone (PDF, 483 KB)
- Soft Tissue (PDF, 561 KB)
- Skin (PDF, 675 KB)
- Breast (PDF, 492 KB)
- Female Genital System (PDF, 632 KB)
- Male Genital System (PDF, 552 KB)
- Urinary System (PDF, 613 KB)
- Ophthalmic Sites (PDF, 621 KB)
- Brain (PDF, 516 KB)
- Endocrine System (PDF, 554 KB)
- Hematologic Malignancies (PDF, 654 KB)
- Ill-defined Other (PDF, 464 KB)
- Appendices (PDF, 734 KB)
Complete Summary Stage 2018 Manual (PDF, 4.9 MB)
The change log (PDF, 187 KB) contains updates made between version 1.6 and 1.7.
Ruhl JL, Callaghan C, Hurlbut, A, Ries LAG, Adamo P, Dickie L, Schussler N (eds.) Summary Stage 2018: Codes and Coding Instructions, National Cancer Institute, Bethesda, MD, 2018.
All material in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.