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Case Description.

(Reference: SEER Program Coding and Staging Manual 2004, pgs 169-201 and Appendix C for Surgery of Primary Site codes; FORDS Manual, pgs 129-191 and Appendix B for Surgery of Primary Site codes.)

Date Therapy Initiated Format: dd/mm/xx / /

Code: 03/05/XX The first cancer-directed therapy (treatment given in an attempt to destroy or modify cancer tissue) was radiation therapy.

Surgery of Primary Site

Code: 00 No surgery of primary site. A biopsy was done of the vocal cord tumor. The biopsy was not stated to be excisional.

Code the most extensive surgery if the patient has multiple surgical procedures of the primary site.

Scope of Regional LN Surgery

Code: 0 No regional lymph nodes removed or aspirated.

Surgical Procedure of Other Site

Code: 0 None.

Reason for No Surgery of Primary Site

Code: 1 Surgery of the primary site was not done because it was not part of the planned first-course treatment.