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ANATOMIC DRAWINGS OF THE MALE GENITAL SYSTEM
Seminal vesicle
Rectum
Coccyx (tail bone)
Corpus
cavernosum
SAGITTAL CUT THROUGH THE MALE PELVIS
THE MALE UROGENITAL SYSTEM
Ductus (vas) deferens
Urinary bladder
Ureter
Prostate
Urethra
Left bulbourethral
(Cowper’s) gland
Testicle Vas deferens
Epididymis
RCG Seminal vesicle
RCG = Right Cowper’s Gland
Corpus
cavernosum
Corpus
spongiosum
Glans
Anus
Vas deferens
Epididymis
Scrotum
(scrotal sac)
Testicle
Urethral orifice
Glans
Prepuce
Corpus
spongiosum
Urethra
Prostate
Urinary bladder
ANATOMIC DRAWINGS OF THE MALE GENITAL SYSTEM
UNDERSIDE OF AN ERECT PENIS
Ischiocavernosus
muscle
Urethral orifice
Glans
Corpus cavernosum
Corpus spongiosum
Ischial tuberosity
Bulbospongiosus (of pelvic bone)
Superficial transverse muscle
perineal muscle
Perineal membrane
CROSS SECTION THROUGH SHAFT OF THE PENIS
Dorsal vein
Dorsal artery
Dorsal nerve
Circumflex nerve
Circumflex artery and vein
Corpus cavernosum
Tunica albuginea:
inner circular layer outer longitudinal layer
Bulbourethral vein
Corpus spongiosum
Urethra
PENIS (including Skin of Penis) [excluding Melanoma of Skin (C60.0, C60.1, C60.8, C60.9) (page 172 ), Kaposi Sarcoma (page 274), Mycosis Fungoides (page 176), Sezary Disease (page 176), and other Lymphomas (page 278)] C60.0-C60.2, C60.8-C60. C60.0 Prepuce C60.1 Glans penis C60.2 Body of penis C60.8 Overlapping lesion of penis C60.9 Penis, NOS (skin of penis)
SUMMARY STAGE
0 In situ : Noninvasive; intraepithelial
Bowen disease; intraepidermal Noninvasive verrucous carcinoma
1 Localized only
All subsites except body of penis: Invasive tumor limited to subepithelial connective tissue, but not involving corpus spongiosum or cavernosum Tunica albuginea
If primary is skin of penis: Invasive tumor limited to skin of penis, prepuce (foreskin) and/or glans
Body of penis: Confined to corpus cavernosum Confined to corpus spongiosum Tunica albuginea
Localized, NOS
2 Regional by direct extension only
Extension to: Corpus cavernosum except body of penis Corpus spongiosum except body of penis Muscle, NOS: Bulbospongiosus Ischiocavernosus Superficial transverse perineal Prostate### Skin: Abdominal Perineal Pubic Scrotal Urethra
Satellite nodule(s) on prepuce or glans
PROSTATE GLAND
C61.
C61.9 Prostate gland
Note: Transitional cell carcinoma of the prostatic urethra is to be coded to C68.0 (Urethra) and assigned Summary Stage codes using that scheme.
SUMMARY STAGE
0 In situ : Noninvasive; intraepithelial
1 Localized only
Clinically inapparent tumor: Stage A T1a, T1b, T1c Confined to the prostate: Involvement of one lobe, NOS T2a
More than one lobe involved T2b
Confined to the prostate, NOS T2, NOS
Arising in prostatic apex Extension to prostatic apex##
Invasion into (but not beyond) prostatic capsule##
Intracapsular involvement only
Stage B
Localized, NOS
PROSTATE GLAND
C61.
