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SEER Inquiry System - Report
Produced: 12/21/2024 12:02 PM
Question 20240067
Inquiry Details
References:
2024 SEER Manual, 18-21. Reportability/Ambiguous Terminology
Question:
Reportability/Ambiguous Terminology--Kidney: Is a clinical diagnosis of a right kidney lesion with a “75% chance of malignancy” reportable when no further information is available? See Discussion.
Discussion:
The CT findings identified a right kidney rim-enhancing centrally cystic lesion most suggestive of clear cell renal cell carcinoma measuring 3.2 cm. The radiologist’s impression was “concerning for renal cell carcinoma.” The subsequent urologist’s consult states the right kidney lesion has a 75% chance of malignancy. The urologist discussed active surveillance, surgery, and ablation, and after discussion with the patient the plan was for active surveillance.
No further information is available, and we are unable to follow up with the physician regarding this case.
Should a lesion with a high percentage chance of malignancy (e.g., 75% chance) be considered a lesion “most likely” to be malignant?
Answer:
If you are unable to follow up with the physician, do not report this case until or unless more information becomes available.
