CTR CTR Treatment & Therapy Documentation 2 — Questions and Answers
Question 1: Which field records the number of regional lymph nodes that were examined pathologically?
- Regional Nodes Examined (Correct answer)
- Regional Nodes Positive
- Scope of Regional LN Surgery
- Lymph-vascular Invasion
Correct answer: Regional Nodes Examined
The Regional Nodes Examined field captures the total number of lymph nodes removed and microscopically evaluated by the pathologist.
Question 2: Brachytherapy is best categorized under which type of radiation therapy delivery?
- Internal radiation (Correct answer)
- External beam radiation
- Proton beam therapy
- Stereotactic radiosurgery
Correct answer: Internal radiation
Brachytherapy places radioactive sources inside or immediately adjacent to the tumor, classifying it as internal radiation.
Question 3: A patient with colorectal cancer receives bevacizumab along with FOLFOX. How should bevacizumab be classified?
- Targeted therapy (Correct answer)
- Chemotherapy
- Immunotherapy
- Hormone therapy
Correct answer: Targeted therapy
Bevacizumab is a monoclonal antibody targeting VEGF, classifying it as targeted therapy rather than conventional chemotherapy.
Question 4: Which STORE field records whether chemotherapy was given as part of the first course of treatment?
- RX Summ–Chemo (Correct answer)
- RX Summ–Systemic/Surgery Sequence
- RX Summ–Other
- RX Date–Chemo
Correct answer: RX Summ–Chemo
The RX Summ–Chemo field uses standardized codes to indicate whether and what type of chemotherapy was administered in the first course.
Question 5: If surgery is performed at a reporting facility but radiation therapy is given at another facility, how should treatment be abstracted?
- Abstract all treatment received, regardless of facility (Correct answer)
- Only abstract treatment performed at the reporting facility
- Leave radiation therapy fields blank
- Record radiation as unknown
Correct answer: Abstract all treatment received, regardless of facility
STORE guidelines require abstractors to capture all first-course treatment regardless of where it was administered.
Question 6: What is the purpose of the 'Palliative Care' field in the treatment summary?
- To indicate treatment aimed at symptom relief rather than cure (Correct answer)
- To record the final chemotherapy regimen
- To document hospice enrollment date
- To flag cases excluded from survival analysis
Correct answer: To indicate treatment aimed at symptom relief rather than cure
The Palliative Care field flags whether treatment was intended to relieve symptoms and improve quality of life rather than achieve cure or remission.
CTR CTR Treatment & Therapy Documentation 2
Which field records the number of regional lymph nodes that were examined pathologically?