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Exercise 3
Patient had CT scan of the head on 2/24/04 showing a large prolactinoma of the pituitary gland. The patient started on bromocriptine to shrink the tumor in March 2004. The patient had gamma knife surgery on 10/1/04.
Answer & Discussion
- Surgical procedure of primary site
00 - None - Surgical margins of primary site
8 - No primary site surgery - Scope of regional lymph node surgery
0 - None (None instead of not applicable because pituitary is not one of the sites listed in FORDS to use "not applicable" for lymph node surgery.) - Radiation treatment volume
02 - No radiation treatment - Regional treatment modality (radiation)
43 - Gamma knife - Chemotherapy
00 - None - Hormone therapy
01 - Hormone therapy as first course therapy (bromocriptine is hormone treatment for pituitary tumors.) - Immunotherapy
00 - None - Hematologic transplant and endocrine procedures
00 - None



