Treatment (Set 1)

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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 / /	Code: 08/11/XX The first cancer-directed therapy (treatment given in an attempt to destroy or modify cancer tissue) was surgery (excisional biopsy and cervical lymph node excision). The shave biopsy incompletely excised the lesion according to the surgical observations. Do not code as an excisional biopsy when there is macroscopic residual disease.

Date Therapy Initiated

Code: 08/11/XX

The first cancer-directed therapy (treatment given in an attempt to destroy or modify cancer tissue) was surgery (excisional biopsy and cervical lymph node excision). The shave biopsy incompletely excised the lesion according to the surgical observations. Do not code as an excisional biopsy when there is macroscopic residual disease.

Surgery of Primary Site	Code: 31 Shave biopsy followed by a gross excision of the lesion. Margins are less than 1 cm. If the excision does not have microscopically negative margins greater than 1 cm, use the appropriate code 20-36.

Surgery of Primary Site

Code: 31

Shave biopsy followed by a gross excision of the lesion. Margins are less than 1 cm. If the excision does not have microscopically negative margins greater than 1 cm, use the appropriate code 20-36.

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

Scope of Regional LN Surgery	Code: 5 4 or more regional lymph nodes removed

Scope of Regional LN Surgery

Code: 5

4 or more regional lymph nodes removed

Surgical Procedure of Other Site	Code: 0 None.

Surgical Procedure of Other Site

Code: 0

None.

Reason for No Surgery of Primary Site	Code: 0 Surgery of the primary site was performed. (Excision of right neck lesion)

Reason for No Surgery of Primary Site

Code: 0

Surgery of the primary site was performed. (Excision of right neck lesion)