Cancer Registry Operations Modules 1-5
Which one of the following ambiguous terms would not be considered as diagnostic of
cancer?
Most likely
Potentially malignant
Presumed
Appears - Correct Answer-Potentially malignant
Which of the following cases do NOT meet the CoC case eligibility requirements?
A case diagnosed and initially treated at your facility
A case diagnosed but not treated at your facility
A case diagnosed clinically at your facility
A case diagnosed elsewhere and seen for a heart attack at your facility
A case diagnosed elsewhere and seen for initial treatment at your facility - Correct
Answer-A case diagnosed elsewhere and seen for a heart attack at your facility
Casefinding is the systematic method of identifying what?
The number of cases seen by the hospital each year
All eligible cases that are to be included in the cancer registry database
All cases that were diagnosed in the pathology department
The number of patients that are treated in the hospital - Correct Answer-All eligible
cases that are to be included in the cancer registry database
What is the class of case for the following scenario? 3/6/2010 Outpatient Surgery
Center (owned by the reporting facility): Patient with 2-month history of rectal bleeding is
recommended for colonoscopy. Biopsy of the sigmoid colon was consistent with
adenocarcinoma. 3/17/2010 Inpatient Admission: Colon resection consistent with
residual adenocarcinoma. Patient chooses to be seen at another hospital. Patient was
treated with chemotherapy at the other hospital.
13
14
21
40 - Correct Answer-13
Class of case 13: Initial diagnosis at the reporting facility AND part of first course
treatment was done at the reporting facility; part of first course treatment was done
elsewhere.
Which one of the following casefinding sources would be the best resource for
identifying cases that were only confirmed clinically (physical exam, radiology or
laboratory)?
,Disease index
Pathology report
Radiation Oncology log
Medical Oncology log - Correct Answer-Disease index
The resource that defines all diagnoses and types of cases that should be included and
excluded from the registry database is called the:
Suspense system
Reportable list
Class of case
Abstract - Correct Answer-Reportable list
Which of the following is a non-analytic case?
The patient is diagnosed at the facility and it is unknown whether or not treatment was
recommended or administered.
The patient is diagnosed at the facility and is referred elsewhere for treatment.
The patient was diagnosed and treated for a malignancy elsewhere, and presents to
your facility for treatment for recurrence or progression of disease.
The patient is diagnosed elsewhere, and all or part of the first course of treatment is
performed at the facility. - Correct Answer-The patient was diagnosed and treated for a
malignancy elsewhere, and presents to your facility for treatment for recurrence or
progression of disease.
A patient who has been diagnosed and received all first course treatment elsewhere for
a malignancy, but is then treated at your facility for recurrence or progression of the
same disease is class of case 32.
Which of the following class of case code ranges are NOT required by the CoC to be
reported?
A - 00
B - 10-14
C - 20-22
D - 30-38
E - 40-49
Both D and E - Correct Answer-Both D and E
Which of the following is NOT true about the analytic class of case codes?
They are routinely used for statistics in the registry
They are cases diagnosed and/or treated at your facility
They are required to be accessioned, abstracted and followed by the CoC
They are cases first seen after your facility's reference date
They are cases first suspected or diagnosed with cancer at autopsy - Correct Answer-
They are cases first suspected or diagnosed with cancer at autopsy
Which of the following scenarios would NOT be in the class of case 10-14 range?
Diagnosed at the facility and patient refuses treatment
, Diagnosed at the staff physician's office and they received their first course of treatment
in the staff physician's office
Diagnosed at the facility and their treatment plan is for watchful waiting
Diagnosed at the facility and treatment was recommended, but it is unknown whether it
was administered
Diagnosed at the facility and were given palliative care only due to age, advanced
disease, or other medical conditions - Correct Answer-Diagnosed at the staff physician's
office and they received their first course of treatment in the staff physician's office
Date of first contact is the date that what happens?
Date the patient was first physically seen at the facility for cancer diagnosis or treatment
Date the patient was first diagnosed with cancer
Date the patient's tissue specimen was sent to your facility
Date the patient first had the biopsy in a non-staff physician's office - Correct Answer-
Date the patient was first physically seen at the facility for cancer diagnosis or treatment
Which one of the following statements INCORRECTLY describes a case eligibility rule?
Juvenile astrocytoma should be recorded in the registry database with a behavior code
of /3
Malignant primary skin cancers (primary site code of C44._), with a histology code in the
range of 8000-8110, are not required to be reported by the CoC as of 1/1/2003
Carcinoma in situ of the cervix (CIS) is not required by the CoC
All tumors with a behavior code of /0 or /1 are reportable if diagnosed after 1/1/2004 -
Correct Answer-All tumors with a behavior code of /0 or /1 are reportable if diagnosed
after 1/1/2004
Which of the following is an analytic case?
The patient is diagnosed at your facility and sent elsewhere for treatment
The patient receives treatment at your facility for a recurrence. There is no information
on first course of treatment available.
The diagnosis is established by death certificate only
Your facility manages or treats a recurrence or progression of disease after the
reference date
Cancer is diagnosed at autopsy. Prior to autopsy there was no suspicion or diagnosis of
cancer. - Correct Answer-The patient is diagnosed at your facility and sent elsewhere
for treatment
When the patient is diagnosed at your facility and sent elsewhere for treatment, it is
class of case 00 and therefore analytic. All other answer choices are non-analytic
cases.
Which of the following cases are required by the CoC?
A patient receives radiation therapy when the machine at their regular hospital breaks
down
A patient is diagnosed with invasive carcinoma of the cervix.
A patient is diagnosed with squamous cell carcinoma of the skin on 4/1/2010
A patient is seen in consultation for a second opinion on the treatment plan
Which one of the following ambiguous terms would not be considered as diagnostic of
cancer?
