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Scientific Data Documentation
Surveillance, Epidemiology, and End Results (SEER), 1973-1989
DSN: CC36.SEER.Y7389


ABSTRACT

 General Information

 RECODED SEER PUBLIC ACCESS RECORD DESCRIPTION CASES DIAGNOSED IN 1973-89 USER FILE

  Submission: August 1991
  Follow-up Cutoff Date: December 31, 1989
  Documentation Version: October 1992
  Historic stage not available for 1988+ cases
 Introduction to the SEER Program

    The National Cancer Act of 1971 mandated the collection, analysis, and
 dissemination of all data useful in the prevention, diagnosis, and treatment
 of cancer.  The act resulted in the establishment of the National Cancer
 Program under which the Surveillance, Epidemiology, and End Results (SEER)
 Program was developed.  A continuing project of the National Cancer Institute
 (NCI), the SEER Program collects cancer data on a routine basis from desig-
 nated population-based cancer registries in various areas of the country.
 Trends in cancer incidence, mortality, and patient survival in the United
 States, as well as many other studies, are derived from this data bank.
    The geographic areas comprising the SEER Program's data base represent
 an estimated 9.6% of the United States population.  By the end of 1988, the
 data base contained information on 1.5 million cases diagnosed since 1973;
 approximately 120,000 new cases are accessed yearly.
 Goals of the SEER Program

    Assembling and reporting, on a periodic basis, estimates of cancer inci-
 dence and mortality in the United States.

    Monitoring annual cancer incidence trends to identify unusual changes in
 specific forms of cancer occurring in population subgroups defined by geo-
 graphic, demographic, and social characteristics.

    Providing continuing information on changes over time in the extent of
 disease at diagnosis, trends in therapy, and associated changes in patient
 survival.

    Promoting studies designed to identify factors amenable to cancer control
 interventions, such as: a) environmental, occupational, socioeconomic,
 dietary, and health-related exposures; b) screening practices, early detec-
 tion and treatment; and c) determinants of the length and quality of patient
 survival.
BACKGROUND

   A sequel to two earlier NCI programs -The End Results Program and the Third
 National Cancer Survey- the SEER Program was initiated in several geographic
 areas of the United States and its territories with case ascertainment
 beginning with January 1, 1973 diagnoses.  The initial SEER reporting areas
 were the states of Connecticut, Iowa, New Mexico, Utah, and Hawaii and the
 metropolitan areas of Detroit, Michigan, San Francisco-Oakland, California
 and the Commonwealth of Puerto Rico.
    In 1974-1975, the program was expanded to include the metropolitan area
 of New Orleans, Louisiana, the thirteen-county Seattle-Puget Sound area in
 the State of Washington and the metropolitan area of Atlanta, Georgia.  New
 Orleans left the program at the end of the 1977 data collection year.  In
 1978 ten predominantly black rural counties in Georgia were added.  American
 Indians residing in Arizona were added in 1980.  In 1983, four counties of
 New Jersey were added with coverage retrospective to 1979.  New Jersey and
 Puerto Rico participated in the program until the end of the 1989 reporting
 year.
    Areas were selected primarily for their ability to operate and maintain
 a population-based cancer reporting system, and for their epidemiologically
 significant population subgroups.  With respect to selected demographic and
 epidemiologic factors, they provide a reasonably representative subset of
 the United States population.  Puerto Rico was selected as a participant to
 monitor cancer incidence in an industrially developing area with overall low
 cancer risk.
METHODOLOGY
 Participant Reporting Area (State or Counties)

 Connecticut                                  Entire State

 Detroit, MI                                  Macomb, Oakland, and Wayne

 Iowa                                         Entire State

 New Mexico                                   Entire State plus American
                                              Indians in Arizona

 Utah                                         Entire State

 San Francisco-Oakland, CA                    Alameda, Contra Costa, Marin,
                                              San Francisco, and San Mateo

 Hawaii                                       Entire State

 Seattle-Puget Sound, WA                      Clallam, Grays Harbor, Island,
                                              Jefferson, King, Kitsap, Mason,
                                              Pierce, San Juan, Skagit,
                                              Snohomish, Whatcom, and Thurston

 Atlanta, GA                                  Atlanta Area Metropolitan
                                              Counties:  Clayton, Cobb,
                                              DeKalb, Fulton, and Gwinnett
                                              Rural Counties:  Glascock,
                                              Greene, Hancock, Jasper, Jeffer-
                                              son, Morgan, Putnam, Taliaferro,
                                              Warren, and Washington

 Incidence and Survival Data

   The SEER Program is conducted under contract with nonprofit, medically
 oriented organizations having statutory responsibility for registering
 diagnoses of cancer among residents of their respective geographical coverage
 areas.  Each contractor:

    Maintains a cancer information reporting system.

    Abstracts records for resident cancer patients seen in every hospital in
 and outside the coverage area.

    Abstracts all death certificates on which cancer is listed as a cause of
 death for residents dying in and outside the coverage area.

    Searches records of private laboratories, radiotherapy units, nursing
 homes and other health services units which provide diagnostic services to
 ensure complete ascertainment of cases.

    Registers all in situ and malignant neoplasms with the exception of
 certain histologies for cancer of the skin.

    Records data on all newly diagnosed cancers, including selected patient
 demographics, primary site, morphology, diagnostic confirmation, extent of
 disease, and first course of cancer-directed therapy.

    Provides active follow-up on all living patients except those with in situ
 cancer of the cervix uteri.

    Maintains confidentiality of patient records.

    Submits a computer tape to NCI twice each year containing data on all
 reportable diagnoses of cancer in residents of the coverage area.

 NCI Quality Control Program

    Quality of the data submitted to the NCI is verified by the use of compu-
 ter edit procedures both at NCI and at each registry.  These procedures
 identify duplicate records, invalid codes, impossible sex/site combinations,
 etc., for correction by the registry staff.  During quality control visits
 to the registries, studies of the completeness and accuracy of reporting are
 carried out:  workshops and training programs are conducted at the registries
 as needed.  The NCI staff is assisted in this effort by a contract with the
 University of California at San Francisco.

 Other Data Sources

    Calculation of cancer incidence and mortality rates requires that data be
 obtained from sources other than SEER registries.  A tape containing infor-
 mation on all deaths occurring in the United States by calendar year is ob-
 tained annually from the National Center for Health Statistics.  Information
 on each death includes age at death, sex, geographic area of residence and
 cause of death.

