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Coding & Classification Systems Flashcards

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  1. When a patient has two simultaneous primary tumors in the same organ, which rule governs whether they are reported as one or two cases?

    Answer: Multiple primary rules (e.g., SEER MPH rules)

    SEER Multiple Primary and Histology (MPH) rules determine whether simultaneous tumors in the same organ constitute one or two reportable primaries.

  2. Which ICD-O-3 grade code is assigned when the pathology report states 'poorly differentiated'?

    Answer: Grade III

    Grade III (poorly differentiated) corresponds to high-grade tumors with significantly abnormal cell appearance.

  3. The Collaborative Stage (CS) data collection system was retired and replaced by which system beginning with cases diagnosed in 2016?

    Answer: EOD (Extent of Disease) 2018

    Extent of Disease (EOD) 2018 replaced Collaborative Stage for cases diagnosed on or after January 1, 2018.

  4. Under ICD-O-3 topography coding, C76.0 represents which primary site?

    Answer: Head, face, and neck, NOS

    C76.0 in ICD-O-3 designates the head, face, and neck as a primary site when a more specific subsite cannot be determined.

  5. Which histologic type does ICD-O-3 code 9732/3 represent?

    Answer: Multiple myeloma

    ICD-O-3 code 9732/3 represents multiple myeloma (plasma cell myeloma).

  6. When the pathology report lists 'infiltrating duct carcinoma' for a breast tumor, which ICD-O-3 histology code should the registrar assign?

    Answer: 8500/3

    Infiltrating duct carcinoma (invasive ductal carcinoma, NOS) is coded 8500/3 in ICD-O-3.

  7. In AJCC 8th edition staging for colorectal cancer, which N category indicates metastasis in 7 or more regional lymph nodes?

    Answer: N2b

    N2b in AJCC 8th edition colorectal staging indicates metastasis in 7 or more regional lymph nodes.

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