Question: 20200020

Status


Final

Category


#1:   Reportability
#2:   Brain and CNS
#3:  


References


Source 1:   2007 SEER Coding and Staging Manual
pgs:   2, 3
Notes:   Updated with 2008 revisions
Source 2:  
pgs:  
Notes:  


Question


Reportability/Brain and CNS--Pituitary: Can a clinical diagnosis of pituitary adenoma be accessioned based on imaging if treatment is not given and subsequent imaging years later shows no evidence of pituitary adenoma? See Discussion.

 



Discussion


The patient was clinically diagnosed with a pituitary adenoma on MRI in June 2009. The MRI noted an unusual contour involving the superior margin of the pituitary gland and the clinical interpretation was a small pituitary adenoma. The patient did not follow-up with the recommended repeat imaging and never received treatment for the pituitary adenoma.

The patient was eventually seen again in January 2020 and the MRI showed no adenoma in the pituitary gland. Since pituitary adenomas are known to spontaneously regress, should the 2009 diagnosis of pituitary adenoma be accessioned as a SEER reportable benign central nervous system (CNS) tumor?



Answer


Pituitary adenoma is reportable even if it later regresses without treatment. Use text fields to record the details of this case.



History




Last Updated


05/21/2020

Date Finalized


06/26/2020