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 left neck lymph node biopsy. Enter the date of lymph node biopsy (excisional biopsy or biopsy NOS) as the Date Therapy Initiated for a lymphoma when biopsy is the first or only therapy performed. Reference: SEER Inquiry System, Question ID 20051034.
Local tumor excision, NOS (Less than a full chain; includes a lymph node biopsy)
Code the most extensive surgery if the patient has multiple surgical procedures of the primary site. For lymphoma, do not code a fine needle aspiration or core needle biopsy of a lymph node in Surgery of Primary Site. Reference: SEER Inquiry System, Question ID 20051034.
Not applicable. Assign code 9 for lymphoma with primary site in lymph nodes (C77.0-C77.9) and one of the following histologies: 9590-9596 or 9650-9719 or 9727-9729. Reference: SEER Program Coding and Staging Manual 2004 (PDF), pg. 180.
Surgery of the primary site was performed (left neck and mediastinal lymph node biopsies)