| 672 |
1 |
CoC |
1997 |
5.1 |
|
|
797 - 797 |
NAACCR XML: Tumor.rxHospScopeRegLnSur
Alternate Names
Scope of Regional Lymph Node Surgery at this Facility (CoC)
Description
Describes the removal, biopsy, or aspiration of regional lymph node(s) performed at the reporting facility for diagnosis and/or staging or as a part of the first course of therapy.
Rationale
This item is important for evaluating quality of care and treatment practices relating to initial diagnosis, staging and/or first course of therapy. If central registries wish to study the treatment given at particular facilities, the facility-level treatment fields must be used. The summary treatment fields, conversely, combine information for all reporting facilities that provide first course of treatment for the tumor. Facility-specific fields allow studies of detailed referral patterns and treatment by type of healthcare setting. Knowing the extent of treatment given at a particular facility also helps resolve consolidation issues. If central registries wish to study the treatment given at particular reporting facilities, the reporting facility-level treatment fields must be used. The summary treatment fields, conversely, combine information across all reporting facilities that provide first course of treatment for the tumor. Reporting facility-specific fields allow studies of detailed referral patterns and treatment by type of reporting facility. Knowing the extent of treatment given at a particular reporting facility also helps resolve coding issues.
Codes (Refer to the most recent version of
STORE for instructions that should be applied to all surgically treated cases for all types of cancers.)
The treatment of breast and skin cancers are where the distinction between sentinel lymph node biopsies (SLNBx) and more extensive dissection of regional lymph nodes is most frequently encountered. For all other sites, non-sentinel regional node dissections are typical, and codes 2, 6 and 7 are infrequently used.
| 0 |
No regional lymph nodes removed. No lymph nodes found in the pathologic specimen. Diagnosed at autopsy. |
| 1 |
Biopsy or aspiration of regional lymph node, NOS. |
| 2 |
Sentinel lymph node biopsy. |
| 3 |
Regional lymph node(s) removed and the number of nodes removed is unknown or not stated; the procedure is not specified as sentinel node biopsy. Regional lymph nodes removed, NOS. |
| 4 |
1 to 3 regional lymph nodes removed. |
| 5 |
4 or more regional lymph nodes removed. |
| 6 |
Sentinel node biopsy and code 3, 4, or 5 at same time or timing not stated. |
| 7 |
Sentinel node biopsy and code 3, 4, or 5 at different times. |
| 9 |
Unknown or not applicable. It is unknown whether regional lymph node surgery was performed. Death certificate only case; unknown or ill-defined primary site; hematopoietic, reticuloendothelial, ummunoproliferative or myeloproliferative disease. |
Note: One important use of registry data is the tracking of treatment patterns over time. To compare contemporary treatment to previously published treatment based on former codes, or to data unmodified from pre-1998 definitions, the ability to differentiate surgeries in which four or more regional lymph nodes are removed is desirable. However, it is very important to note that the distinction between codes 4 and 5 is made to permit comparison of current surgical procedures with procedures coded in the past when the removal of fewer than 4 nodes was not reflected in surgery codes. It is not intended to reflect clinical significance when applied to a particular surgical procedure. It is important to avoid inferring, by data presentation or other methods, that one category is preferable to another within the intent of these items.
