California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures
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Code |
Description |
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00 |
None; no cancer-directed surgery of primary site |
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10 |
Total removal of tumor or (single) ovary, NOS |
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11 |
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Resection of ovary (wedge, subtotal, or partial) only, NOS; unknown if hysterectomy done |
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12 |
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Without hysterectomy |
13 |
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With hysterectomy |
14 |
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Unilateral (salpingo ) oophorectomy; unknown if hysterectomy done |
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15 |
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Without hysterectomy |
16 |
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With hysterectomy |
20 |
Bilateral (salpingo ) oophorectomy; unknown if hysterectomy done |
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21 |
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Without hysterectomy |
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22 |
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With hysterectomy |
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30 |
Unilateral or bilateral (salpingo ) oophorectomy with omentectomy, NOS; partial or total; unknown if hysterectomy done |
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31 |
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Without hysterectomy |
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32 |
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With hysterectomy |
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60 |
Debulking; cytoreductive surgery, NOS |
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61 |
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With colon (including appendix) and/or small intestine resection (not incidental) |
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62 |
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With partial resection of urinary tract (not incidental) |
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63 |
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Combination of 61 and 62 Note: Debulking is a partial removal of the tumor mass and can involve the removal of multiple organ sites. It may include removal of ovaries and/or the uterus (a hysterectomy). The pathology report may or may not identify ovarian tissue. A debulking is usually followed by another treatment modality such as chemotherapy. |
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70 |
Pelvic exenteration, NOS |
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71 |
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Anterior Note: Includes bladder, distal ureters, and genital organs with their ligamentous attachments and pelvic lymph nodes. The removal of pelvic lymph nodes is also coded under the data item Surgery of Other Regional Site(s), Distant Site(s), or Distant Lymph Node(s). |
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72 |
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Posterior Note: Includes rectum and rectosigmoid with ligamentous attachments and pelvic lymph nodes. The removal of pelvic lymph nodes is also coded under the data item Surgery of Other Regional Site(s), Distant Site(s), or Distant Lymph Node(s). |
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73 |
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Total Note: Includes removal of all pelvic contents and pelvic lymph nodes. The removal of pelvic lymph nodes is also coded under the data item Surgery of Other Regional Site(s), Distant Site(s), or Distant Lymph Node(s). |
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74 |
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Extended Note: Includes pelvic blood vessels or bony pelvis. |
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80 |
(Salpingo ) oophorectomy, NOS |
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90 |
Surgery, NOS |
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99 |
Unknown if cancer-directed surgery performed; death certificate only |
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For this site only, this field will describe the residual tumor burden after cancer-directed surgery.
Code |
Description |
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0 |
No visible residual tumor |
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1 |
Visible residual tumor, NOS |
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2 |
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Visible residual tumor, cumulative maximum of less than 1 cm |
3 |
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Visible residual tumor, cumulative maximum of at least 1 cm, not more than 2 cm |
4 |
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Visible residual tumor, cumulative maximum of more than 2 cm |
8 |
No cancer-directed surgery of primary site |
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9 |
Unknown whether margins were involved or negative; death certificate only |
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The regional lymph nodes are:
Code |
Description |
0 |
No regional lymph nodes removed |
1 |
Regional lymph nodes removed, NOS |
9 |
Unknown; not stated; death certificate only |
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Do not code an incidental removal of the appendix. Incidental removal is when an organ is removed for a reason unrelated to the malignancy.
Code |
Description |
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0 |
None; no surgery to other regional or distant sites |
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1 |
Surgery to other sites or nodes, NOS; unknown if regional or distant |
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2 |
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Other regional sites |
3 |
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Distant lymph nodes |
4 |
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Distant sites |
5 |
Combination of 4 with 2 or 3 |
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9 |
Unknown; not stated; death certificate only |
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