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1 VOLUME 21 ISSUE 2 April 2017 We re on the Web! Visit us at April is National Cancer Registrars Week! This week was established as an annual celebration to acknowledge the central role that Cancer Registry professionals play in the research, treatment and prevention of cancer. Founded by the National Cancer Registrars Association, NCRW is officially celebrated the second week in April. However, Cancer Registrars should be celebrated year-round for their incredible dedication toward quality cancer data management! The theme is wrapped around the progressive movement of medicine in the world today and the value of the cancer registrar in partnering with the medical community for a cancer free tomorrow The Kansas Cancer Registry would like thank all of you for your continuous hard work and dedication throughout the year! We encourage you to find celebration ideas and promotional material at References:

2 You are provided a path report of a patient that had a Mohs surgery. The report indicates that the histology is spindle cell melanoma (8772/3). 1) Is this case a reportable or non-reportable? 2) What is the surgical code for an excisional bx? 1) The case would be reportable, due to the fact that melanoma is a reportable skin carcinoma. 2) The surgical primary site code would be a 34, for Mohs melanoma (NOS). You are provided a path report of a patient that had a biopsy. The report indicates that the histology is adenoid squamous cell carcinoma (8075/3). This case would not be reportable if the case pertained to a primary site of the skin because there are many ranges of non-reportable skin cancers. The range of is included among them, and that range is inclusive of adenoid squamous cell carcinoma, therefore, it is not a reportable carcinoma of the skin. What would you code for melanoma in situ, balloon cell type in the histology field? The appropriate code would be 8722/2 (balloon cell melanoma/in situ), as long as the case is diagnosed in the year 2007 or later How should you code malignant nodular melanoma with no other information provided? Since there is no further information regarding the histology, besides the term malignant nodular melanoma, we must assume the histology to be 8721/3 (malignant nodular melanoma[nos]); this is due to the fact that a more accurate melanoma histology was not provided (NOS, not otherwise specified). What surgery code would reflect a wide excision with not other information provided? In this case, you would code 45 for a wide excision (NOS). What is the proper laterality code for melanoma of the chest? It depends on the the site information provided, but it should be right (1), left (2), mid (5), or unknown (9), depending on the laterality information available in the report. If stated as melanoma of the chest you would code the laterality as unknown (9), since no other information is provided. Do you have any questions that you would like answered in an upcoming newsletter? your question(s) to: vhundley@kumc.edu

3 May is Skin Cancer Awareness Month Skin cancer is the most common of all cancer types. More than 3.5 million skin cancers are diagnosed each year in the United States. That's more than all other cancers combined. The number of skin cancer cases has been going up over the past few decades. The good news is that you can do a lot to protect yourself and your family from skin cancer, or to catch it early enough so that it can be treated effectively. Most skin cancers are caused by too much exposure to ultraviolet (UV) rays. Much of this exposure comes from the sun, but some may come from man-made sources, such as indoor tanning lamps. Finding possible skin cancers doesn't require any x-rays or blood tests just your eyes and a mirror. If skin cancer does develop, finding it early is the best way to ensure it can be treated effectively. Sun safety Limit the amount of time you spend in direct sun, especially when the sun s rays are most intense, generally from 10:00 a.m. to 4:00 p.m. Wear protective clothing when you re out in the sun, including long sleeves; sunglasses; and a hat that shades your face, neck, and ears. Wear sunscreen with a sun protection factor (SPF) of 30 or higher on all skin that isn t covered. Protect your skin even on cool or cloudy days. The American Cancer Society also promotes early detection of skin cancer in adults through regular skin self-exams, and an examination for skin cancer should be part of periodic health exams. References:

4 Reporting Schedule Month of Diagnosis Due to KCR by: January 2016 July 2016 February 2016 August 2016 March 2016 September 2016 April 2016 October 2016 May 2016 November 2016 June 2016 December 2016 July 2016 January 2017 August 2016 February 2017 September 2016 March 2017 October 2016 April 2017 November 2016 May 2017 December 2016 June 2017 Are You Current? KCR is now ready to accept NAACCR Record Layout Version 16. Use NAACCR Record Layout Version 16 and NAACCR Version 16 Edits to abstract all cases diagnosed January 1, 2016 and prior. Use Collaborative Staging & Coding Manual, Version for cases diagnosed January 1, 2004 December 31, 2015 ( to code collaborative stage fields. Use the web-based Hematopoietic & Lymphoid Neoplasm Database ( for coding all diagnosis years. You must now select a diagnosis year to be shown the correct information and the correct version of the manual. Please check our website to download the Kansas Cancer Registry Coding and Information Manual, ( Use Multiple Primary and Histology Coding Rules Manual (Revised August 24, 2012) ( for all cases diagnosed January 1, 2007 and forward. Effective October 1, 2015, use ICD-10-CM diagnosis codes for casefinding. You can find the KCR ICD-10-CM casefinding list on the Downloads page of our website. Collaborative Stage Transition Updates. You can find all newsletters at: AJCC has free training materials now available at:

5 Updating Contact Information! Please visit our website ( Submit the updated form to Victoria Hundley ( Fax: ) Kansas Cancer Registry Spring Meeting 2017 Flint Hills Technical College Trusler Foundation Conference Center, 3301 West 18th Avenue, Emporia, KS Friday, May 12, :30AM 3:15PM Registration is FREE! s: Call Victoria Hundley at or The Kansas Cancer Registry (KCR) collects and maintains a population based longitudinal database of all Kansans diagnosed with cancer. KCR is the only population-based source of information on cancer incidence in the State of Kansas. It provides information on the occurrence of cancer, stage at diagnosis, survival and sub-populations affected by different types of cancer. Registry information can be used by researchers to evaluate the effectiveness of new treatments and by public health professionals to implement and monitor prevention efforts. Thanks to facilities across the state of Kansas who report cancer cases, KCR has quality data to help in the fight against cancer. KCR Staff Sue-Min Lai SLAI@kumc.edu John Keighley JKEIGHLE@kumc.edu Sarma Garimella SGARIMEL@kumc.edu Mollee Enko MENKO@kumc.edu Can Meng CMENG@kumc.edu Yu Wang YWANG13@kumc.edu Scott Hoffman SHOFFMAN3@kumc.edu Emily Cavlovic ECAVLOVIC@kumc.edu Victoria Hundley VHUNDLEY@kumc.edu Thanks to all KCR staff members who contributed to the publication of this newsletter. Kansas Cancer Registry University of Kansas Medical Center 126 Support Services, MS Rainbow Boulevard Kansas City, Kansas 66160