    Census year population data by age, sex, racial/ethnic subgroups, and
 geographic area, down to the census tract level, are obtained from the Census
 Bureau which also provides intercensal estimates for whites, non-whites, and
 all races combined.  Intercensal estimates, by calendar year, for specific
 racial/ethnic subgroups are estimated by NCI staff by combining information
 from census and intercensal years.  Additional data on these subgroups are
 provided by SEER registries having sizeable representations of one or more of
 these groups in their coverage areas.
RECORD LAYOUT

  ITEM NAME                           ITEM #        POSITIONS       LENGTH

 SEER Participant                       01            01-02           2
 Case Number                            02            03-10           8
 Record Number                          03            11-12           2
 Type of Reporting Source               04            13-13           1
 County of Residence at Diagnosis       05            14-16           3
 Place of Birth                         06            17-19           3
 Year of Birth                          07            20-23           4
 Age at Diagnosis                       08            24-26           3
 Race                                   09            27-28           2
 Spanish Origin                         10            29-29           1
 Sex                                    11            30-30           1
 Marital Status at Diagnosis            12            31-31           1
 Sequence Number                        13            32-33           2
 Date of Diagnosis                      14            34-39           6
 Primary Site                           15            40-42           3
 Laterality                             16            43-43           1
 Morphology                             17            44-49           6
 Diagnostic Confirmation                18            50-50           1
 Site-specific Surgery                  19            51-52           2
 Reason No Cancer-directed Surgery      20            53-53           1
 Vital Status                           21            54-54           1
 ICD Code Used for Cause of Death       22            55-55           1
 Cause of Death                         23            56-59           4
 Site Recode                            24            59-64           5
 Race Recode                            25            65-65           1
 Age Recode                             26            66-67           2
 Historic Stage                         27            68-68           1
 Survival Time                          28            69-72           4
 ICD-9 Diagnosis                        29            73-76           4
 Radiation                              30            77              1
 Radiation to brain/CNS                 31            78              1
 Radiation sequence with surg           32            79              1
FIELD DESCRIPTIONS

01 SEER Participant

 ITEM NUMBER/NAME:       01    SEER Participant

 LENGTH:                       2

 FIELD                         01 San Francisco-Oakland SMSA (1973)
 DESCRIPTION:                  02 Connecticut (1973)
                               20 Metropolitan Detroit (1973)
                               21 Hawaii (1973)
                               22 Iowa (1973)
                               23 New Mexico (1973)
                               25 Seattle (Puget Sound) (1974)
                               26 Utah (1973)
                               27 Metropolitan Atlanta (1975)


                               (Date refers to first diagnosis year data
                               reported to SEER.)
02 Case Number

 ITEM NUMBER/NAME:      02     Case Number

 LENGTH:                       8

 FIELD                         All numeric
 DESCRIPTION:
                               All records for each person are assigned a
                               unique number by the SEER Participant.
03 Record Number

 ITEM NUMBER/NAME:       03    Record Number

 LENGTH:                       2

 FIELD                         All numeric
 DESCRIPTION:
                               Each record for a person has been assigned a
                               unique number that is independent of the
                               contents of the record.
04 Type of Reporting Source

 ITEM NUMBER/NAME:       04    Type of Reporting Source

 LENGTH:                       1

 FIELD                         1  Hospital inpatient/outpatient or clinic
 DESCRIPTION:                  3  Laboratory (hospital or private)
                               4  Private medical practitioner
                               5  Nursing/convalescent home/hospice
                               6  Autopsy only (only diagnosis of this
                                  primary made at autopsy)
                               7  Death certificate only (only report of
                                  this primary is from a death certificate)
05 County of Residence at Diagnosis

 ITEM NUMBER/NAME:       05    County of Residence at Diagnosis

 LENGTH:                       3

 FIELD                         3 digit county code  See Appendix A for list
 DESCRIPTION:                  of valid county codes for each SEER
                               Participant.

                               999 Unknown county
09 Place of Birth

 ITEM NUMBER/NAME:       06    Place of Birth

 LENGTH:                       3

 FIELD                         SEER Place of Birth Code  See Appendix B for
 DESCRIPTION:                  list of SEER Place of Birth codes and
                               definitions.
07 Year of Birth

 ITEM NUMBER/NAME:       07    Year of Birth

 LENGTH:                       4

 FIELD                         year  1850 - forward
 DESCRIPTION:                  9999 (unknown year)
08 Age at Diagnosis

 ITEM NUMBER/NAME:       08    Age at Diagnosis

 LENGTH:                       3

 FIELD                         000-130 := actual age in years
 DESCRIPTION:
09 Race

 ITEM NUMBER/NAME:       09    Race

 LENGTH:                       2

 FIELD                         01 White
 DESCRIPTION:                  02 Black
                               03 American Indian or Alaskan Native
                               04 Chinese
                               05 Japanese
                               06 Filipino
                               07 Hawaiian
                               08*    Korean
                               09*    Asian Indian, Pakistani
                               10*    Vietnamese
                               11*    Laotian
                               12*    Hmong
                               13*    Kampuchean
                               98 Other
                               99 Unknown

                               *Used for 1973-87 diagnoses only if person
                               also had a diagnosis of an independent
                               primary after 1987.  CODE BEGAN TO BE USED FOR
                               1988+ DIAGNOSIS
10 Spanish Origin

 ITEM NUMBER/NAME:       10    Spanish Origin

 LENGTH:                       1

 FIELD                         0  Non-Spanish
 DESCRIPTION:                  1* Mexican
                               2* Puerto Rican
                               3* Cuban
                               4* South or Central American (except Brazil)
                               5* Other Spanish (includes European)
                               6  Spanish, NOS
                               9  Unknown

                               *Used for 1973-87 diagnoses only if person
                               also had a diagnosis of an independent
                               primary after 1987.  CODE BEGAN TO BE USED
                               FOR 1988+ DIAGNOSES.
11 Sex

 ITEM NUMBER/NAME:       11    Sex

 LENGTH:                       1

 FIELD                         1  Male
 DESCRIPTION:                  2  Female
12 Marital Status at Diagnosis

 ITEM NUMBER/NAME:       12    Marital Status at Diagnosis

 LENGTH:                       1

 FIELD                         1  Single (never married)
 DESCRIPTION:                  2  Married
                               3  Separated
                               4  Divorced
                               5  Widowed
                               9  Unknown
13 Sequence Number

 ITEM NUMBER/NAME:       13    Sequence Number

 LENGTH:                       2

 FIELD                         00 One primary only
 DESCRIPTION:                  01 First of 2 or more primaries
                               02 Second of 2 or more primaries
                               03 Third of 3 or more primaries
                               04 Fourth of 4 or more primaries
                               .
                               .
                               .
                               10 Tenth of 10 or more primaries
                               11 Eleventh of 11 or more primaries
                               .
                               .
                               .

