SEER Inquiry System - View

Question: 20130080 Status
Final

References
Source 1:   Heme & Lymph Neo Manual & DB
pgs:  
Notes:  
Source 2:  
pgs:  
Notes:  


Question
Histology/Ambiguous terminology--Heme & Lymphoid Neoplasms: What is the primary site? Is it C779? Is the morphology Burkitt's lymphoma (96873) or malignant lymphoma, diffuse B-cell (96803)? See discussion.

Discussion
Right neck swelling, biopsy from the mass showing B-cell lymphoma -favor Burkitt lymphoma(2/5/2011).

In 7/5/2011 had hemilaminectomy for spinal L2-L5 showed malignant lymphoma, B-cell phenotype favor Burkitt lymphoma.

Answer
For cases diagnosed 2010 and forward, access the Hematopoietic Database at Click on Hematopoietic and Lymphoid Database. In the search box, enter your histology or the ICD-O-3 code. Click on the link to that disease. In the "Help me code for dx year" field, enter the year of diagnosis. The Hematopoietic Coding Manual (PDF) button will appear. Code to B-cell lymphoma, 9590/3. Do not use ambiguous terminology to code histology for hematopoietic neoplasms. "Favor" is ambiguous terminology. Do not code the histology as Burkitt lymphoma in this case.

Per the Hematopoietic Database, Go to MODULE 7: Primary Site Rules for Lymphomas Only 9590/3-9729/3, 9735/3-9738/3, 9811/3-9818/3, 9823/3, 9827/3, 9837/3 PH18-PH27 as instructed in the PRIMARY SITE(S) section. Start at PH18. Based on the information provided, this lymphoma is present in the cervical lymph nodes and the lumbar area of the spine. Cervical lymph nodes are not regional to the lumbar area of the spine. Stop at Rule PH22, code to Lymph nodes, NOS, C779.

History
Code to B-cell lymphoma, 9590/3. Do not use ambiguous terminology to code histology for hematopoietic neoplasms. "Favor" is ambiguous terminology. Do not code the histology as Burkitt lymphoma in this case.

Code the primary site C779. See the PH rules in the Hematopoietic manual for the diagnosis. http://seer.cancer.gov/tools/heme/Hematopoitic_Instructions_and_Rules_2010.pdf

Go to Module 7, PH36. Based on the information provided, this lymphoma is present in the cervical lymph nodes and the lumbar area of the spine. Cervical lymph nodes are not regional to the lumbar area of the spine.

Last Updated
02/24/2014

Date Finalized
07/11/2013