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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: 05/17/XX The first cancer-directed therapy (treatment given in an attempt to destroy or modify cancer tissue) was the laryngectomy

Surgery of Primary Site

Code: 41 Total laryngectomy only

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

Surgical Procedure of Other Site

Code: 0 None.

Reason for No Surgery of Primary Site

Code: 0 Surgery of the primary site was performed.