                               99 Unspecified sequence number
14 Date of Diagnosis

 ITEM NUMBER/NAME:       14    Date of Diagnosis

 LENGTH:                       6

 FIELD                         YYYYMM where
 DESCRIPTION:                     1. YYYY := year  1973 - forward
                                  2. MM := month  01-12,
                                            99 (unknown month)
15 Primary Site

 ITEM NUMBER/NAME:       15    Primary Site

 LENGTH:                       3

 FIELD                         Last three digits of the topography code
 DESCRIPTION:                  (eliminate decimal point) as defined in the
                               Topography Section of the International
                               Classification of Diseases for Oncology, 1976
                               Edition (ICD-O, 1976)

                               Prior to 1977 diagnoses, cases were coded
                               using the Manual of Tumor Nomenclature and
                               Coding, 1968 (MOTNAC) and were machine
                               converted without complete hand review.
16 Laterality

 ITEM NUMBER/NAME:       16    Laterality

 LENGTH:                       1

 FIELD                         0  Not a paired organ
 DESCRIPTION:                  1  Right: origin of primary
                               2  Left: origin of primary
                               3  Only one organ involved, right or left
                                  origin unspecified
                               4  Bilateral involvement, lateral origin
                                  unknown: stated to be single primary
                                      Both ovaries involved simultaneously,
                                      single histology
                                      Bilateral retinoblastomas
                                      Bilateral Wilms's tumors
                               9  Paired organ, but no information
                                  concerning laterality

                               See Appendix C for a list of sites for which
                               SEER requires information on laterality.
17 Morphology

 ITEM NUMBER/NAME:       17    Morphology

 LENGTH:                       6

 FIELD                         Morphology is a six-digit code consisting of
 DESCRIPTION:                  three parts:
                                  A   Histologic type (4 digits)
                                  B   Behavior (1 digit)
                                  C   Grading or differentiation; or for
                                      lymphomas and leukemias, designation
                                      of T-cell, B-cell or null cell
                                      (1 digit)


                               The SEER program has used several different,
                               but related, coding systems for morphology
                               over time.  One should be extremely careful
                               when doing any analysis of trends related to
                               morphology.  It is suggested that these
                               analyses start with diagnoses no earlier than
                               1977 and that special attention be paid to
                               the changes for 1986 and later cases due to
                               the introduction of the International
                               Classification of Disease for Oncology, Field
                               Trial Edition, March 1988.

                               Analyses of morphology data are usually
                               limited to microscopically confirmed cases
                               only.

                               HISTOLOGY CODING
                               FOR CASES DIAGNOSED 1973-85:

                                  Histologic types are defined in the
                                  morphology section of the International
                                  Classification of Diseases for Oncology,
                                  1976 Edition (ICD-O, 1976).  However prior
                                  to the introduction of ICD-O, 1976,
                                  morphology was coded using the Manual of
                                  Tumor Nomenclature and Coding, 1968
                                  (MOTNAC).  With the introduction of ICD-O,
                                  1976, all cases previously coded using
                                  MOTNAC were machine converted without hand
                                  review using the conversion table,
                                  Conversion of Morphology Sections
                                  (neoplasms) of 1968 Manual of Tumor
                                  Nomenclature and Coding (MOTNAC) and 1965
                                  Systematized Nomenclature of Pathology
                                  (SNOP) to 1976 International
                                  Classification of Diseases for Oncology,
                                  developed by Constance Percy.  The
                                  morphology codes of ICD-O, 1976, are more
                                  specific then those of MOTNAC.  Thus, less
                                  detailed information on morphology is
                                  available for cases diagnosed 1973-76.
                                  For example, when using MOTNAC large cell
                                  carcinoma is included with carcinoma, not
                                  otherwise specified (NOS); when using
                                  ICD-O, 1976, large cell carcinoma is a
                                  separate entity having its own code.

                                  In addition, the following special
                                  morphology codes were used by the SEER
                                  Program:

                                  Breast - All years
                                       8522/3    Infiltrating duct carcinoma
                                                 and lobular carcinoma
                                       8523/3    Infiltrating duct carcinoma
                                                 and lobular carcinoma in situ
                                       8524/3    Intraductal carcinoma and
                                                 lobular carcinoma
                                       8522/2    Intraductal carcinoma and
                                                 lobular carcinoma in situ
                                       8544/3    Paget's disease with intra-
                                                 ductal carcinoma

                                  All Sites - Introduced for coding in approx-
                                  imately 1982
                                       9616/3    Lennert's lymphoma
                                       9624/3    Malignant lymphoma, lymphocy-
                                                 tic, poorly differentiated,
                                                 diffuse
                                       9723/3    True histiocytic lymphoma

                               FOR CASES DIAGNOSED 1986+:

                                  Histologic types are defined in the morpho-
                                  logy section of the International Classi-
                                  fication of Diseases for Oncology, Field
                                  Trial Edition, March 1988 (ICD-O FT 1988).
                                  Pages i-vi, 23 of the latter volume list
                                  the differences between the two Field
                                  Trials, present a summary of the changes to
                                  ICD-O, 1976, and define the symbols used in
                                  the morphology section.

                                  BEHAVIOR
                                  Behavior codes are also defined in ICD-O,
                                  1976.  Only in situs (/2) and invasives
                                  (malignant) (/3) are collected by SEER.

                                  Note:   For bladder only, all in situs (/2)
                                          are converted to invasives (/3)
                                          before inclusion on this file.

                                  GRADE
                                  Grading and differentiation codes of 1-4, 9
                                  are defined in ICD-O, 1976.  Grade infor-
                                  mation may be incomplete for cases diag-
                                  nosed before 1977.

                                  In the early 1980's, additional codes
                                  specifying T-cell, B-cell, or null cell
                                  involvement in lymphomas and leukemias
                                  (histologies M9590-9940) were introduced
                                  by the SEER Program.  Because the reporting
                                  requirements and medical terminology have
                                  changed over time, care should be exercised
                                  when analyzing this information.  The codes
                                  are:
                                             5   T-cell
                                             6   B-cell
                                             7   Null cell
18 Diagnostic Confirmation

 ITEM NUMBER/NAME:       18    Diagnostic Confirmation

 LENGTH:                       1

 FIELD                            Microscopically Confirmed
 DESCRIPTION:
                               1  Positive histology
                               2  Positive exfoliative cytology, no positive
                                  histology
                               4  Positive microscopic confirmation, method
                                  not specified

                                  Not Microscopically Confirmed

                               5* Positive laboratory test/marker study
                               6  Direct visualization without microscopic
                                  confirmation
                               7  Radiography and other imaging techniques
                                  without microscopic confirmation
                               8  Clinical diagnosis only (other than 5, 6,
                                  or 7)

                                  Confirmation unknown

                               9  Unknown whether or not microscopically
                                  confirmed

                               *Used for 1988+ diagnoses only; prior to 1988
                               these cases are included in code `8'
                               (clinical diagnosis only)
19 Site-specific Surgery

 ITEM NUMBER/NAME:

 LENGTH:                 19    Site-specific Surgery

 FIELD
 DESCRIPTION:                  2

                               numeric

                               Appendix E shows the actual coding schemes
                               for individual sites and time periods.  The
                               discussion below summarizes the information
                               available by site and time period.

                               This field specifies information on surgery
                               during first course of therapy whether it was
                               cancer-directed or not.  (Prior to 1988 SEER
                               did no collect information on surgical
                               procedures if not cancer-directed.)  The
                               Reason for No Cancer-directed Surgery field
                               must be used to distinguish among no cancer-
                               directed surgery performed; cancer-directed
                               surgery recommended, unknown if performed;
                               and unknown if cancer-directed surgery
                               performed.

                               FOR CASES DIAGNOSED 1973-82:
                               All cases were coded using the following
                               nonspecific scheme:

                                         No Cancer-Directed Surgery/Unknown1

                                  00  No surgical procedure
                                  09  Unknown if surgery done

                                         Type of Cancer-Directed Surgery

                                  90  Surgery, NOS


                                  1Code `09' used for all cases without
                                  cancer-directed surgery, unknown if
                                  cancer-directed surgery performed, or
                                  cancer-directed surgery recommended but
                                  unknown if performed.  Refer to Reason for
                                  No Cancer-directed Surgery.  Code `00'
                                  used for all cases diagnosed only at
                                  autopsy.'

