Treatment (Set 1)
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(Reference: SEER Program Coding and Staging Manual 2004 (PDF), pgs 169-201 and Appendix C for Surgery of Primary Site codes; FORDS Manual (PDF), pgs 129-191 and Appendix B for Surgery of Primary Site codes.)
The first cancer-directed therapy (treatment given in an attempt to destroy or modify cancer tissue) was the simple mastectomy. The biopsy is not stated to be excisional and there is extensive residual tumor found in the mastectomy specimen.
Total (simple) mastectomy, without removal of the uninvolved contralateral breast, with tissue (TRAM flap) reconstruction.
Code the most extensive surgery if the patient has multiple surgical procedures of the primary site.
Sentinel lymph node biopsy (only)
Surgery of primary site was performed (simple mastectomy of right breast)