"Question ID","Question","Discussion","Answer","Year" "20140080","

Behavior--Breast: Is behavior for encapsulated papillary carcinoma (EPC) of the breast coded as noninvasive or invasive?

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The pathologist has the final say on behavior. Code behavior based on the pathologist's final diagnosis. See Rule F in ICD-O-3.

According the WHO Classification of Breast Tumors, encapsulated papillary carcinoma of the breast is in situ, /2. Encapsulated papillary carcinoma with invasion is assigned /3. WHO describes ""frank invasive carcinoma"" for this histology as ""neoplastic epithelial elements infiltrate beyond the fibrous capsule of encapsulated papillary carcinomas."" WHO cautions that true infiltration should be ""differentiated from entrapment of neoplastic epithelial cells in the fibrous capsule and from epithelial displacement into the biopsy site, which is frequently encountered following needle-core procedures of papillary lesions.""

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