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SEER Inquiry System - Report
Produced: 11/27/2024 9:56 AM
Question 20210059
Inquiry Details
References:
Solid Tumor Rules. Cutaneous Melanoma 2021+, December 2020 Update
Question:
Solid Tumor Rules (2018, 2021)/Histology--Melanoma: How is histology coded for an invasive melanoma with multiple subtype/variants? See Discussion.
Discussion:
Rule H8 of the Melanoma Solid Tumor Rules states that multiple variants of melanoma in one tumor are rare and a question must be submitted to Ask a SEER Registrar (AASR) for the correct histology code. However, our facility has seen a number of these cases in 2021 and would like to track the official answer and make it available to all in this format.
How should histology be coded for the following?
1. January 2021 diagnosis of left shoulder invasive malignant melanoma, histologic type: nodular and desmoplastic types per College of American Pathologists (CAP) summary of punch biopsy.
2. May 2021 shave biopsy of left arm invasive malignant melanoma, superficial spreading and nodular variant is listed in the CAP summary.
3. June 2021 diagnosis of right cheek invasive malignant melanoma, histologic subtype: superficial spreading and nodular seen on CAP summary of shave biopsy.
Answer:
According to our dermopathology expert, code the histology to nodular melanoma 8721/3. There are numerous possible combinations of melanomas and the correct code depends on the types/variants present. We are currently working on a "Combined/Mixed Histology Code" Table for melanoma; however, it will likely not inlcude all possible combinations so continue submitting your questions to Ask A SEER Registrar.
