Systemic Therapy/Surg Seq
Organization | Field Name | ID | Required |
|---|---|---|---|
KCR | Systemic Therapy/Surg Seq (SysSurgSeq) | 31250 | yes |
NAACCR | RX Summ--Systemic/Sur Seq | yes |
Field Length: 1
This field only applies to cases diagnosed on or after January 1, 2006. It records the sequence of systemic therapy and surgical procedures given as part of first course treatment. Systemic therapy includes any chemotherapy, hormone therapy, immunotherapy, transplants or endocrine surgeries. Surgical procedures include any surgery at the primary site, surgery of regional lymph nodes, or surgery at other regional or distant sites. It does not include non-definitive surgeries such as incisional biopsies or bypass surgeries.
Code the administration of systemic therapy in sequence with the first surgery performed. The sequence of systemic therapy and surgical procedures given as part of the first course of treatment cannot always be determined using the date on which each modality was started or performed. If the systemic therapy and surgery were administered on the same day, any code 2-9 could be appropriate. If there was no systemic therapy given or no definitive surgery performed, or if it unknown whether the patient received both surgery and systemic therapy, then code '0'. Code 0 for DCO cases.
Code | Label | Definition |
|---|---|---|
0 | No systemic therapy and/or surgical procedures | No systemic therapy was given; and/or no surgical procedure of primary site; no scope of regional lymph node surgery; no surgery to other regional site(s), distant site(s), or distant lymph node(s); or no reconstructive surgery was performed, or it is unknown whether both surgery and systemic treatment were provided; or case diagnosed at autopsy. |
2 | Systemic therapy before surgery | Systemic therapy was given before surgical procedure of primary site; scope of regional lymph node surgery; surgery to other regional site(s), distant site(s), or distant lymph node(s) was performed. |
3 | Systemic therapy after surgery | Systemic therapy was given after surgical procedure of primary site; scope of regional lymph node surgery; surgery to other regional site(s), distant site(s), or distant lymph node(s) was performed. |
4 | Systemic therapy both before and after surgery | At least two courses of systemic therapy were given before and at least two more after a surgical procedure of primary site; scope of regional lymph node surgery; surgery to other regional site(s), distant site(s), or distant lymph node(s) was performed. |
5 | Intraoperative systemic therapy | Intraoperative systemic therapy was given during surgical procedure of primary site; scope of regional lymph node surgery; surgery to other regional site(s), distant site(s), or distant lymph node(s). |
6 | Intraoperative systemic therapy with other therapy administered before or after surgery | Intraoperative systemic therapy was given during surgical procedure of primary site; scope of regional lymph node surgery; surgery to other regional site(s), distant site(s), or distant lymph node(s) with other systemic therapy administered before or after surgical procedure of primary site; scope of regional lymph node surgery; surgery to other regional site(s), distant site(s), or distant lymph node(s) was performed. |
7 | Surgery both before and after systemic therapy | Systemic therapy was administered between two separate surgical procedures to the primary site; regional lymph nodes; surgery to other regional site(s), distant site(s), or distant lymph node(s). |
9 | Sequence unknown | Both surgery and systemic therapy were provided, but the sequence of treatments not stated or unknown; or death certificate only case. |