SEER Inquiry System - Question 20051132 Details

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Question 20051132

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Inquiry Details

References:

2004 SEER Manual, C386-C389. July 1, 2005

Question:

Primary Site/CS Extension/CS Lymph Nodes--Lung: How are these fields coded for untreated lung primaries when only limited information is available from scans, bronchoscopies and biopsies? See Discussion.

Discussion:

3/13/04 CT scan Chest: extensive mediastinal, subcarinal, rt hilar lymphadenopathy; separate tumor mass in medial rt lung

3/16/04 Bronchoscopy: RLL/RML completely obstructed with extrinsic compression. Impression: CA of lung with hilar adenopathy.

Bronchial wash: PD non small cell CA

Bx RLL: up to 0.2 cm PD Adenocarcinoma c/w primary lung CA.

Treatment not recommended.

Expired 5/03/04.

Answer:

This answer was provided in the context of CSv1 coding guidelines. The response may not be used after your registry database has been converted to CSv2.

The primary is in the right lung according to the available information.

Assign CS extension code 10 [Tumor confined to one lung]. The only information on extension is that there is a tumor in one lung.

Assign CS Lymph Nodes code 20 [Mediastinal and subcarinal lymph node involvement]. The CT scan confirms mediastinal and subcarinal lymphadenopathy.

Code tumor Size as 999 [Unknown]. "Completely obstructed" is not a size. Do not code the size of the biopsy specimen.

Cancer Site Category:

Lung

Data Item Category:

N/A

Other Category:

N/A

Year:

2005