News: Announcements and Changes
Note to the Cancer Registrar Community
CS Coding in the Neoadjuvant Setting
With the increasing use of neoadjuvant treatment modalities in various types of cancer diagnosis, the Collaborative Staging Task Force has been challenged with meeting the needs of the registrar in properly coding the presentation of disease upon diagnosis of the patient. The clinical presentation is extremely important in this setting. In order to allow for the best clinical stage in the neoadjuvant setting, there have been some enhancements to specific schemas in which this occurs most often. The schemas enhanced are colon, rectum, breast and stomach. There is an addition of SSF 2 for both colon and rectum schemas and a new SSF 1 for the stomach schema to address the collection of clinical regional lymph node information. In the breast schema, the collaborative stage lymph node table has been updated to allow for the collection of clinical regional lymph node information.
We are hopeful that the capture of clinical information in the neoadjuvant setting will further assist those utilizing the data collected within the cancer registry. We are also hopeful that we have empowered and enabled the registrar to record the best and most accurate data during the abstracting process.
Revised March 26, 2008
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