This field specifies information on surgery during first course of therapy whether it was cancer-directed or not. (Prior to 1988 SEER did not collect information on surgical procedures if not cancer-directed.) The Reason for No Cancer-directed Surgery field must be used to distinguish among no cancer-directed surgery performed; cancer-directed surgery recommended, unknown if performed; and unknown if cancer-directed surgery performed.
For Cases Diagnosed 1973-82
All cases were coded using the following nonspecific scheme:
| Code | Description |
|---|---|
| 00 | No surgical procedure |
| 09 | Unknown if surgery done |
| Code | Description |
|---|---|
| 90 | Surgery, NOS |
1 Code '09' must be used in conjunction with Reason for No Cancer-directed Surgery to distinguish "No cancer directed surgery" from "Unknown if cancer-directed surgery performed" and "Cancer-directed surgery recommended but unknown if given." Code ‘00’ is only used for cases diagnosed only at autopsy.
For Cases Diagnosed 1983-87
Detailed schemes were in place for the following sites:
| ICD-O Codes | Primary Site |
|---|---|
| C16.0-C16.9 | Stomach |
| C18.0-C18.9 | Colon |
| C19.9, C20.9 | Rectosigmoid, Rectum |
| C34.0-C34.9 | Bronchus and Lung |
| C44.0-C44.9 | Skin (melanomas only) |
| C50.0-C50.9 | Breast |
| C53.0-C53.9 | Cervix Uteri |
| C54.0-C54.9 | Corpus Uteri |
| C56.9 | Ovary |
| C61.9 | Prostate |
| C67.0-C67.9 | Bladder |
| C64.9, C65.9, C66.9 | Kidney, Renal Pelvis, Ureter |
All other sites are coded to the same nonspecific scheme used for 1973-82 cases (above).
For Cases Diagnosed 1988-1997
In addition to the above sites, detailed schemes for the following sites were put into place:
| ICD-O Codes | Primary Site |
|---|---|
| C00.0-C14.8 | Oral Cavity |
| C25.0-C25.9 | Pancreas |
| C32.0-C32.9 | Larynx |
| C42.2 | Spleen |
| C41.0-C41.9 | Connective tissue |
| C47.0-C47.9,C49.0-C49.9 | Bone |
| C62.0-C62.9 | Testis |
| C73.9 | Thyroid |
| C77.0-C77.9 | Lymph nodes |
A general scheme was used for all other sites.
The actual coding schemes for individual sites and time periods can be viewed at 2-Digit Site-Specific Surgery Codes (1983-1997) (PDF, 91 KB).