                               FOR CASES DIAGNOSED 1983-87:
                               Detailed schemes were in place for the
                               following sites:

                                      ICD-O Codes   Primary Site


                                      151.0-151.9   Stomach
                                      153.0-153.9   Colon
                                      154.0-154.1   Rectosigmoid, Rectum
                                      162.2-162.9   Bronchus and Lung
                                      173.0-173.9   Skin (melanomas only)
                                      174.0-174.9, 175.9   Breast
                                      180.0-180.9   Cervix Uteri
                                      182.0-182.8   Corpus Uteri
                                      183.0     Ovary
                                      185.9     Prostate
                                      188.0-188.9   Bladder
                                      189.0-189.2   Kidney, Renal Pelvis,
                                                    Ureter

                               All other sites are coded to the same
                               nonspecific scheme used for 1973-82 cases
                               (above).

                               FOR CASES DIAGNOSED 1988+:
                               In addition to the above sites detailed
                               schemes for the following sites were put into
                               place:

                                      ICD-O Codes   Primary Site


                                      140.0-149.9   Oral Cavity
                                      157.0-157.9   Pancreas
                                      161.0-161.9   Larynx
                                      169.2     Spleen
                                      170.0-170.9   Connective tissue
                                      171.0-171.9   Bone
                                      186.0-186.9   Testis
                                      193.9     Thyroid
                                      196.0-196.9   Lymph nodes


                               A general scheme was used for all other
                               sites.
20 Reason for No Cancer-directed Surgery

 ITEM NUMBER/NAME:       20    Reason for No Cancer-directed Surgery

 LENGTH:                       1

 FIELD                         0  Cancer-directed surgery performed
 DESCRIPTION:
                                  No cancer-directed surgery

                               1* Cancer-directed surgery not recommended
                               2* Contraindicated due to other conditions;
                                  Autopsy Only case
                               6  Unknown reason for no cancer-directed
                                  surgery
                               7* Patient or patient's guardian refused

                                  Unknown if cancer-directed surgery
                                  performed

                               8  Recommended, unknown if done
                               9  Unknown if cancer-directed surgery
                                  performed; Death Certificate Only case


                               *Codes not used prior to 1988.  Code `2' used
                               only for Autopsy Only cases prior to 1988
21 Vital Status

 ITEM NUMBER/NAME:       21    Vital Status

 LENGTH:                       1

 FIELD                         1  Alive as of the follow-up cut-off date
 DESCRIPTION:                     (see title page)
                               4  Dead
22 ICD Code Used for Cause of Death

 ITEM NUMBER/NAME:       22    ICD Code Used for Cause of Death

 LENGTH:                       1

 FIELD                         0  Patient alive as of the follow-up cut-off
 DESCRIPTION:                     date (see title page)
                               8  ICDA-8
                               9  ICD-9
23 Underlying Cause of Death

 ITEM NUMBER/NAME:       23    Underlying Cause of Death

 LENGTH:                       4

 FIELD                         0000   Patient alive
 DESCRIPTION:                  7777   State death certificate or listing not
                                      available to SEER participant
                               7797   State death certificate available, but
                                      underlying cause of death not coded
                               ICDA-8 or ICD-9 code  the following format
                               changes are used by the SEER Program:
                                  1.  The decimal point is dropped.
                                  2.  If the cause of death code has an
                                      optional fifth digit, the fifth digit
                                      is dropped.
                                  3.  If the cause of death code has only
                                      three digits, the code is left-
                                      justified and nine-filled.
                                  4.  If the cause of death is coded to the
                                      supplemental "E" codes, the `E' is
                                      dropped.

                               For example,
                                  UNDERLYING CAUSE OF        ICD        SEER
                                      DEATH                  CODE       CODE

                                  Cancer of the thyroid      193         939
                                  Acute appendicitis with    540.0      5400
                                      peritonitis
                                  Adenocarcinoma of stomach  151.9      1519
                                  Fall on ice                E885       8859
24 Site Recode

 ITEM NUMBER/NAME:       24       Site Recode

 LENGTH:                          5

 FIELD                            For publications SEER has defined major site
 DESCRIPTION:                     groups based on primary site and morphology.
                                  See Appendix D for SEER Site Recode
                                  Definitions.
25 Race Recode

 ITEM NUMBER/NAME:       25       Race Recode

 LENGTH:                          1

 FIELD                            SEER collapses the information available on
 DESCRIPTION:                     race for publication.  These codes and
                                  definitions based on Race are:

                                              1  White (Race code 01)
                                              2  Black (Race code 02)
                                              3  Other (Race code 03-98)
                                              9  Unknown (Race code 99)
26 Age Recode

 ITEM NUMBER/NAME:       26       Age Recode

 LENGTH:                          2

 FIELD                            01 Ages 00-04
 DESCRIPTION:                     02 Ages 05-09
                                  03 Ages 10-14
                                  04 Ages 15-19
                                  05 Ages 20-24
                                  06 Ages 25-29
                                  07 Ages 30-34
                                  08 Ages 35-39
                                  09 Ages 40-44
                                  10 Ages 45-49
                                  11 Ages 50-54
                                  12 Ages 55-59
                                  13 Ages 60-64
                                  14 Ages 65-69
                                  15 Ages 70-74
                                  16 Ages 75-79
                                  17 Ages 80-84
                                  18 Ages 85+

                                  These five-year age groups correspond to the
                                  five-year age groupings of the population
                                  data.
27 Historic Stage
Historic Stage

 ITEM NUMBER/NAME:       27       Historic Stage

 LENGTH:                          1

 FIELD                            0  In situ  A noninvasive neoplasm; a tumor
 DESCRIPTION:                        which has not penetrated the basement
                                     membrane nor extended beyond the
                                     epithelial tissue.  Some synonyms are
                                     intraepithelial (confined to epithelial
                                     tissue), noninvasive and noninfiltrating.

                                  1  Localized  An invasive neoplasm confined
                                     entirely to the organ of origin.  It may
                                     include intraluminal extension where
                                     specified.  For example for colon,
                                     intraluminal extension limited to
                                     immediately contiguous segments of the
                                     large bowel is localized, if no lymph
                                     nodes are involved.  Localized may
                                     exclude invasion of the serosa because
                                     of the poor survival of the patient once
                                     the serosa is invaded.

                                  2  Regional  A neoplasm that has extended
                                     1) beyond the limits of the organ of
                                     origin directly into surrounding organs
                                     or tissues; 2) into regional lymph nodes
                                     by way of the lymphatic system; or 3) by
                                     a combination of extension and regional
                                     lymph nodes.

                                  4  Distant  A neoplasm that has spread to
                                     parts of the body remote from the primary
                                     tumor either by direct extension or by
                                     discontinuous metastasis (e.g.,
                                     implantation or seeding) to distant
                                     organs, issues, or via the lymphatic
                                     system to distant lymph nodes.

                                  9  Unstaged  Information is not sufficient
                                     to assign a stage.

                                  All lymphomas and leukemias are considered
                                  unstaged (code `9').

