Reportability/Histology--Adrenal Gland: Is a case of pheochromocytoma reportable? The adrenal resection that was sent out for expert review final diagnosis is: Pheochromocytoma Impression with comment: Benign Pheochromocytoma based on Pheochromocytoma of the Adrenal gland Scaled Score (PASS) of 4.
Report pheochromocytoma (8700/3). According to WHO Classification of Endocrine and Neuroendocrine Tumors, 5th edition, patients with pheochromocytomas are currently considered to have a lifelong risk of metastases and therefore conceptually they are all considered ‘malignant.’
EOD 2018/Regional Nodes--Liver: Are the celiac axis lymph nodes considered regional lymph nodes or distant lymph nodes for a 2025 liver primary?
According to the AJCC CAnswer Forum (https://cancerbulletin.facs.org/forums/node/160948), celiac axis nodes are considered regional for the liver. However, for liver primaries, Extent of Disease (EOD) regional lymph nodes list the following as regional lymph nodes:
Caval
Hepatic, NOS
Hepatic artery
Hepatic pedicle
Inferior vena cava
Porta hepatis (portal) (hilar) [in hilus of liver]
Periportal
Portal vein
Regional lymph node(s), NOS
Based on this information, should celiac axis lymph nodes be considered as regional for liver primaries when coding EOD Regional Nodes?
Code celiac axis lymph nodes as regional in EOD Regional Nodes for liver primaries.
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