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SEER Inquiry System - Report
Produced: 11/26/2024 1:45 AM
Question 20091131
Inquiry Details
References:
2007 SEER Manual, 90-91, 93-94. 3.a
Question:
Discussion:
Lumpectomy path shows two foci of invasive ductal carcinoma, 1.5 cm & 3 mm sizes, and CAP summary lists "DCIS: focally seen", no further description. The re-excision pathology specimen finds a 1.5 mm focus of residual invasive carcinoma, very close to the new inferior margin (so registrar assumed this was probably not part of the previously excised mass), and no mention of any more in situ.
Can we assume the DCIS was associated with/part of the invasive tumors because it was not measured or described separately? If we say there are 3 tumors (for the measured invasive foci), should Type of Multiple Tumors be coded 30 [In situ and invasive] or 40 [Multiple invasive]?
Answer:
Code 03 [3 tumors] in the multiplicity counter. Do not count the "focally seen" DCIS because it was not measured.
Code 30 [In situ and invasive] in Type of Multiple Tumors Reported as One Primary. The single primary reported for this case is a combination of in situ and invasive tumors.
