Exercise #4
On April 1, 2004 the patient had a CT scan of the head that showed cholesteatoma. On April 15, 2004 an MRI of the head showed left temporal meningioma. On April 30, 2004 the patient had surgery to remove the meningioma. The final pathologic diagnosis was meningioma of the left inferior temporal dura.
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What is the date of diagnosis?
The diagnosis date is 04/15/2004, the date of the MRI. The cholesteatoma diagnosed on April 1 is not a reportable condition.
What is the sequence number?
The sequence number is 60 because it is a solitary benign tumor.
What is the CS extension?
The CS extension code is 05, benign.
Primary site: C70.0 cerebral meninges
The meningioma is sited to the cerebral meninges rather than the temporal lobe because it is stated to be in the temporal dura. The dura is part of the meninges.
Histology: 9530/09 meningioma NOS.