2 Regional by direct extension only
Extension beyond prostate: Bilateral extracapsular extension (T3a) Bladder neck (T4) Bladder, NOS (T4) Extracapsular extension (beyond prostatic capsule), NOS Fixation, NOS (T4) Levator muscles (T4)###*** Periprostatic extension, NOS (Stage C, NOS) Periprostatic tissue (Stage C1) Rectovesical (Denonvillier’s) fascia (T4) Rectum; external sphincter (T4) Seminal vesicle(s) (Stage C2) (T3b) Skeletal muscle, NOS (T4)*** Through capsule, NOS Unilateral extracapsular extension (T3a)# Ureter(s) (T4)###*** Stage C, NOS T3, NOS T4, NOS
No extracapsular extension, but margins involved#*
3 Regional lymph node(s) involved only
REGIONAL Lymph Nodes (including contralateral or bilateral nodes)
Iliac, NOS: External Internal (hypogastric), NOS: Obturator Pelvic, NOS Periprostatic Sacral, NOS: Lateral (laterosacral) Middle (promontorial) (Gerota’s node) Presacral
Regional lymph node(s), NOS
4 Regional by BOTH direct extension AND regional lymph node(s) involved
Codes (2) + (3)
5 Regional, NOS
TESTIS
C62.0-C62.1, C62.
C62.0 Undescended testis <> C62.1 Descended testis <> C62.9 Testis, NOS <> <> Laterality must be coded for this site.
SUMMARY STAGE
0 In situ : Noninvasive; intraepithelial
1 Localized only
Invasive tumor with/without vascular invasion limited to: Body of testis Rete testis Tunica albuginea Surface implants Tunica, NOS Tunica vaginalis involved
Localized, NOS
2 Regional by direct extension only
Extension to: Dartos muscle, ipsilateral Epididymis with/without vascular/lymphatic invasion Scrotum, ipsilateral Spermatic cord, ipsilateral Vas deferens###
3 Regional lymph node(s) involved only
REGIONAL Lymph Nodes (including contralateral or bilateral nodes)
Aortic, NOS###: Lateral (lumbar) Para-aortic Periaortic Retroaortic External iliac Pericaval, NOS:###*** Interaortocaval Paracaval Precaval Retrocaval Pelvic, NOS Retroperitoneal, NOS Spermatic vein
Regional lymph node(s), NOS
OTHER AND UNSPECIFIED MALE GENITAL ORGANS (including Skin of Scrotum) [excluding the following malignancies of the Scrotum: Melanoma (page 172), Kaposi Sarcoma (page 274), Mycosis Fungoides (page 176), Sezary Disease (page 176 ), and Other Lymphomas (page 278)] C63.0-C63.2, C63.7-C63. C63.0 Epididymis <> C63.1 Spermatic cord <> C63.2 Scrotum, NOS C63.7 Other specified parts of male genital organs C63.8 Overlapping lesion of male genital organs C63.9 Male genital organs, NOS <> Laterality must be coded for this site.
SUMMARY STAGE
0 In situ: Noninvasive; intraepithelial
1 Localized only
Confined to site of origin
Localized, NOS
2 Regional by direct extension only
Extension to: Adjacent tissue(s), NOS Connective tissue See definition of connective tissue on page 14. Adjacent organs/structures: Male genital organs: Penis Prostate Testis Sites in this scheme which are not the primary
3 Regional lymph node(s) involved only
REGIONAL Lymph Nodes
Iliac, NOS: External Internal (hypogastric), NOS: Obturator Inguinal, NOS: Deep, NOS Node of Cloquet or Rosenmuller (highest deep inguinal) Superficial inguinal (femoral) Pelvic, NOS
Regional lymph node(s), NOS
OTHER AND UNSPECIFIED MALE GENITAL ORGANS (including Skin of Scrotum) [excluding the following malignancies of the Scrotum: Melanoma (page 172), Kaposi Sarcoma (page 274), Mycosis Fungoides (page 176), Sezary Disease (page 176 ), and Other Lymphomas (page 278)] C63.0-C63.2, C63.7-C63.
4 Regional by BOTH direct extension AND regional lymph node(s) involved
Codes (2) + (3)
5 Regional, NOS
7 Distant site(s)/lymph node(s) involved
Distant lymph node(s)
Further contiguous extension
Other organs and structures in male pelvis: Bladder Rectum Urethra
Metastasis
9 Unknown if extension or metastasis
Note 1: Melanoma (M-8720-8790) of scrotum is included in the melanoma scheme.
Note 2: Mycosis fungoides (M-9700) or Sezary disease (M-9701) of scrotum is included in the mycosis fungoides scheme.
