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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: 06/11/XX The first cancer-directed therapy (treatment given in an attempt to destroy or modify cancer tissue) was surgery.

Surgery of Primary Site

Code: 46 Wide excision of lesion with margins more than 1 cm and less than or equal to 2 cm

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

Scope of Regional LN Surgery

Code: 3 Number of regional lymph nodes removed not stated. Procedure is described as an inguinal lymph node dissection.

Surgical Procedure of Other Site

Code: 4 Nonprimary surgical procedure to distant site (wedge resection of RUL metastasis)

Reason for No Surgery of Primary Site

Code: 0 Surgery of the primary site was performed (Excision of right thigh lesion)