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Newsletter Winter 2023

MISSISSIPPI CANCER REGISTRY

DECEMBER 2023

VOLUME 18 ISSUE 4

AJCC Cancer Staging Manual

Cases with a diagnosis date of 01/01/2018 and forward should be staged using AJCC 8th Edition Cancer Staging Manual. The 3rd printing 2018 Edition is now available.

Please visit http://cancerstaging.org/references-tools/deskreferences/Pages/8EUpdates.aspx# for all 8th Edition updates and corrections. For all other information, visit http://cancerstaging.org/Pages/default.aspx.

Summary Stage 2018

The 2018 version of Summary Stage applies to every site and/or histology combination, including lymphomas and leukemias. Summary Stage uses all information available in the medical record; in other words, it is a combination of the most precise clinical and pathological documentation of the extent of disease. The Summary Stage 2018 manual is available at https://seer.cancer.gov/tools/ssm/.

Site Specific Data Items (SSDI)

Site Specific Data Items (SSDI) are similar to the Site Specific Factors (SSF) collected with Collaborative Stage. These data items are specific to certain site/histology combinations. For example, the SSDI's for breast will be used to collect information such as estrogen receptor status, progesterone receptor status, Her2 status, Nottingham grade, and additional information related to primary tumors of the breast. The information collected in these data items are specific to breast. The SSDI manual is available at https://apps.naaccr.org/ssdi/list/.

Grade

Beginning with cases diagnosed in 2018 grade information will be collected in three fields; Clinical Grade, Pathological Grade, and Post-Therapy Grade. Within the Grade Manual you will find definitions for the three new grade data items, coding instructions, and the site/histology specific grade tables. The Grade manual is available at https://www.naaccr.org/SSDI/Grade-Manual.pdf?v=1527859766.

SEER Hematopoietic and Lymphoid Neoplasm Database

This provides data collection rules for hematopoietic and lymphoid neoplasms for 2010+.The SEER Hema-topoietic and Lymphoid Neoplasm manual is available at https://seer.cancer.gov/tools/heme/Hematopoietic_Instructions_and_Rules.pdf.

Solid Tumor Coding Manual

Use the 2018 Solid Tumor coding rules to determine the number of primaries to abstract and the his-tology to code for cases diagnosed 2018 and forward. The Solid Tumor coding rules replace the 2007 Multiple Primary and Histology (MP/H) Rules. The manual is available at https://seer.cancer.gov/tools/solidtumor/. The change log contains updates made to the FINAL module sections. This does not include changes made to the drafts.

STORE Manual

The STORE Manual has replaced the FORDS Manual. The STORE is now available at https://www.facs.org/quality-programs/cancer/ncdb/registrymanuals/cocmanuals.

Source: Omega Healthcare Tumor Tip of the Week

Text documentation is required to justify coded values and to supplement information not transmitted with coded values. You should be able to abstract your entire abstract based on the text recorded. Just wanted to send out a reminder about exam text. We are seeing a lot of registrars forgetting to include these basic items in their physical exam text.

Most Common Items Missing from Physical Exam Text:

Physical Exam
Ethnicity
Marital Status
Correct Age at Diagnosis {be sure to note the correct age at dx, don't rely on physician documentation sometimes the patient had a birthday, record the correct age at diagnosis} Please review the example below to guide you on what should be documented in the Physical Exam Text Field.

Text Resources:

State Specific Text Guidelines

Facility Text Guidelines

NAACCR Abbreviations and Acronyms Recommended Abbreviations for Abstractors https://apps.naaccr.org/data-dictionary/data-dictionary/version=24/chapter-view/

NCRA Informational Abstracts (These site-specific abstracts provide an outline to follow when determining what text to include.) https://www.cancerregistryeducation.org/rr

AJCC Cancer Staging Manual-Registry Data Collection Variables (Each Chapter in the AJCC has a list of Registry Data Collection Variables which should be documented in text if available.)

Site-Specific Data Item (SSDI) Manual https://www.naaccr.org/

College of American Pathology Cancer Protocol Templates https://www.cap.org/

Director UMMC & MCR: Deirdre Rogers, dbrogers@umc.edu
MCR Manager: Angel Davis, adavis6@umc.edu
Clinical Systems Analyst-Intermediate: Tresheena Boyd, tboyd@umc.edu
Data Quality Analyst–Trainer: Lisa Hamel, lhamel@umc.edu
Data Quality Analyst-Auditor: April Wright, ahuggins@umc.edu

Cancer Registrars:
Stacy Major, semajor@umc.edu
Laken A. Frederick, lfrederick@umc.edu
Madeline N. Hall, mnhall@umc.edu
Mallory R. Israel, misrael@umc.edu
Makaila Johnson, mjohnson41@umc.edu

Administrative Assistant:
Michelle R. Smith, mrsmith2@umc.edu

University of MS Medical Center
2500 North State Street
Jackson, MS 39216
Phone: (601) 815-5482
Fax: (601) 815-5483