                                  This field is produced by collapsing the
                                  detailed extent of disease information
                                  collected by SEER.  Over time several
                                  different extent of disease schemes have
                                  been used.  Thus caution should be exercised
                                  when doing trend analyses with this field.
                                  For example for prostate a coding artefact
                                  between cases before and after 1983 caused a
                                  shift of some cases from localized to
                                  unstaged.

                                  THIS FIELD WAS NOT CODED FOR 1988.

                                  Note:  For bladder only,all cases originally
                                         staged as in situ were converted to
                                         localized before inclusion on this
                                         file.

Special Note for 1988

 Staging Information, i.e. localized, regional, distant is not on the file
 for 1988.

28 Survival Time

 ITEM NUMBER/NAME:       28       Survival Time

 LENGTH:                          4

 FIELD                            YYMM where
 DESCRIPTION:                        1. YY:= number of completed years
                                     2. MM:= number of completed months

                                  9999 :=   unknown  survival time cannot be
                                            calculated for this case

                                  The survival time is calculated using the
                                  date of diagnosis and one of the following:
                                  date of death, date last known to be alive,
                                  or follow-up cutoff date used for this file
                                  (see title page for date for this file).Thus
                                  a person diagnosed in May 1976 and who died
                                  in May 1980 has a survival time of 04 years
                                  and 00 months.

                                  EXAMPLE:
                                  Assume December 1985 is used as a follow-up
                                  cutoff date, then:
                                     1.  If a person was known to be alive in
                                         April of 1986, December 1985 is used
                                         to compute survival time.
                                     2.  A person known to have died in May
                                         1987 is considered alive and survival
                                         time computed using December 1985 as
                                         date of last contact.
                                     3.  If the last information on a person
                                         is that s/he was alive in April 1980,
                                         then April 1980 is used.
29 ICD-9 Diagnosis

 ITEM NUMBER/NAME:       29       ICD-9 Diagnosis

 LENGTH:                          4

 FIELD                            The primary site and morphology as coded in
 DESCRIPTION:                     ICD-O are converted to ICD-9 codes using the
                                  Conversion of Malignant Neoplasms by
                                  Topography and Morphology from the
                                  International Classification of Disease for
                                  Oncology (ICD-O) to Chapter II, Malignant
                                  Neoplasms, International Classification of
                                  Diseases, Ninth Revision (ICD-9), 1975
                                  edited by Constance Percy.  This conversion
                                  has been updated for use with the Interna-
                                  tional Classification of Diseases for
                                  Oncology Field Trial, March 1988.
30 Radiation

 ITEM NUMBER/NAME:       30       Radiation

 LENGTH:                          1

 FIELD                            0 = 'NONE'
 DESCRIPTION:                     1 = 'BEAM RADIATION'
                                  2 = 'RADIOACTIVE IMPLANTS'
                                  3 = 'RADIOSOTOPES'
                                  4 = 'COMBINATION OF 1 WITH 2 OR 3'
                                  5 = 'RADIATION, NOS-METHOD OR SOURCE NOT
                                        SPECIFIED'
                                  6 = 'OTHER RADIATION (73-87 CASES ONLY)'
                                  7 = 'REFUSED'
                                  8 = 'RECOMMENDED, UNKNOWN IF ADMINISTERED'
                                  9 = 'UNKNOWN'
31 Radiation to Brain and/or CNS

 ITEM NUMBER/NAME:       31       Radiation to Brain and/or CNS

 LENGTH:                          1

 FIELD                            0 = 'NONE'
 DESCRIPTION:                     1 = 'RADIATION'
                                  7 = 'REFUSED'
                                  8 = 'RECOMMENDED, UNKNOWN IF ADMINISTERED'
                                  9 = 'UNKNOWN'
30 Radiation Sequence with Surgery

 ITEM NUMBER/NAME:       32       Radiation Sequence with Surgery

 LENGTH:                          1

 FIELD                            0 = 'NO RADIATION AND/OR CANCER-DIRECTED
 DESCRIPTION:                           SURGERY'
                                  2 = 'RADIATION PRIOR TO SURGERY'
                                  3 = 'RADIATION AFTER SURGERY'
                                  4 = 'RADIATION BEFORE AND AFTER SURGERY'
                                  5 = 'INTRAOPERATVE RADIATION'
                                  6 = 'INTRAOPERATIVE RAD W OTHER RAD BEFORE
                                        AND AFTER SURG'
                                  9 = 'SEQUENCE UNKNOWN, BUT BOTH WERE GIVEN'
APPENDIX A - COUNTY CODES

 Introduction

 The following tables are the valid county codes for coding county of
 residence at diagnosis.

 San Francisco-Oakland SMSA

                                 County
                 SEER Area        Code  County

               San Francisco-      001  Alameda
                 Oakland SMSA      013  Contra Costa
                                   041  Marin
                                   075  San Francisco
                                   081  San Mateo
 Connecticut

                                 County
                 SEER Area        Code  County

                Connecticut        001  Fairfield
                                   003  Hartford
                                   005  Litchfield
                                   007  Middlesex
                                   009  New Haven
                                   011  New London
                                   013  Tolland
                                   015  Windham
 Metropolitan Detroit

                                 County
                 SEER Area        Code  County

               Metropolitan        099  Macomb
                 Detroit           125  Oakland
                                   163  Wayne
 Hawaii

                                 County
                 SEER Area        Code  County

                  Hawaii           001  Hawaii
                                   003  Honolulu
                                   005* Kalawao
                                   007  Kauai
                                   009* Maui

     *Kalawao was split from Maui during the 1970's.
 Iowa

                                 County
                 SEER Area        Code  County

                  Iowa             001  Adair
                                   003  Adams
                                   005  Allamakee
                                   007  Appanoose
                                   009  Audubon
                                   011  Benton
                                   013  Black Hawk
                                   015  Boone
                                   017  Bremer
                                   019  Buchanan
                                   021  Buena Vista
                                   023  Butler
                                   025  Calhoun
                                   027  Carroll
                                   029  Cass
                                   031  Cedar
                                   033  Cerro Gordo
                                   035  Cherokee
                                   037  Chickasaw
                                   039  Clarke
                                   041  Clay
                                   043  Clayton
                                   045  Clinton
                                   047  Crawford
                                   049  Dallas
                                   051  Davis
                                   053  Decatur
                                   055  Delaware
                                   057  Des Moines
                                   059  Dickinson
                                   061  Dubuque
                                   063  Emmet
                                   065  Fayette
                                   067  Floyd
                                   069  Franklin
                                   071  Fremont
                                   073  Greene
                                   075  Grundy
                                   077  Guthrie
                                   079  Hamilton
                                   081  Hancock
                                   083  Hardin
                                   085  Harrison
                                   087  Henry
                                   089  Howard
                                   091  Humbolt
                                   093  Ida
                                   095  Iowa
                                   097  Jackson
                                   099  Jasper
                                   101  Jefferson
                                   103  Johnson
                                   105  Jones
                                   107  Keokuk
                                   109  Kossuth
                                   111  Lee
                                   113  Linn
                                   115  Louisa
                                   117  Lucas
                                   119  Lyon
                                   121  Madison
                                   123  Mahaska
                                   125  Marion County
                                   127  Marshall
                                   129  Mills
                                   131  Mitchell
                                   133  Monona
                                   135  Monroe
                                   137  Montgomery
                                   139  Muscatine
                                   141  O'Brien
                                   143  Osceola
                                   145  Page
                                   147  Palo Alto
                                   149  Plymouth
                                   151  Pocahontas
                                   153  Polk
                                   155  Pottawattamie
                                   157  Poweshiek
                                   159  Ringgold
                                   161  Sac
                                   163  Scott
                                   165  Shelby
                                   167  Sioux
                                   169  Story
                                   171  Tama
                                   173  Taylor
                                   175  Union
                                   177  Van Buren
                                   179  Wapello
                                   181  Warren
                                   183  Washington
                                   185  Wayne
                                   187  Webster
                                   189  Winnebago
                                   191  Winneshiek
                                   193  Woodbury
                                   195  Worth
                                   197  Wright
 New Mexico

