California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures
In the Scopes section of the abstract, record information for all scopes performed as part of the initial work-up of diagnosis.
Enter the date and type of procedure performed, such as laryngoscopies, sigmoidoscopies, mediastinoscopies, colonoscopies, and other endoscopic procedures.
Record any pertinent positive and negative results, including:
A description of the primary tumor and whether or not it is multifocal
Tumor Size
Extent to which the tumor has spread
Involvement of lymph nodes
Enter "none" if no endoscopic examination was performed.
Use standard medical abbreviations when possible to save space. See Appendices M.1 and M.2 for common acceptable abbreviations
Include mention of biopsies, washings, and other procedures performed during the examination. All results obtained from these procedures must be entered in the Text – Pathology Section.