2016 Edits and Choice Lists Summary
This summary covers various edits related to primary site, AJCC stage group, TNM categories, and site-specific staging parameters for the year 2016. It includes details on conflicts between TNM path T and TNM clin stage group, as well as validations of TNM categories and staging parameters for accurate assignments. The edits focus on ensuring consistency in coding and staging for different site/histology combinations.
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CHOICE LISTS WE ARE STILL WAITING ON NPCR TO GIVE US THE CHOICE LIST UNTIL WE RECEIVE THE CHOICE LIST MAKE SURE TO LOOK AT THE APPROPRIATE CHAPTERS FOR THE SITE YOU ARE ABSTRACTING
EDIT: PRIMARY SITE, AJCC STAGE GROUP 2016 - ED 7 (COC) E:TNM CLIN STAGE GROUP IS INVALID FOR SITE/HIST COMBINATION DATE OF DIAGNOSIS (530) = [Y:2016 M:03 D:08] THIS EDIT IS HERE BECAUSE MELANOMA OF THE SKIN REQUIRES 1A OR 1B. THIS WAS ONLY STAGED AS A STAGE 1 IT IS VERY IMPORTANT TO OPEN YOUR AJCC STAGING MANUAL TO THE CHAPTER OF THE SITE YOU ARE ABSTRACTING TO FIND THE DETAILS OF HOW EACH SITE CAN BE STAGED TNM EDITION NUMBER (938) = [07] PRIMARY SITE (540) = [C443] HISTOLOGIC TYPE ICD-O-3 (550) = [8743] CS SITE-SPECIFIC FACTOR10 (1030) = [988] CS SITE-SPECIFIC FACTOR25 (1075) = [988] OVER-RIDE SITE/TNM-STGGRP (1895) = [<BLANK>] AGE AT DIAGNOSIS (193) = [064] GRADE (555) = [9] _ TNM CLIN STAGE GROUP (970) = [1] TNM PATH STAGE GROUP (952) = [1]
EDIT: TNM T, N, M , IN SITU (COC) E:CONFLICT BETWEEN TNM PATH T (PIS) AND TNM CLIN STAGE GROUP (99) DATE OF DIAGNOSIS (530) = [Y:2016 M:04 D:21] PRIMARY SITE (540) = [C182] HISTOLOGIC TYPE ICD-O-3 (550) = [8210] IN YOUR AJCC MANUAL ON PAGE 12 TABLE 1.8 IT STATES THAT CARCINOMA IN SITU, STAGE PTIS CN0 CM0 AS BOTH CLINICAL AND PATHOLOGIC STAGE(IF THE CASE IS ELIGIBLE FOR PATHOLOGIC STAGING) THE ONLY INSTANCE WHERE YOU WOULD NOT USE PTIS CN0 CM0 PATHOLOGIC STAGE 0 IS IF THE PATIENT WENT TO SURGERY AND THEY FOUND THE DISEASE WAS PROGRESSED FURTHER THAN IN SITU BEHAVIOR CODE ICD-O-3 (554) = [3] TNM PATH T (940) = [PIS] TNM PATH N (944) = [P0] SHOULD BE [C0] TNM PATH M (948) = [C0] TNM PATH STAGE GROUP (952) = [0] TNM CLIN T (958) = [CX] SHOULD BE [PTIS] TNM CLIN N (962) = [C0] TNM CLIN M (966) = [C0] TNM CLIN STAGE GROUP (970) = [99] TNM PATH DESCRIPTOR (956) = [0]
EDIT: PRIMARY SITE, TNM CLIN STAGE VALID B-ED 7 (COC) The purpose of this edit is to validate the coded TNM categories, and site-specific staging parameters where used, with the coded Stage Group assignments. The edit is used for site/histology groups in AJCC 7th Edition chapters 29 through 57. Some TNM chapters require elements in addition to T, N, and M categories, such as grade or mitotic rate. for correct stage assignment. In this edit description, these elements are called staging parameters. The edit will not be skipped but will pass if any of TNM Clin N or a required staging parameter is blank. The edit compares the combination of TNM Clin T, TNM Clin N, TNM Clin M categories, and staging parameter where required, with TNM Clin Stage Group. E:INCONSISTENCY BETWEEN TNM CATEGORIES TCX NC0 MC0 AND ASSIGNED TNM STAGE 2 TNM CLIN T (958) = [CX] _ _ TNM CLIN N (962) = [C0] _ _ TNM CLIN M (966) = [C0] _ _ TNM CLIN STAGE GROUP (970) = [2] _ PRIMARY SITE (540) = [C541] _ _ _ _ HISTOLOGIC TYPE ICD-O-3 (550) = [8380] _ _ _ _ BEHAVIOR CODE ICD-O-3 (554) = [3] _ DATE OF DIAGNOSIS (530) = [Y:2016 M:03 D:16] _ _ _ _ _ _ _ _ _ _ _
EDIT: TNM PATH T, PRIMARY SITE, SURGERY - ED 7 (COC) M:TNM CHAPTER: 045 A TURBT DOESN T COUNT FOR PATHOLOGIC STAGING CRITERIA FOR BLADDER PATHOLOGIC STAGING CAN ONLY BE GIVEN IF THE PATIENT HAS A CYSTECTOMY PER CHAPTER 45 DATE OF DIAGNOSIS (530) = [Y:2016 M:03 D:04] TYPE OF REPORTING SOURCE (563) = [1] PRIMARY SITE (540) = [C679] HISTOLOGIC TYPE ICD-O-3 (550) =[8120] BEHAVIOR CODE ICD-O-3 (554) = [3] TNM PATH T (940) = [P2] RX SUMM--SURG PRIM SITE (1567) = [27]
EDIT: TNM CLIN STAGE GROUP, SSF 2 LYMPHOMA (COC) E:TNM CLIN STAGE GROUP (2) AND CS SITE-SPECIFIC FACTOR 2 (000) CONFLICT If TNM Clin Stage Group = 1A, 2A, 3A, or 4A, then CS SSF 2 must = 000 (No B symptoms) or 020 (Pruritis) TNM CLIN STAGE GROUP (970) =[2] CS SITE-SPECIFIC FACTOR 2 (1006) =[000] If TNM Clin Stage Group = 1B, 2B, 3B, or 4B, then CS SSF 2 must = 010 (any B symptoms) or 030 (any B symptoms + pruritis) DATE OF DIAGNOSIS (530) = [Y:2016 M:02 D:24] HISTOLOGIC TYPE ICD-O-3 (550) = [9695] PRIMARY SITE (540) = [C778] If TNM Clin Stage Group = 1, 2, 3, or 4 then CS SSF 2 must = 999 (unknown or no information TYPE OF REPORTING SOURCE (563) = [1] BEHAVIOR CODE ICD-O-3 (554) = [3]
EDIT: TNM T, SSIZE, SITE SPEC - ED 7, ICDO3 (COC) M:TNM CHAPTER: 08B MAKE SURE YOU ARE CAREFUL WITH PUTTING IN TUMOR SIZES WHEN THE SIZE HELPS DERIVE THE STAGING THIS PATIENT HAD A TUMOR SIZE OF 7.7 MM WHICH SHOULD VE BEEN PUT IN AS 008 WITH ROUNDING TUMOR SIZE SUMMARY (850) = [077] TNM CLIN T (958) = [C1A] TNM PATH T (940) = [P1A] DATE OF DIAGNOSIS (530) = [Y:2016 M:02 D:23] PRIMARY SITE (540) =[C739] HISTOLOGIC TYPE ICD-O-3 (550) =[8260] BEHAVIOR CODE ICD-O-3 (554) = [3]
