Casefinding Flashcards

When reviewing the endoscopy unit log for casefinding, a registrar finds 'adenomatous polyp, colon' on a pathology report. Is this case reportable?

Answer: No, adenomatous polyps are benign and not reportable

Adenomatous polyps are benign lesions and are not reportable to the cancer registry; only malignant or in situ neoplasms are reportable.

Which of the following is the MOST reliable indicator that a case should be entered into the suspense file during casefinding?

Answer: A pending biopsy with a suspicious radiology finding

A pending biopsy with suspicious imaging is the strongest indicator of a potential new cancer case warranting placement in a suspense file pending pathology results.

A registrar is abstracting a case where the patient was diagnosed with breast cancer at an outside facility, had surgery there, and came to your hospital for post-mastectomy radiation only. What class of case is this?

Answer: Class 2 – Analytic, treated at your facility after diagnosis elsewhere

A case diagnosed elsewhere but receiving a portion of first course treatment at your facility is classified as a Class 2 analytic case.

During casefinding, a registrar finds a case of CIN III (severe cervical dysplasia) on a pathology report. How should this be handled?

Answer: Abstract as carcinoma in situ of the cervix

CIN III is equivalent to carcinoma in situ of the cervix and is a reportable condition that should be abstracted as in situ.

A cancer registrar discovers that a group of cases from the outpatient oncology clinic was never reported due to a breakdown in the casefinding process. What is the appropriate response?

Answer: Perform a retrospective review and abstract all missed reportable cases

All missed reportable cases should be identified and abstracted retrospectively to maintain database completeness and integrity.

Which of the following hematologic diagnoses is NOT reportable to a hospital cancer registry?

Answer: Iron deficiency anemia

Iron deficiency anemia is a benign nutritional/hematologic condition, not a neoplasm, and is not reportable to the cancer registry.

A patient receives a bone marrow biopsy at your facility confirming multiple myeloma but declines treatment and is never seen at your facility again. Is this case reportable?

Answer: Yes, as a Class 1 analytic case because diagnosis was established at the facility

Diagnosis of cancer at the facility makes a case Class 1 analytic regardless of whether treatment was received at or away from the facility.