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Data Standards and Data Dictionary

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Length: 3
Source of Standard: SEER
Section Name: Stage/Prognostic Factors
Year Implemented: 2016
Version Implemented: 16
Record Types: A, M, C, I

XML NAACCR ID: tumorSizeClinical

Parent XML Element: Tumor

Required Status:

NPCR Collect: . - No recommendations
CoC Collect: . - No recommendations
SEER Collect: RH - Historically collected and currently transmitted
CCCR Collect: R* - Required, when available

Description:

This data item records the size of a solid primary tumor before any treatment (surgical resection or initiation of any treatment including neoadjuvant).

Rationale:

Clinical tumor size (pre-treatment size) is essential for treatment decision making and prognosis determination for many types of cancer.

Item Data Type:

digits

Allowable Values

000-990, 998, 999

Codes:

Refer to the most recent version of SEER Program Coding and Staging Manual for additional instructions.

000

No mass/tumor found

001

1 mm or described as less than 1 mm (0.1 cm or less than 0.1 cm)

002-988

Exact size in millimeters (2 mm to 988 mm) (0.2 to 98.8 cm)

989

989 millimeters or larger (98.9 cm or larger)

990

Microscopic focus or foci only and no size of focus is given

998

SITE-SPECIFIC CODES

Alternate descriptions of tumor size for specific sites:

Familial/multiple polyposis:
-Rectosigmoid and rectum (C19.9, C20.9)
-Colon (C18.0, C18.2-C18.9)

If no size is documented:
Circumferential:
-Esophagus (C15.0-C15.5, C15.8, C15.9)

Diffuse; widespread: 3/4s or more; linitis plastica:
-Stomach and Esophagus GE Junction (C16.0-C16.6, C16.8, C16.9)

Diffuse, entire lung or NOS:
-Lung and main stem bronchus (C34.0-C34.3, C34.8, C34.9)

Diffuse:
-Breast (C50.0-C50.6, C50.8, C50.9)

999

Unknown; size not stated; Not documented in patient record; Size of tumor cannot be assessed; The only measurement(s) describes pieces or chips; Not applicable