Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

Cancer staging - does this look right?

Posted By: LoWo on 2007-02-21
In Reply to:

Subject: Cancer staging - does this look right?

I am fairly new to a radiation oncology clinic and the doctor is saying "pathologic stage y2a." Am I doing the y2a part right? I can't seem to find this in my reference books. Thanks!


Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

See inside for colon cancer staging per the American Cancer Society.
Subject: See inside for colon cancer staging per the American Cancer Society.

http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_How_is_colon_and_rectum_cancer_staged.asp
Cancer staging
Subject: Cancer staging

Never had this one, dictator states, "T1cp, NO, I+, MO." Not sure about the I+. Any help is appreciated.
Cancer staging
Subject: Cancer staging

Thanks so much. I checked out that link and that is exactly what I needed.
Cancer staging, please.
Subject: Cancer staging, please.

The patient has endometrial cancer, doc says: grade 3 1 b carcinoma.  Anyone know how to type this?  I'd really appreciate any help..I just don't get all the staging, grading, "other descriptors", metastasis.  And then the doctors make up there own it seems...  Thanks a million for any help!


cancer staging for CLL
Subject: cancer staging for CLL

I see this both ways, which is correct?


grade 3a or grade 3A...


 


thanks!


 


cancer staging py?
Subject: cancer staging py?

"she was a pathologic stage IIA py (T2 N0i- M0) invasive ductal and lobular carcinoma without any angiolymphatic invasion"


She clearly says stage IIA py - is the py right?!?!?!? I have heard yp, but never py - is it the same thing???


 Thanks!!!


cancer staging Ni mic?
Subject: cancer staging Ni mic?

Is the "Ni mic" part written correctly? I've never heard that before and couldn't find reference to it...


 


 


"Stage IIA (T1c Ni mic M0) grade 2, invasive ductal adenocarcinoma of the left upper outer quadrant, ER/PR positive and HER-2/neu negative. "


 


Thanks!


breast cancer staging
Subject: breast cancer staging

It should be T1b. The b is in lower case.
cancer staging site
Subject: cancer staging site

this site may help you.
http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_How_is_lung_cancer_staged_26.asp?sitearea
Colon cancer staging
Subject: Colon cancer staging

I've checked my BOS and googled, but I'm still not sure of the proper way to transcribe this. 


This is a patient with a history of stage III colon cancer, s/l Tc N1 with 2 out of 8 positive mesenteric lymph nodes.


Do I have the Tc N1 part correct?


Colon cancer staging
Subject: Colon cancer staging

Doc very clearly says staged UT3 UN1 but I can't locate it in any reference, does this look right to anybody.
How do you type this? (cancer staging) - sm
Subject: How do you type this? (cancer staging) - sm

Final staging was a PT1P NX MX tumor.


Thanks!


Cancer staging question. sm
Subject: Cancer staging question. sm

Pt diagnosed with stage 3B non cell carcinoma in right lung. How is this written. Anyone know of a dependable site for cancer staging?

Thank you.
cancer staging question
Subject: cancer staging question

The part of the question is "stage I p (T1b N0i- MX), grade 1, invasive ductal adenocarcinoma ....."


does the "stage I p" get written like that or does it get written like "stage Ip"...???


Thanks!


I googled on TNM cancer staging, prostate,
Subject: I googled on TNM cancer staging, prostate,

and then tried your letters. I got one hit with NEF, and that's where I stopped. So try plugging those in with TNM first, because that's what they usually call those.
current correct cancer staging
Subject: current correct cancer staging

Have not done oncology for a couple years. 


Stage T1-C andenocarcinoma, Gleason 6  ???


Thanks!


Cancer staging: Stage ABCLC
Subject: Cancer staging: Stage ABCLC

x
Breast cancer staging question
Subject: Breast cancer staging question

Does anyone know the correct way to type the "MIC" in the following? "...has stage I, T1MIC N0 M0, grade 2, invasive ductal carcinoma..."

Thanks.

Bev
If it is prostatic cancer staging, look inside for link.
Subject: If it is prostatic cancer staging, look inside for link.

