SEER Inquiry System - View
Question: 20081141 | |
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Status Final References Source 1: 2007 SEER Manual pgs: C-527, C-531 Notes: Appendix C Source 2: pgs: Notes: Question MP/H Rules--Lung: How do we interpret 'spiculated opacities?' How many primaries do we abstract for this patient? Please see discussion. Discussion Patient admitted for CT scan of chest. Impression: A small subpleural spiculated opacity is noted in the left upper lobe measuring 9.7x7.7mm. Right upper lobe spiculated nodular opacity measures 13.9x5.9mm. Right lower lobe scattered faint alveolar nodular opacities are noted. The lungs are otherwise clear. Abnormal soft tissue density mass is noted of the right hilum surrounding the distal main right pulmonary artery. Bronchoscopy/mediastinoscopy done: rare malignant cells present consistent with small cell carcinoma, specimen submitted as brushing of right bronchus intermedius. The tumor in the lymph node is metastatic small cell carcinoma. Patient discharged to hospice; died 5 weeks later. Do we consider only the measured opacities in each lung and ignore the RLL scattered faint alveolar nodular opacities? The right side was cytologically confirmed. But if we abstract the left lung, what is the histology...8041 or 8000? Answer Because there was cytologic confirmation of cancer, for this case only count the spiculated opacities as tumors. Abstract as a single primary using Rule M1. Note 2 under lung rule M1 applies to this case. Code the histology as 8041 [small cell carcinoma] per rule H10. History Last Updated 01/07/09 | |