                                 County
               SEER Area          Code  County


               New Mexico          001  Bernalillo
                                   003  Catron
                                   005  Chaves
                                   006* Cibola
                                   007  Colfax
                                   009  Curry
                                   011  De Baca
                                   015  Eddy
                                   017  Grant
                                   019  Guadalupe
                                   021  Harding
                                   023  Hidalgo
                                   025  Lea
                                   027  Lincoln
                                   028  Los Alamos
                                   029  Luna
                                   031  McKinley
                                   033  Mora
                                   035  Otero
                                   037  Quay
                                   039  Rio Arriba
                                   041  Roosevelt
                                   043  Sandoval
                                   045  San Juan
                                   047  San Miguel
                                   049  Santa Fe
                                   051  Sierra
                                   053  Socorro
                                   055  Taos
                                   057  Torrance
                                   059  Union
                                   061* Valencia

     *Cibola was split from Valencia in 1981.
 Seattle-Puget Sound

                                 County
                 SEER Area        Code  County

               Seattle-Puget       009  Clallam
                 Sound             027  Grays Harbor
                                   029  Island
                                   031  Jefferson
                                   033  King
                                   035  Kitsap
                                   045  Mason
                                   053  Pierce
                                   055  San Juan
                                   057  Skagit
                                   061  Snohomish
                                   067  Thurston
                                   073  Whatcom
 Utah

                                 County
                 SEER Area        Code  County

                  Utah             001  Beaver
                                   003  Box Elder
                                   005  Cache
                                   007  Carbon
                                   009  Daggett
                                   011  Davis
                                   013  Duchesne
                                   015  Emery
                                   017  Garfield
                                   019  Grand
                                   021  Iron
                                   023  Juab
                                   025  Kane
                                   027  Millard
                                   029  Morgan
                                   031  Piute
                                   033  Rich
                                   035  Salt Lake
                                   037  San Juan
                                   039  Sanpete
                                   041  Sevier
                                   043  Summit
                                   045  Tooele
                                   047  Uintah
                                   049  Utah
                                   051  Wasatch
                                   053  Washington
                                   055  Wayne
                                   057  Weber
 Metropolitan Atlanta

                                 County
                 SEER Area        Code  County

               Metropolitan        063  Clayton
                 Atlanta           067  Cobb
                                   089  De Kalb
                                   121  Fulton
                                   135  Gwinnett


APPENDIX B - SEER GEOCODES FOR CODING PLACE OF BIRTH

 Continental United States and Hawaii

 000 United States

     001 New England and New Jersey

           002    Maine
           003    New Hampshire
           004    Vermont
           005    Massachusetts
           006    Rhode Island
           007    Connecticut
           008    New Jersey

     010 North Mid-Atlantic States

           011    New York
           014    Pennsylvania
           017    Delaware

     020 South Mid-Atlantic States

           021    Maryland
           022    District of Columbia
           023    Virginia
           024    West Virginia
           025    North Carolina
           026    South Carolina

     030 Southeastern States

           031    Tennessee
           033    Georgia
           035    Florida
           037    Alabama
           039    Mississippi

     040 North Central States

           041    Michigan
           043    Ohio
           045    Indiana
           047    Kentucky

     050 Northern Midwest States

           051    Wisconsin
           052    Minnesota
           053    Iowa
           054    North Dakota
           055    South Dakota
           056    Montana

     060 Central Midwest States

           061    Illinois
           063    Missouri
           065    Kansas
           067    Nebraska

     070 Southern Midwest States

           071    Arkansas
           073    Louisiana
           075    Oklahoma
           077    Texas

     080 Mountain States

           081    Idaho
           082    Wyoming
           083    Colorado
           084    Utah
           085    Nevada
           086    New Mexico
           087    Arizona

     090 Pacific Coast States

           091    Alaska
           093    Washington
           095    Oregon
           097    California
           099    Hawaii

 United States Possessions

 When SEER geocodes were originally assigned during the 1970's, the United
 States owned or controlled islands in the Pacific.  Since then many of
 these islands have either been given their independence or had control
 turned over to another country.  In order to maintain information over
 time, these islands are still to be coded to the original codes.  The names
 have been annotated to indicate the new political designation.


   100 Atlantic/Caribbean Area

       101    Puerto Rico
       102    U.S. Virgin Islands
       109    Other Atlantic/Caribbean Area

   110 Canal Zone

   120 Pacific Area

       121    American Samoa
       122    Canton and Enderbury Islands (Kiribati)
       123    Caroline Islands (Trust Territory of Pacific Islands)
       124    Cook Islands (New Zealand)
       125    Gilbert (Kiribati) and Ellice (Tuvalu) Islands
       126    Guam
       127    Johnston Atoll
       128    Line Islands, Southern (Kiribati)
       129    Mariana Islands (Trust Territory of Pacific Islands)
       131    Marshall Islands (Trust Territory Pacific Islands)
       132    Midway Islands
       133    Nampo-Shoto, Southern
       134    Ryukyu Islands (Japan)
       135    Swan Islands
       136    Tokelau Islands (New Zealand)
       137    Wake Island

 North and South America (Not U.S. or its Possessions)

   210 Greenland

   220 Canada

       221    Maritime provinces (Newfoundland, Nova Scotia, Prince Edward
              Island, New Brunswick)
       222    Quebec
       223    Ontario
       224    Prairie provinces (Manitoba, Saskatchewan, Alberta)
       225    Yukon Territory, Northwest Territories
       226    British Columbia

   230 Mexico

   240 North American Islands

       241    Cuba
       242    Haiti
       243    Dominican Republic
       244    Jamaica
       245    Other Caribbean Islands
       246    Bermuda
       247    Bahamas

   250 Central America

       251    Guatemala
       252    Belize (British Honduras)
       253    Honduras
       254    El Salvador
       255    Nicaragua
       256    Costa Rica
       257    Panama

   300 South America

       311    Colombia
       321    Venezuela
       331    Guyana (British Guiana)
       332    Suriname (Dutch Guiana)
       333    French Guiana
       341    Brazil
       345    Ecuador
       351    Peru
       355    Bolivia
       361    Chile
       365    Argentina
       371    Paraguay
       375    Uruguay