It tells you exactly which and what.

http://www.oncologychannel.com/prostatecancer/stagingsystems.shtml
more info please? type of cancer or name of staging system? nm
Subject: more info please? type of cancer or name of staging system? nm


From cancer.org: "Sutent isn't the only drug making inroads against kidney cancer. Sorafenib (
Subject: From cancer.org: "Sutent isn't the only drug making inroads against kidney cancer. Sorafenib (Nexavar), ..."


http://www.cancer.gov/ is a great reference (National Cancer Institute)
Subject: http://www.cancer.gov/ is a great reference (National Cancer Institute)


She has pancreatic cancer and a history of breast cancer.
Subject: She has pancreatic cancer and a history of breast cancer.


MD Anderson is a cancer center so if hysterectomy is for cancer, I would go with that one.
Subject: MD Anderson is a cancer center so if hysterectomy is for cancer, I would go with that one.

But never heard of Andy Anderson, so no help there.
staging
Subject: staging

stage IIA T2,M0,N0
staging
Subject: staging

T3 NX
staging
Subject: staging

You are welcome.
YP staging?
Subject: YP staging?

The patient has invasive breast cancer along with some DCIS, nad one positive lymph node out of nine.
Her final extent of disease was 5.9 cm with 3/13 lymph nodes. This gives her a pathologic stage of YP (T3 N1a M0).

I have never seen the YP before, and can't find it anywhere...is this a new staging or something I don't know about?
YP staging.....
Subject: YP staging.....

If you Google YP staging, it will bring up yp related to cancer stagings. I didn't really get into it to see what it meant, but I suspect you are hearing it right.
It is staging see below..
Subject: It is staging see below..

It is typed as ypT3, N1a, M0......The T is in regards to the primary tumor, the N is dealing with the lymph nodes and the M is if it is metastatic.


Here is a great website that will explain more about staging of tumors.


http://www.cancer.gov/cancertopics/factsheet/detection/staging


staging
Subject: staging

in cancer staging with Hodgkin's lymphoma do we use Roman or arabic numerals?
Or even T3 N0 staging? n/m
Subject: Or even T3 N0 staging? n/m


Staging...
Subject: Staging...

I work for a anatomic pathology lab and the doctor or pathologist gave me this as a reference, hope it helps. The doctor specified using commas in between staging.

This tends to be a problem knowing exactly how to transcribe these, so here's a reference chart for you.


CANCER STAGES/GRADES:
STAGES are in Roman numerals - I, II, III, IV
GRADES are numbers (and capital letters) - 1, 2, 3; 1A, 2B
STAGING are: T, N, M with numbers (and possibly lower case letters) i.e., T1, T1a; N1, N1b, M0
_______________________________
System for staging malignant tumors, developed by the American Joint Committee on Cancer and the Union Internationale Contre le Cancer.
T tumor size or involvement
N regional lymph node involvement
M extent of metastasis


Write TNM expressions with on-line arabic numerals and commas, spacing after the commas.


T2, N1, M1
T4, N3, M1


Letters and symbols following the letter T, N. and M:


X means assessment cannot be done.

0 indicates no evidence found.


Numbers indicate increasing evidence of the characteristics represented by those letters.

Tis indicates in situ tumor.
Tis, NO, M0


The TNM system criteria for defining cancer stages vary according to the tyype of cancer. Thus a stage II cancer of one type may be efined as T1 N0 M0, while one of another type may be defined as T2 N1 M0.


Staging indications are used along with TNM criteria to define cancers and assess stages. These are expressed with capital letters and arabic numerals.

grade GX, G1, G2, G3, G4
host performance H0, H1, H2, H3, H4
lymphatic invasion LX, L0, L1, L2
residual tumor RX, R0, R1, R2
scleral invasion SX, S0, S1, S2
venous invasion VX, V0, V1, V2


Prefixes:
Lowercased prefixes with TNM and other symbols indicate criteria used to describe and stage the tumor. Please the prefix on-line, e.g.,
cTNM, aT2.


LETTER determining criteria


a autopy staging
c clinical classification
p pathological classification
r retreatment classification
y, yp classification during or following treatment with multiple modalities.


Suffixes:
The suffix (m)(in parentheses) indicates the presence of multiple primary tumors in a single site.


