From SEER Inquiry System, <http://seer.cancer.gov/seerinquiry/> ID
20041090

References
1. CS Manual, Part II ;pgs 409 (Vers 1.0, Jan. 1, 2004)
2. 2004 SEER Manual ;pgs C-391 (Appendix C) Brief
Question
CS Extension/CS Mets at DX--Lung: How do you code bilateral pleural
effusion for a right lung primary in the Collaborative Staging system?
Please see discussion below.
Answer
For bilateral malignant pleural effusion, code the ipsilateral malignant
effusion in CS Extension and the contralateral malignant effusion in
Mets at DX. Assuming the bilateral pleural effusion is the furthest
extension in this case, code CS Extension to 72 [Malignant pleural
effusion]. Code CS Mets at DX to 40 [Distant mets, NOS].



--- In cancerregistrargroup@yahoogroups.com, muzactr <no_reply@...>
wrote:
>
> Could someone please direct me to where in any of our Standard
Setter's
> Manuals there is a rule/guideline or just a discussion on how to stage
> pleural effusions depending on whether they are ipsilateral,
> contralateral or bilateral to the lung cancer prim site in question.
>
> Most references in the manuals refer to pleural effusion, nos or
> pleural effusion, malign and do not distinguish laterality, but it
> seems that for staging ipsi is t4 and bi or contra is M1, but if it is
> not documented to do it that way somewhere, then how will everybody do
> it the same way. I have been doing abstracting for over 16 years and
> cannot remember reading about this anywhere.
>
>
> I have already submitted this question to I&R and was told to look at
> the AJCC Staging Manual,6th edition, page 175, but do not see anything
> there about this.
>




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