Most likely
Potentially malignant
Presumed
Appears - Correct Answer-Potentially malignant
Which of the following cases do NOT meet the CoC case eligibility requirements?
A case diagnosed and initially treated at your facility
A case diagnosed but not treated at your facility
A case diagnosed clinically at your facility
A case diagnosed elsewhere and seen for a heart attack at your facility
A case diagnosed elsewhere and seen for initial treatment at your facility - Correct
Answer-A case diagnosed elsewhere and seen for a heart attack at your facility
Casefinding is the systematic method of identifying what?
The number of cases seen by the hospital each year
All eligible cases that are to be included in the cancer registry database
All cases that were diagnosed in the pathology department
The number of patients that are treated in the hospital - Correct Answer-All eligible
cases that are to be included in the cancer registry database
What is the class of case for the following scenario? 3/6/2010 Outpatient Surgery
Center (owned by the reporting facility): Patient with 2-month history of rectal bleeding is
recommended for colonoscopy. Biopsy of the sigmoid colon was consistent with
adenocarcinoma. 3/17/2010 Inpatient Admission: Colon resection consistent with
residual adenocarcinoma. Patient chooses to be seen at another hospital. Patient was
treated with chemotherapy at the other hospital.
13
14
21
40 - Correct Answer-13
Class of case 13: Initial diagnosis at the reporting facility AND part of first course
treatment was done at the reporting facility; part of first course treatment was done
elsewhere.
Which one of the following casefinding sources would be the best resource for
identifying cases that were only confirmed clinically (physical exam, radiology or
laboratory)?
,Disease index
Pathology report
Radiation Oncology log
Medical Oncology log - Correct Answer-Disease index
The resource that defines all diagnoses and types of cases that should be included and
excluded from the registry database is called the:
Suspense system
Reportable list
Class of case
Abstract - Correct Answer-Reportable list
Which of the following is a non-analytic case?
The patient is diagnosed at the facility and it is unknown whether or not treatment was
recommended or administered.
The patient is diagnosed at the facility and is referred elsewhere for treatment.
The patient was diagnosed and treated for a malignancy elsewhere, and presents to
your facility for treatment for recurrence or progression of disease.
The patient is diagnosed elsewhere, and all or part of the first course of treatment is
performed at the facility. - Correct Answer-The patient was diagnosed and treated for a
malignancy elsewhere, and presents to your facility for treatment for recurrence or
progression of disease.
A patient who has been diagnosed and received all first course treatment elsewhere for
a malignancy, but is then treated at your facility for recurrence or progression of the
same disease is class of case 32.
Which of the following class of case code ranges are NOT required by the CoC to be
reported?
A - 00
B - 10-14
C - 20-22
D - 30-38
E - 40-49
Both D and E - Correct Answer-Both D and E
Which of the following is NOT true about the analytic class of case codes?
They are routinely used for statistics in the registry
They are cases diagnosed and/or treated at your facility
They are required to be accessioned, abstracted and followed by the CoC
They are cases first seen after your facility's reference date
They are cases first suspected or diagnosed with cancer at autopsy - Correct Answer-
They are cases first suspected or diagnosed with cancer at autopsy
Which of the following scenarios would NOT be in the class of case 10-14 range?
Diagnosed at the facility and patient refuses treatment
, Diagnosed at the staff physician's office and they received their first course of treatment
in the staff physician's office
Diagnosed at the facility and their treatment plan is for watchful waiting
Diagnosed at the facility and treatment was recommended, but it is unknown whether it
was administered
Diagnosed at the facility and were given palliative care only due to age, advanced
disease, or other medical conditions - Correct Answer-Diagnosed at the staff physician's
office and they received their first course of treatment in the staff physician's office
Date of first contact is the date that what happens?
Date the patient was first physically seen at the facility for cancer diagnosis or treatment
Date the patient was first diagnosed with cancer
Date the patient's tissue specimen was sent to your facility
Date the patient first had the biopsy in a non-staff physician's office - Correct Answer-
Date the patient was first physically seen at the facility for cancer diagnosis or treatment
Which one of the following statements INCORRECTLY describes a case eligibility rule?
Juvenile astrocytoma should be recorded in the registry database with a behavior code
of /3
Malignant primary skin cancers (primary site code of C44._), with a histology code in the
range of 8000-8110, are not required to be reported by the CoC as of 1/1/2003
Carcinoma in situ of the cervix (CIS) is not required by the CoC
All tumors with a behavior code of /0 or /1 are reportable if diagnosed after 1/1/2004 -
Correct Answer-All tumors with a behavior code of /0 or /1 are reportable if diagnosed
after 1/1/2004
Which of the following is an analytic case?
The patient is diagnosed at your facility and sent elsewhere for treatment
The patient receives treatment at your facility for a recurrence. There is no information
on first course of treatment available.
The diagnosis is established by death certificate only
Your facility manages or treats a recurrence or progression of disease after the
reference date
Cancer is diagnosed at autopsy. Prior to autopsy there was no suspicion or diagnosis of
cancer. - Correct Answer-The patient is diagnosed at your facility and sent elsewhere
for treatment
When the patient is diagnosed at your facility and sent elsewhere for treatment, it is
class of case 00 and therefore analytic. All other answer choices are non-analytic
cases.
Which of the following cases are required by the CoC?
A patient receives radiation therapy when the machine at their regular hospital breaks
down
A patient is diagnosed with invasive carcinoma of the cervix.
A patient is diagnosed with squamous cell carcinoma of the skin on 4/1/2010
A patient is seen in consultation for a second opinion on the treatment plan
