I have a case that was dxd early 03 w/dcis breast. Then in 7/03
found to have liver mets. The oncologist note says that it is
unusual to develop liver mets from dcis and that a bx should be done
but the lesions are too small to bx at this time. So, my
question.... I was told at a training that if you have an in situ
bladder cancer and later find an invasive bladder cancer you should
code two primaries so that if the patient were to die from the cancer
it would not look like he died from in situ bladder cancer. So, is
this two primaries or just one with a recurrence?