Site-Specific Factor 6: Cheek (Buccal) Mucosa, Vestibule

Parapharyngeal, Parotid, Preauricular, and Sub-Occipital Lymph Nodes, Lymph Nodes for Head and Neck

Note: Site-Specific Factors 3-6 are used to code the presence or absence of lymph node involvement in each of 7 different levels and other groups defined by AJCC. The definitions of the levels are the same for all applicable head and neck sites. One digit is used to represent lymph nodes of a single level, with the three digits of Site-Specific Factor 3 representing lymph nodes of, respectively, Levels I-III; the digits of Site-Specific Factor 4 representing lymph nodes of Levels IV and V and the retropharyngeal nodes; the digits of Site-Specific Factor 5 representing lymph nodes of Levels VI and VII and the facial nodes; and the digits of Site-Specific Factor 6 representing the remaining Other groups as defined by AJCC. In each digit, a code 1 means Yes, the nodes are involved.

Code Description
000 No parapharyngeal, parotid (preauricular, periparotid, and/or intraparotid), or sub-occipital lymph node involvement
100 Parapharyngeal lymph node(s) involved
010 Parotid (preauricular, periparotid, and/or intraparotid) lymph node(s) involved
001 Sub-occipital lymph node(s) involved
110 Parapharyngeal and parotid (preauricular, periparotid, and/or intraparotid) lymph nodes involved
101 Parapharyngeal and sub-occipital lymph nodes involved
011 Parotid (preauricular, periparotid, and/or intraparotid) and sub-occipital lymph nodes involved
111 Parapharyngeal, parotid (preauricular, periparotid, and/or intraparotid), and sub-occipital lymph nodes involved
999 Unknown if regional lymph node(s) involved, not stated
Regional lymph node(s) cannot be assessed
Not documented in patient record
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