The following lung cancer cases are presented to help you abstract the primary site and then code that primary site. Further, the exercises will help you abstract the tumor morphology (histology) and then code the morphology correctly. And finally, these exercises will help you abstract, stage, and code the cases using the three staging systems that are currently in use in various parts of the United States, and the world, namely, SEER Summary Stage, TNM (AJCC/UICC) Sixth Edition (TNM6), and Collaborative Stage.
For the purposes of these exercises, assume that all tests and observations
were performed within 4 months of diagnoses or discharge.
For each case, identify and code the primary site and morphology and stage each
using the three staging systems. Note: It is important to identify the correct
primary site and the correct histology before assigning a stage to each case
(for example, a lymphoma of the lung would be staged using the lymphoma staging
schemes, NOT the lung staging schemes).
When staging each case, remember the following:
Correct answers along with appropriate discussion is provided for each case.
Happy abstracting, staging, and coding! Click here to start.