Question: 20190046

Status


Final

Category


#1:   Tumor size
#2:   Bladder
#3:  


References


Source 1:   2018 SEER Manual
pgs:   107-109
Notes:   Tumor Size--Clinical
Source 2:  
pgs:  
Notes:  


Question


Tumor Size/Bladder:  The 2018 SEER Coding and Staging Manual says to use imaging over physical exam as priority for determining tumor size. If a bladder tumor is 4 cm visualized on cystoscopy, and is 2.8 cm on CT scan, which should be used as the clinical size? Is cystoscopy (endoscopy) a clinical exam or imaging?



Discussion




Answer


For the case described here, use the size from the CT scan. Physical exam includes what can be seen by a clinician either directly or through a scope. A tumor size obtained visually via cystoscopy is part of a physical exam. Therefore, the imaging (CT) tumor size is preferred. Use text fields to describe the details.



History




Last Updated


06/07/2019

Date Finalized


07/19/2019