SEER Inquiry System - Home

Welcome to the SEER Inquiry System (SINQ). SINQ is a collection of questions that cancer registrars have had while coding cancer cases. Click Search to look for specific questions or to select questions for a Report.

Recent Questions
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Add to Report ID Question Status Last Updated
20140011 MP/H Rules/Multiple primaries--Breast: Is the diagnosis of Paget disease two years after a diagnosis of infiltrating duct carcinoma of the same breast a new primary? See discussion. Final Jan 24 2014
20140007 Surgery of Primary Site--Lung: How is surgery coded when a patient undergoes a mediastinoscopy with mediastinal lymph node sampling and then a later upper lobectomy? See discussion. Final Jan 15 2014
20140006 Date Therapy Initiated--Corpus Uteri: How should this field be coded for an endometrial primary when the patient undergoes a hysteroscopic polypectomy on 01/08/2014 (Surgery code 25), followed by a TAH/BSO on 02/07/2014 (Surgery code 50)? See discussion. Final Jan 15 2014
20140005 Primary site--Testis: In the absence of a specific statement that the patient's testicle(s) are descended, should the primary site for a testicular tumor be coded as C621 (Descended Testis) when the mass is palpable on physical exam or demonstrated on scrotal ultrasound? See discussion. Final Jan 15 2014
20140004 Grade--Liver: How should grade be coded for a liver lesion treated with radio frequency ablation (RFA) followed by a transplant showing moderately differentiated hepatocellular carcinoma? See discussion. Final Jan 15 2014
20140003 Surgery of Primary Site/Surgical Procedure of Other Sites--Endometrium: How are these fields coded for an endometrial primary when the patient undergoes a radical tumor cytoreduction including modified radical hysterectomy, BSO, omentectomy, resection of intra-abdominal and intrapelvic implants, and partial cystectomy? See discussion. Final Jan 15 2014
20140002 Reportability--Appendix: Is a pathologic final diagnosis of an appendix with "well-differentiated neuroendocrine tumor (carcinoid)" reportable? See discussion. Final Jan 15 2014
20140001 Grade--Brain and CNS: How should grade be coded for a pineal parenchymal tumor of “intermediate differentiation”? See discussion. Final Jan 10 2014
20130222 MP/H Rules/Histology--Bladder: What code should be assigned to this tumor? A single bladder tumor removed via TURB. Final Dx: Invasive urothelial carcinoma with extensive divergent differentiation including small cell carcinoma, micropapillary carcinoma, and squamous cell carcinoma features.

MP/H rules seem to lead to H8 - code the numerically higher ICD-O-3 code. Out of this diagnosis, it appears that 8131, micropapillary urothelial carcinoma would be the code. That would ignore the small cell carcinoma, which seems prognostically more significant.

Final Dec 16 2013
20130221 MP/H Rules/Multiple Primaries--Prostate: Is a metastatic small cell (neuroendocrine) carcinoma following a prostate adenocarcinoma a new primary when the physician states “patient has Stage 4 small cell carcinoma of the prostate” or “metastatic small cell carcinoma, likely prostate origin”? See discussion. Final Dec 12 2013
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