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Multiple Primaries & Histology Coding Exercise: Exercise 5

Clinical information: 8 cm tumor left ovary and 3 cm tumor of the ileocecal junction. Questionable nodes along inferior vena cava and aortocaval space; uterus fixed. Radical hysterectomy, omentectomy, and right hemicolectomy performed. Gross examination of the colonic specimen showed a 2.5 cm tumor at the base of the appendix. Diagnosis: appendicular adenocarcinoid with ovarian, peritoneal, and nodal metastases.

How many primaries

Histology for Primary #1

Histology for Primary #2