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Question: 20130085 Status
Final

References
Source 1:   Heme & Lymph Neo Manual & DB
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Source 2:  
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Question
Multiple primaries--Heme & Lymphoid Neoplasms: How many primaries should be abstracted? Myelodysplastic syndrome (MDS) in 1999 treated with Vidaza. On recent bone scan bx-transformation to Acute Myeloid Leukemia (AML).

Discussion


Answer
Abstract the AML as a second primary. Go the Hematopoietic database and type in MDS. Choose code 9989/3 for MDS, NOS and go down to the transformations. MDS can transform to Acute Myeloid Leukemia. In the Hematopoietic manual, go to rule M10, which states that if a neoplasm is diagnosed in the chronic phase (the MDS) and there is a second diagnosis greater than 21 days of an acute neoplasm (the AML, 9861/3), abstract the acute neoplasm as a second primary.

History


Last Updated
02/24/2014

Date Finalized
07/11/2013