 Europe

   400 United Kingdom

       401    England, Channel Islands
       402    Wales
       403    Scotland
       404    Northern Ireland (Ulster)

   410 Ireland (Eire)

   420 Scandinavia

       421    Iceland
       423    Norway
       425    Denmark
       427    Sweden
       429    Finland

   430 Germanic countries

       431    Germany (East and West)
       432    Netherlands
       433    Belgium
       434    Luxembourg
       435    Switzerland
       436    Austria
       437    Liechtenstein

   440 Romance-language countries

       441    France, (Corsica), Monaco
       443    Spain, (Canary Islands, Balearic Islands), Andorra
       445    Portugal (Madeira Islands, Azores, Cape Verde Islands)
       447    Italy, (Sardinia, Sicily), San Marino
       449    Romania

   450 Slavic countries

       451    Poland
       452    Czechoslovakia (Bohemia, Moravia, Slovakia)
       453    Yugoslavia (Serbia, Croatia, Dalmatia, Montenegro, Macedonia,
              Slavonia, Slovenia)
       454    Bulgaria
       455    Russian S.F.S.R. (Russia)
       456    Ukranian S.S.R. (The Ukraine) and Moldavian S.S.R.
              (Bessarabia)
       457    Byelorussian S.S.R. (White Russia)
       458    Estonian S.S.R. (Estonia)
       459    Latvian S.S.R. (Latvia)
       461    Lithuanian S.S.R. (Lithuania) EUROPE (cont'd)

   470 Other mainland Europe

       471    Greece
       475    Hungary
       481    Albania
       485    Gibraltar

   490 Other Mediterranean islands

       491    Malta
       495    Cyprus

 Africa

       500 Africa

       510 North Africa

           511    Morocco
           513    Algeria
           515    Tunisia
           517    Libya (Tripoli, Tripolitania, Cyrenaica)
           519    Egypt (United Arab Republic)

       520 Sudanese countries

             (Western (Spanish) Sahara, Mauritania,
              Mall, Niger, Chad, Sudan, Upper Volta)

       530 West Africa

           531    Nigeria
           539    Senegal, Gambia, Portuguese Guinea, Guinea, Sierra Leone,
                  Liberia, Ivory Coast, Ghana, Togo, Benin (Dahomey),
                  Cameroon (Kameroon), Equatorial Guinea (Fernando Poo,
                  Bioko, Rio Muni), Gabon, Congo-Brazzaville (French
                  Congo), Central African Republic

       540 South Africa

           541    Congo-Leopoldville (Zaire, Belgian Congo)
           543    Angola, Sao Tome, Principe, Cabinda
           545    Republic of South Africa (Cape Colony, Orange Free State,
                  Natal, Transvaal), Namibia (South West Africa), Lesotho
                  (Basutoland), Botswana (Bechuanaland), Ciskel, Swaziland,
                  Transkei, Bophuthatswana, Venda
           547    Zimbabwe (Rhodesia, Southern Rhodesia)
           549    Zambia (Northern Rhodesia)
           551    Malawi (Nyasaland)
           553    Mozambique
           555    Madagascar (Malagasy Republic)

       570 East Africa

           571    Tanzania (Tanganyika, Tanzanyika, Zanzibar)
           573    Uganda
           575    Kenya
           577    Rwanda (Ruanda)
           579    Burundi (Urundi)
           581    Somalia (Somali Republic, Somaliland)
           583    Afars and Issas (Djibouti, French Somaliland)
           585    Ethiopia (Abyssinia, Eritrea)

 Asia

    610    Near East

       611    Turkey

       620    Asian Arab countries

           621    Syria
           623    Lebanon
           625    Jordan (Transjordan) and former Arab Palestine
           627    Iraq
           629    Arabian Peninsula (Saudi Arabia, Yemen, People's
                  Democratic Republic of Yemen (Southern Yemen), United
                  Arab Emirates (Trucial States), Aden, Bahrain, Kuwait,
                  Oman and Muscat, Qatar)

       631    Israel and former Jewish Palestine
       633    Caucasian Republics of the U.S.S.R. (Georgia, Armenia,
              Azerbaijan)
       634    Other Asian Republics of the U.S.S.R. (Kazakh S.S.R.,Kirghiz
              S.S.R., Tadzhik S.S.R., Turkmen S.S.R., Uzbek S.S.R.)
       637    Iran (Persia)
       638    Afghanistan
       639    Pakistan (West Pakistan)

    640    Mid-East

       641    India
       643    Nepal, Bhutan, Sikkim
       645    Bangladesh (East Pakistan)
       647    Ceylon (Sri Lanka)
       649    Burma

    650    Southeast Asia

       651    Thailand (Siam)

       660    Indochina

           661    Laos
           663    Cambodia
           665    Vietnam (Tonkin, Annam, Cochin China)

       671    Malaysia, Singapore, Brunei
       673    Indonesia (Dutch East Indies)
       675    Philippines (Philippine Islands)

    680    East Asia

       681    China (not otherwise specified)

           682    China (People's Republic of China)
           683    Hong Kong
           684    Taiwan (Formosa) (Republic of China)
           685    Tibet
           686    Macao (Macau)

       691    Mongolia
       693    Japan
       695    Korea (North and South)

 Australia and Oceania

    711    Australia and Australian New Guinea
    715    New Zealand

    720    Pacific Islands *

       721    Melanesian Islands *
       723    Micronesian Islands *
       725    Polynesian Islands *

    * Except possessions of the U.S.A.

 Place of Birth Unknown

    998    Place of Birth stated not to be in United States, but no other
           information available
    999    Place of Birth unknown
1APPENDIX C - PRIMARY SITES WHICH SEER REQUIRES LATERALITY INFO.

 Laterality codes of `1'-`9' must be used for the following sites except
 where a specific subheading is excluded.  Such exclusions are coded `0'.
 For example, all primaries of the carina (162.2) have laterality coded `0'
 and all primaries of the main bronchus have laterality coded `1'-`9'.


     ICD-O Code Primary Site


     142.0      Parotid gland
     142.1      Submandibular gland
     142.2      Sublingual gland
     146.0      Tonsil, NOS
     146.1      Tonsillar fossa
     146.2      Tonsillar pillar
     160.0      Nasal cavity (excluding nasal cartilage, nasal septum)
     160.1      Middle ear
     160.2      Maxillary sinus
     160.4      Frontal sinus
     162.2      Main bronchus (excluding carina)
     162.3-162.9  Lung
     163.0-163.9  Pleura
     170.3      Rib, Clavicle (excluding sternum)
     170.4      Long bones of upper limb, scapula
     170.5      Short bones of upper limb
     170.6      Pelvic Bones (excluding sacrum, coccyx, and symphysis
                pubis)
     170.7      Long bones of lower limb
     170.8      Short bones of lower limb
     171.2      Connective, subcutaneous, and other soft tissues of upper
                limb and shoulder
     171.3      Connective, subcutaneous, and other soft tissues of lower
                limb and hip
     173.1      Skin of eyelid
     173.2      Skin of external ear
     173.3      Skin of other and unspecified parts of face (midline code
                '9')
     173.5      Skin of trunk (midline code '9')
     173.6      Skin of arm and shoulder
     174.0-174.9  Female breast
     175.9      Male breast
     183.0      Ovary
     183.2      Fallopian tube
     186.0-186.9  Testis
     187.5      Epididymis
     187.6      Spermatic cord
     189.0      Kidney, NOS
     189.1      Renal pelvis
     189.2      Ureter
     190.0-190.9  Eye
     194.0      Suprarenal gland
     194.5      Carotid body

 NOTE: Laterality may be submitted for sites other than those listed above.


