Validating science. Improving patient care. This presentation was supported by the Cooperative Agreement Number DP13-1310 from The Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of The Centers for Disease Control and Prevention. AJCC 7 th Edition Staging Disease Site Webinar Breast Donna M. Gress, RHIT, CTR
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Disease Site Webinar Breast - AJCC Site - br… · Breast Staging Anatomy • Chest wall – Ribs – Intercostal muscles ... • Cancer Staging Education Physician menu includes
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Validating science. Improving patient care.
This presentation was supported by the Cooperative Agreement Number DP13-1310 from The Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of The Centers for Disease Control and Prevention.
AJCC 7th Edition Staging Disease Site Webinar Breast
Donna M. Gress, RHIT, CTR
This webinar is sponsored by
The Centers for Disease Control and Prevention
Supported by the Cooperative Agreement Number DP13-1310
National Program of Cancer Registries National Center for Chronic Disease Prevention and Health Promotion
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
May be downloaded from AJCC website Listed under Critical Clarifications on AJCC homepage – Timing is Everything Listed under Cancer Staging Education on Registrar page – Timing is Everything
Important to know what is included in chest wall – specifically described in AJCC chapter under anatomy section Intramammary nodes – not just next to axilla, can be within breast tissue Regional nodes – AJCC chapter under anatomy regional nodes lists location and alternate names Level II: interpectoral nodes also named Rotter’s nodes Level III: infraclavicular is another name Supraclavicular: only nodes in that triangle, outside triangle is considered lower cervical (M1)
– Identified on imaging/physical exam, characteristics of involvement
– Macromets on FNA/biopsy
• Not clinically detected
– Not identified on imaging or physical exam
Presenter
Presentation Notes
Macromets on FNA/biopsy is part of clinically detected since a physician would only do that if the node was clinically abnormal – they don’t randomly stick a needle in a node that wasn’t identified on imaging or exam
• Standard AJCC staging rules apply if no exceptions noted
• AJCC Curriculum for Registrars – Utilize this resource for staging rules – Slides available for download – Recordings available to watch at any time
• Refer to AJCC website for more information and education
Presenter
Presentation Notes
Remind everyone that basic rules are not covered in these lectures, only uniqueness or differences for this site Refer them to the AJCC website for this general information and rules – website URL and other info towards the end of presentation in resources section (info & questions)
• Cancer Staging Education Registrar menu includes
– Timing is Everything – stage classification timeframe graphic
– Presentations • Self-study or group lecture materials
– Registrar’s Guide to Chapter 1, AJCC Seventh Edition – Explaining Blanks and X, Ambiguous Terminology and Support for Staging – AJCC T, N, and M Category Options for Registry Data Items in 2016
– AJCC Curriculum for Registrars
• 4 free self-study modules of increasing difficulty on staging rules – Each modules consists of 7 lessons, including recorded webinar with
• Recognize differences based on disease site – Examine criteria for assigning stage – Effect of uniqueness of anatomy, workup, treatment
• Employ critical thinking in using physician documentation
– Understanding current standard medical practice – Interpretation of available information
• Utilize guidelines available to registrars to gain knowledge
• Identify resources for AJCC staging
– Information and guidance – Obtain answers to questions to learn staging
• Understand rationale to apply to future cases • Not just an answer for today’s case
Thank you
Donna M. Gress, RHIT, CTR AJCC Technical Specialist 633 N. Saint Clair, Chicago, IL 60611-3211 cancerstaging.org
No materials in this presentation may be repurposed without the express written permission of the American Joint Committee on Cancer. Permission requests may be submitted at CancerStaging.net
This webinar is sponsored by
The Centers for Disease Control and Prevention
Supported by the Cooperative Agreement Number DP13-1310
National Program of Cancer Registries National Center for Chronic Disease Prevention and Health Promotion
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.