California Cancer Reporting System Standards, Volume III

IF1172: Summary Stage 2000, TNM N 2016 (NAACCR)

OWNER

NAACCR

EDIT SETS

California Hospital Transmit

Eureka Admission Level

Eureka Tumor Level

FIELDS

SEER Summary Stage 2000  [NAACCR #759]

TNM Path N [NAACCR #890]

TNM Clin N [NAACCR #950]

Date of Diagnosis [NAACCR #390]

Type of Reporting Source [NAACCR# 500]

Behavior Code ICD-O-3 [NAACCR# 523]

Primary Site [NAACCR #400]

Histologic Type ICD-O-3 [NAACCR #522]

TABLE

N/A

MESSAGE

  1. IF1172: Conflict among SEER Summary Stage 2000, TNM Path N, and TNM Clin N

specification

This edit is to be used for cases collected 2016 and later.

 

TNM Path N has precedence over TNM Clin N as follows: The edit checks TNM Path N if it does not equal blank, "pX", or "88".  If TNM Path N = blank, "pX", or "88", the edit checks TNM Clin N if it does not equal blank, "cX", or "88". The edit passes if TNM Path N = "pX" and TNM Clin N = "cX".

 

 

This edit is skipped if any of the following conditions are true:

  1. Diagnosis date is less than 2016, blank (unknown), or invalid

  2. Type of Reporting Source = 7 (Death Certificate Only)

  3. Behavior Code ICD-O-3 = 0 (benign) or 1 (borderline)

  4. SEER Summary Stage 2000 is blank

  5. TNM Path N and TNM Clin N are both blank, both = 88

 

TNM Path N has precedence over TNM Clin N as follows: The edit checks TNM Path N if it does not equal blank, "pX", or "88".  If TNM Path N = blank, "pX", or "88", the edit checks TNM Clin N if it does not equal blank, "cX", or "88". The edit passes if TNM Path N = "pX" and TNM Clin N = "cX".

 

The following combinations of SEER Summary Stage 2000 and TNM N are incorrect and require review.

  1. SEER Summary Stage 2000 equals 0 (in situ) and TNM N code equals c1-c3 or p1-p3

  2. SEER Summary Stage 2000 equals 1 (localized) and TNM N code equals c1-c3 or p1-p3

  3. SEER Summary Stage 2000 equals 2 (regional by direct extension only) and TNM N code equals c1-c3 or p1-p3

 

The following TNM site/histology groups/Path N codes are exceptions to the above and will not generate errors:

Chapter 14: Colon and Rectum

TNM Path N = p1C (tumor deposits)

 

Chapter 31: Melanoma of the Skin

TNM Path N = p2C (satellite nodules)

 

Chapter 30: Merkel Cell Carcinoma

TNM Path N = p2 (in transit metastases)

 

Chapter 52: Retinoblastoma

TNM Path N = p2 (distant nodes)

 

Chapter 55: Ocular Adnexal Lymphoma

TNM Path N = p3 or p4 (codes indicating distant nodes)

historical changes

08/2016

Per NAACCR v16, new edit added.

09/2016

Per NAACCR v16A:

  • Edit logic updated to skip for Type of Reporting Source = 7, Behavior Code ICD-O-3 = 0 or 1

  • c4, p4 removed from logic checking TNM Path values with Summary Stage 2000

  • Skip for Over-ride deleted from Description and Edit Logic

  • Description and edit logic modified to pass for specific N values coded for site/histology groups where cN or pN is assigned for involvement other than regional nodes.

  • Description and edit logic updated to not compare SEER Summary Stage 2000 codes 3 and 4 with TNM N codes. SEER extent of disease assignment may conflict with TNM Path T assignment for example in cases with clinically positive nodes but pathologically negative nodes after neoadjuvant treatment. The pre-2016 versions of the edit, SS2000, TNM N c,p pre2016 (NAACCR) and Summary Stage 2000, TNM N (NAACCR) compare SEER Summary Stage 2000 3 and 4 with TNM codes.  These edits do not include the exceptions noted for this edit, and they include over-rides for the checks with SS2000 3 and 4 that have been removed from this edit.

11/2016

Per NAACCR v16B, reference to Over-ride removed from edit description.