CTR CTR Treatment & Therapy Documentation 1 — Questions and Answers
Question 1: Which STORE code is used when a patient receives radiation therapy as the first course of treatment?
- Code 1 (Correct answer)
- Code 2
- Code 3
- Code 0
Correct answer: Code 1
STORE Code 1 indicates that radiation therapy was administered as part of the first course of treatment.
Question 2: When abstracting surgical treatment, which field captures the most definitive surgery performed on the primary site?
- RX Summ–Surgery of Primary Site (Correct answer)
- RX Summ–Scope of Regional Lymph Node Surgery
- RX Summ–Surgical Approach
- RX Summ–Systemic Surg Seq
Correct answer: RX Summ–Surgery of Primary Site
The RX Summ–Surgery of Primary Site field records the most definitive surgical procedure performed on the primary cancer site.
Question 3: What does the term 'first course of treatment' mean in cancer registry abstracting?
- All treatment given before recurrence or progression (Correct answer)
- Only surgery performed within 30 days of diagnosis
- The first chemotherapy regimen only
- Treatment given in the first hospital visit
Correct answer: All treatment given before recurrence or progression
First course of treatment includes all planned therapy given before disease recurrence, progression, or the start of a new treatment approach.
Question 4: A patient receives neoadjuvant chemotherapy followed by surgery. How should sequence of systemic therapy and surgery be coded?
- Systemic before surgery (Correct answer)
- Surgery before systemic
- Surgery only
- Systemic only
Correct answer: Systemic before surgery
When chemotherapy precedes surgery, the sequence is coded as systemic therapy before surgery, reflecting actual treatment order.
Question 5: Which systemic therapy class includes drugs such as tamoxifen and anastrozole used in breast cancer treatment?
- Hormone therapy (Correct answer)
- Immunotherapy
- Targeted therapy
- Chemotherapy
Correct answer: Hormone therapy
Tamoxifen and anastrozole are hormone (endocrine) therapy agents that block or reduce estrogen's effect on breast cancer cells.
Question 6: When a patient refuses all recommended treatment, which RX Summ–Surgery of Primary Site code is most appropriate?
- Code 00 – None (surgery not recommended or refused) (Correct answer)
- Code 98 – Surgery, NOS
- Code 99 – Unknown
- Code 90 – Surgery, NOS
Correct answer: Code 00 – None (surgery not recommended or refused)
Code 00 is used when surgery was not recommended or was recommended but refused by the patient.
CTR CTR Treatment & Therapy Documentation 1
Which STORE code is used when a patient receives radiation therapy as the first course of treatment?