Cancer Registry Operations
Casefinding - Answer- Systematic method of identifying all eligible cases that are to be included in the cancer registry database
Case - Answer- The occurrence of a separate, independent diagnosis of cancer
Pathologically diagnosed - Answer- Means it was determin...
Cancer Registry Operations
Casefinding - Answer- Systematic method of identifying all eligible cases that are to
be included in the cancer registry database
Case - Answer- The occurrence of a separate, independent diagnosis of cancer
Pathologically diagnosed - Answer- Means it was determined to be cancer through a
pathology specimen review (histology or cytology)
Clinically diagnosed - Answer- Means it was determined to be cancer by a physician
based on clinical findings, which can include physical findings, symptoms, radiology,
laboratory findings, or a combination.
Once a case becomes eligible for inclusion into the database, the COC requires the
case be: - Answer- Accessioned
Abstracted
Followed
Histology - Answer- Type of cancer; includes carcinomas, melanoma, sarcoma,
lymphoma, and leukemia
Behavior code of 2 means: - Answer- in situ
Behavior code of 3 means: - Answer- Malignant
Behavior code of 0 means: - Answer- Benign
Behavior code of 1 means: - Answer- Borderline
Malignancies for all sites of the body with which behavior codes are required to be
included in registry database? - Answer- 2 and 3
What are the 3 exceptions for reportability rules? - Answer- 1. Juvenile astrocytoma
w/ behavior code of 1 MUST be included due to its devastating effect
2. Malignant primary skin cancers (C44.) with histology codes of 8000- 8110 are
NOT required (regardless of behavior code)
3. Carcinoma in situ of cervix; intraepithelial neoplasia grade III of the: cervix,
prostate, vulva, vagina, and anus are NOT required
Reference date - Answer- - Effective date in which cancer registration began for the
facility
- All reportable cases diagnosed on or after this date must be included
- Usually January 1, (year)
, Non- analytic cases - Answer- - Not required to be collected, abstracted, or followed
- Do not meet CoC criteria for analytic case
- Cases in which reporting facility did not participate in either initially diagnosing
cancer, or delivering any of the first course of treatment
What are the three most common casefinding sources? - Answer- 1. HIM disease
index
2. Pathology reports
3. Medical and radiation oncology reports
Suspense system - Answer- - Compilation of names from all casefinding sources
that are identified and maintained until final determination is made that case is
reportable or not
- Cases are abstracted with oldest cases first to ensure reporting within 6 month
requirement
What is the primary source for cancer casefinding? - Answer- Pathology reports
More than ___% of cancer cases are histologically confirmed. - Answer- 90
Approximately ___% of cases are reported to central cancer registry by hospital
cancer registries. - Answer- 80
Class of Case - Answer- Code assigned to all accessioned cases based on nature of
involvement of the facility in the care of the patient
- Determines whether or not CoC or cancer registry requires the case to be reported
Class of Case 00 - Answer- Patient was diagnosed at reporting facility and received
all treatment elsewhere
- Accession: yes
- Abstract: yes
- Follow: dx date prior to 1/1/2006
Class of Case 10- 14 - Answer- Usually most common
- Patient was initially diagnosed at your facility and received all or part of their first
course of treatment at your facility
- Accession: yes
- Abstract: yes
- Follow: yes
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