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 surgery.
Tumor Debulking (with bilateral salpingo-oophorectomy and radical omentectomy). Debulking can involve partial or total removal of the tumor mass and multiple organ sites (Reference: SEER Program Coding and Staging Manual 2004 (PDF), Site-Specific Surgery Codes (Ovary), Appendix C, pg. C-519.)
Code the most extensive surgery if the patient has multiple surgical procedures of the primary site.
4 or more regional lymph nodes removed.
Surgery of primary site was performed.