Thanks, but I do not see anything specific to pleural effusion
laterality on the cs page mentioned or repeated in the 2004 seer
manual. Answers to questions in formats such as I&R and Seer inquiry
are good resources if they can back up their answers with specific
information from our manuals. If registrars are not privy to FAQ
formats, they may not get the needed interpretation to stage
correctly. I am seeing this phenomenon more with the new MPH rules
also.

--- In cancerregistrargroup@yahoogroups.com, "meeeum"
<miriwilliams@...> wrote:
>
>
> 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.
> >
>
>
>
>
> [Non-text portions of this message have been removed]
>