Information for Cancer Registrars

Questions & Answers

Software and Services

Home > Registrars > SEER Inquiry System > View

SEER Inquiry System - View

Question: 20120066
Status Final References Source 1: 2012 Heme & Lymph Manual & DB pgs: Notes: Source 2: pgs: Notes: Question Histology/Primary site--Heme & Lymphoid Neoplasms: Do I code: 9680/3 for DLBCL? Also, what topography code should I use? A 12 year old with history of Fanconi anemia. Status post stem cell transplant x2. 5/2012 diagnosed with monomorphic B cell PTLD (post-transplant lymphoproliferative disorder) with features of diffuse large B-cell lymphoma. Sites involved: chest wall/intramuscular and right frontal lobe of brain. 2012 Hematopoietic Database states to code to lymphoma. Discussion Answer Go to the 2012 hematopoietic database and type in PTLD. The abstractor notes state that monomorphic PTLD usually has an accompanying diffuse large b-cell lymphoma. Per Rule PH2, when monomorphic PTLD and diffuse large B-cell lymphoma occur together, code the lymphoma, 9680/3. To assign the primary site, go to Module 7. Since there is involvement in two extranodal sites and no mention of lymph node involvement, use Rule PH37 and code to C809. History Last Updated 08/29/2012 Date Finalized 08/29/2012

Question: 20120066

Status
Final

References
Source 1: 2012 Heme & Lymph Manual & DB
pgs:
Notes:
Source 2:
pgs:
Notes:

Question
Histology/Primary site--Heme & Lymphoid Neoplasms: Do I code: 9680/3 for DLBCL? Also, what topography code should I use?

A 12 year old with history of Fanconi anemia. Status post stem cell transplant x2. 5/2012 diagnosed with monomorphic B cell PTLD (post-transplant lymphoproliferative disorder) with features of diffuse large B-cell lymphoma. Sites involved: chest wall/intramuscular and right frontal lobe of brain. 2012 Hematopoietic Database states to code to lymphoma.

Discussion

Answer
Go to the 2012 hematopoietic database and type in PTLD. The abstractor notes state that monomorphic PTLD usually has an accompanying diffuse large b-cell lymphoma. Per Rule PH2, when monomorphic PTLD and diffuse large B-cell lymphoma occur together, code the lymphoma, 9680/3.

To assign the primary site, go to Module 7. Since there is involvement in two extranodal sites and no mention of lymph node involvement, use Rule PH37 and code to C809.

History

Last Updated
08/29/2012

Date Finalized
08/29/2012