Question: 20190050

Status


Final

Category


#1:   Reportability
#2:   Melanoma
#3:  


References


Source 1:   2018 SEER Manual
pgs:  
Notes:   Appendix C: Melanoma Coding Guidelines
Source 2:  
pgs:  
Notes:  


Question


Reportability/Melanoma:  Is evolving melanoma reportable with a Clark’s level and Breslow’s thickness are cited in the pathology report?  See Discussion.



Discussion


We realize evolving melanoma is not reportable. However, how do we interpret the reportability of the following: The histological and immunohistochemical findings are most consistent with an early-evolving malignant melanoma, superficial spreading type, with Clark's level II and maximal Breslow thickness 0.33 mm, arising in association with an atypical nevus. Since a Clark's level and Breslow's thickness are included, is this reportable? Is this really an evolving melanoma?



Answer


Do not report melanoma when described as early or evolving, regardless of dimension, per the Appendix C Melanoma Coding Guidelines in the 2018 SEER Coding Manual that states: As of cases diagnosed January 1, 2018, early or evolving melanoma of any type is not reportable. This includes both invasive and in situ melanomas; early or evolving are not reportable.



History




Last Updated


06/13/2019

Date Finalized


08/29/2019