Primary Site, TNM Clin Stage Valid B-Ed 7 (COC)

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  • #4142
    AnonymousDeborah Towell
    Spectator

    Is this a problem with the NAACCR edits? Or a problem with the coding values chosen? Below is the actual edit:

    Primary Site, TNM Clin Stage Valid B-Ed 7 (COC)
    E: Tc4 NcX Mc0, staging parameter for C449, inconsistent with TNM stage 4A1
    TNM Clin T (958) = c4
    TNM Clin N (962) = cX
    TNM Clin M (966) = c0
    TNM Clin Stage Group (970) = 4A1
    Primary Site (540) = C449
    Histologic Type ICD-O-3 (550) = 9701
    Behavior Code ICD-O-3 (554) = 3
    Date of Diagnosis (530) = Y:2016 M:07 D:21
    TNM Edition Number (938) = 07
    Age at Diagnosis (193) = 055
    Grade (555) = 5
    CS Site-Specific Factor 1 (1003) = 070
    CS Site-Specific Factor 8 (1024) = 988
    CS Site-Specific Factor10 (1030) = 988
    CS Site-Specific Factor13 (1039) = 988
    CS Site-Specific Factor15 (1045) = 988
    CS Site-Specific Factor16 (1048) = 988
    CS Site-Specific Factor25 (1075) = 988
    Sex (192) = 2
    Type of Reporting Source (563) = 1

    #4512
    Jim Hofferkamp
    Keymaster

    In the scenario above, the edit is working correctly. This is sezary’s disease primary (see chapter 57B Primary cutaneous lymphoma pg 613 in AJCC manual).

    cT4 cNX cM0 should not equal stage group 4A1. When we discussed this off-line you mentioned that the registrar had also tried to enter clinical stage group of 99 and the edit failed.

    The edit should have allowed stage group 99 in that scenario. We will update the edit to allow cT4 cNX cM0 stage group 99.

    The update will be included in the v16d metafile scheduled for release in late January/early February.

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