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National Program of Cancer Registries - page 89 / 93

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Surgical Procedure/Other Site

  • Record removal of distant lymph nodes or other tissues beyond the primary site

    • Surgical removal of liver metastasis for colon

and rectum

  • Do not record removal of tissues removed en bloc with the primary site

  • Do not record incidental removal of tissue

    • Appendectomy with colon cancer surgery

The removal of distant lymph nodes or other tissues that are not part of the primary site is recorded in the data item, surgical procedure/other site. For colon or rectum, the most common procedure recorded here would be surgical removal or ablation of liver metastasis. If other tissues were removed “en bloc” with the primary, that removal is coded in the surgical procedure of primary site. The incidental removal of a tissue or organ is not recorded in this data item. An appendectomy performed at the same time as a hemicolectomy for colon cancer, would be considered incidental and not coded here.

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