Other suffixes may be used, such as the following in the nasopharynx:

T2a nasopharyngeal tumor extending to soft tissues of oropharynx and/or nasal fossa without parapharyngeal extension.


T2b nasopharyngeal tumor extending to soft tissues of oropharynx and/or nasal fossa with parapharyngeal extension.


Staging
Subject: Staging

THANKS A BUNCH.....this is a great reference. I've already saved it in a file. Thanks again.
typing the staging
Subject: typing the staging

T1c-T2a NX MX

tumor staging is in the back of the stedman's oncology book
TNM staging system per BOS: sm
Subject: TNM staging system per BOS: sm

Arabic numerals on the line and a space after each number. T1 N0 M0


Here is a link regarding staging. sm
Subject: Here is a link regarding staging. sm

http://imaginis.com/breasthealth/staging.asp
Per BOS, no commas now in TNM staging
Subject: Per BOS, no commas now in TNM staging


Staging/grading
Anyone out there right now? I've looked in my edition of stedman's radiology/onco and cannot find answer. I see what is on net but not trusting. I believe AAMT or whatever it is now says use staging as roman numerals and grading as arabic????
Doc keeps telling me to do opposite when grading Elston. Thanks bunches, C
copd staging
Subject: copd staging

Can someone tell me if the staging for copd is arabic or roman numeral. I have checked google and it shows both ways, i checked in my Stedmans cardiovascular and pulmonary book and cannot find it there either.


Thanks


See links inside for staging.
Subject: See links inside for staging.

for staging:

http://www.cancer.gov/cancertopics/pdq/treatment/endometrial/Patient/page2

http://www.mdanderson.org/diseases/endometrial/display.cfm?id=FB5FC6E0-18C0-4030-9977AE20D486010C&method=displayfull

http://www.oncologychannel.com/endometrialcancer/staging.shtml

Possibly Van Nuys staging. SM for link.
Subject: Possibly Van Nuys staging. SM for link.

http://www.wisc.edu/wolberg/References/br31_ref.html
staging classification for multiple myeloma? (sm)
Subject: staging classification for multiple myeloma? (sm)

Sounds like "Dewey-Salmon" 3A??

Thanks.
Staging of Chronic Kidney Disease
Subject: Staging of Chronic Kidney Disease

Is it preferred to lable the stages of CKD in roman or arabic numerals?
can someone help me with the correct way of typing this?adenocarcinoma that was a T3C/D N2MX staging
Subject: can someone help me with the correct way of typing this?adenocarcinoma that was a T3C/D N2MX staging

adenocarcinoma that was a T3C/D N2MX staging
A search of several web sites shows staging with numbers, not Roman numerals. nm
Subject: A search of several web sites shows staging with numbers, not Roman numerals. nm

s
Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer
Subject: Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer


FIGO staging is typed using roman numerals, such as FIGO I, II, etc., see inside.
Subject: FIGO staging is typed using roman numerals, such as FIGO I, II, etc., see inside.

Table 2: Carcinoma of the Vulva – Stage grouping
FIGO UICC
Stage T N M
0 Tis N0 M0
IA T1A N0 M0
IB T1B N0 M0
II T2 N0 M0
III T1 N1 M0
T2 N1 M0
T3 N1 M0
IVA T1 N2 M0
T2 N2 M0
T3 N2 M0
T4 Any N M0
IVB Any T Any N M1
1.1.2.3 Histopathologic types.
Squamous cell carcinoma is the most frequent form of cancer of the
vulva. Malignant melanoma is the second most common tumour and
should be reported separately. Other histopathologic types are:
– adenocarcinoma underlying Paget’s disease of vulva, verrucous
carcinoma, Bartholin gland carcinoma, adenocarcinoma not otherwise
specified (NOS), basal cell carcinoma.
• Histopathologic grades (G).
• Gx – Grade cannot be assessed;
• Gl – Well-differentiated;
• G2 – Moderately differentiated;
• G3 – Poorly or undifferentiated.

www.figo.org/docs/staging_booklet.pdf
cancer
Subject: cancer

this should be typed T1c N0 MX
Cancer
Subject: Cancer

This makes no sense, but I cannot make out what he is saying:  The patient and her family are well aware of the s/l affense nature of the disease.  TIA.
Cancer
Subject: Cancer

advanced???