APPENDIX D - SITE RECODE DEFINITIONS

 Buccal Cavity and Pharynx

       SITE GROUP                       ICD-O CODES                  RECODE

 Buccal cavity and pharynx
   Lip                       400:409  (Excludes hist 9590:9980)      20000*
   Tongue                    410:419  (Excludes hist 9590:9980)      20010
   Salivary gland            420:429  (Excludes hist 9590:9980)      20020
   Floor of mouth            440:449  (Excludes hist 9590:9980)      20030
   Gum & other mouth         430:439, 450:459                        20040
                                      (Excludes hist 9590:9980)
   Nasopharynx               470:479  (Excludes hist 9590:9980)      20060
   Tonsil                    460:462  (Excludes hist 9590:9980)      20070
   Oropharynx                463:469  (Excludes hist 9590:9980)      20080
   Hypopharynx               480:489  (Excludes hist 9590:9980)      20090
   Other buccal cavity       490:499  (Excludes hist 9590:9980)      20100
   & pharynx

 Digestive System

       SITE GROUP                       ICD-O CODES                  RECODE

 Digestive system                                                    21000*
   Esophagus                 500:509  (Excludes hist 9590:9980)      21010
   Stomach                   510:519  (Excludes hist 9590:9980)      21020
   Small intestine           520:529  (Excludes hist 9590:9980)      21030
   Colon excluding rectum                                            21040*
     Cecum                   534      (Excludes hist 9590:9980)      21041
     Appendix                535      (Excludes hist 9590:9980)      21042
     Ascending colon         536      (Excludes hist 9590:9980)      21043
     Hepatic flexure         530      (Excludes hist 9590:9980)      21044
     Transverse colon        531      (Excludes hist 9590:9980)      21045
     Splenic flexure         537      (Excludes hist 9590:9980)      21046
     Descending colon        532      (Excludes hist 9590:9980)      21047
     Sigmoid colon           533      (Excludes hist 9590:9980)      21048
     Large intestine, NOS    538:539, 590 (Excludes hist 9590:9980)  21049
   Rectum & rectosigmoid                                             21050*
     Rectosigmoid junction   540      (Excludes hist 9590:9980)      21051
     Rectum                  541      (Excludes hist 9590:9980)      21052
   Anus, anal canal &        542:543, 548 (Excludes hist 9590:9980)  21060
   anorectum
   Liver & intrahepatic                                              21070*
   bile ducts
     Liver                   550      (Excludes hist 9590:9980)      21071
     Intrahepatic bile       551      (Excludes hist 9590:9980)      21072
     ducts
   Gallbladder               560      (Excludes hist 9590:9980)      21080
   Other biliary             561:569  (Excludes hist 9590:9980)      21090
   Pancreas                  570:579  (Excludes hist 9590:9980)      21100
   Retroperitoneum           580      (Excludes hist 9590:9980)      21110
   Peritoneum, omentum &     588:589  (Excludes hist 9590:9980)      21120
   mesentery
   Other digestive organs    598:599  (Excludes hist 9590:9980)      21130

 Respiratory System

       SITE GROUP                       ICD-O CODES                  RECODE

 Respiratory system                                                  22000*
  Nose, nasal cavity,        600:609  (Excludes hist 9590:9980)      22010
  middle ear
  Larynx                     610:619  (Excludes hist 9590:9980)      22020
  Lung and bronchus          622:629  (Excludes hist 9590:9980)      22030
  Pleura                     630:639  (Excludes hist 9590:9980)      22050
  Trachea, mediastinum &     620, 642:659 (Excludes hist 9590:9980)  22060
  other respiratory organs

 Bones & Joints

       SITE GROUP                       ICD-O CODES                  RECODE

 Bones & joints              700:709  (Excludes hist 9590:9980)      23000

 Soft Tissue

       SITE GROUP                       ICD-O CODES                  RECODE

 Soft tissue                 641, 710:719 (Excludes hist 9590:9980)  24000
     (including heart)

 Skin

       SITE GROUP                       ICD-O CODES                  RECODE

 Skin (excluding basal and                                           25000*
     squamous)
   Melanomas -- skin         730:739   (Only hist 8720:8790)         25010
  Other non-epithelial       730:739   (Excludes hist 8000:8004,     25020
  skin                                  8010:8012,
                                        8070:8076,
                                        8090:8096,
                                        8720:8790,
                                        9590:9980)

 Breast

       SITE GROUP                       ICD-O CODES                  RECODE

 Breast                      740:749, 759  (Excludes hist 9590:9980)  26000

 Female Genital System

       SITE GROUP                       ICD-O CODES                  RECODE

 Female genital system                                               27000*
  Cervix                     800:809   (Excludes hist 9590:9980)     27010
  Corpus                     820:828   (Excludes hist 9590:9980)     27020
  Uterus, NOS                799       (Excludes hist 9590:9980)     27030
  Ovary                      830       (Excludes hist 9590:9980)     27040
  Vagina                     840       (Excludes hist 9590:9980)     27050
  Vulva                      841:844   (Excludes hist 9590:9980)     27060
  Other female genital       819, 832:839, 848:849                   27070
  organs                               (Excludes hist 9590:9980)

 Male Genital System

       SITE GROUP                       ICD-O CODES                  RECODE

 Male genital system                                                 28000*
  Prostate                   859       (Excludes hist 9590:9980)     28010
  Testis                     860:869   (Excludes hist 9590:9980)     28020
  Penis                      871:874   (Excludes hist 9590:9980)     28030
  Other male genital         875:879   (Excludes hist 9590:9980)     28040
  organs

 Urinary System

       SITE GROUP                       ICD-O CODES                  RECODE

 Urinary system                                                      29000*
  Bladder                    880:889   (Excludes hist 9590:9980)     29010
  Kidney and Renal pelvis    890:891   (Excludes hist 9590:9980)     29020
  Ureter                     892       (Excludes hist 9590:9980)     29030
  Other urinary system       893:899   (Excludes hist 9590:9980)     29040

 Eye & Orbit

       SITE GROUP                       ICD-O CODES                  RECODE

 Eye & orbit                 900:909   (Excludes hist 9590:9980)     30000

 Brain and Other Nervous System

       SITE GROUP                       ICD-O CODES                  RECODE

 Brain and other nervous     910:919   (Excludes hist 9530-9539,     31000*
 system                                 9590:9980)                   31010
   Brain                     910:919   (Histologies: 9530- 9390);
 Other nervous system        920:929   (Excludes hist 9590:9980)     31040

 Endocrine System

       SITE GROUP                       ICD-O CODES                  RECODE

 Endocrine system                                                    32000*
  Thyroid                    939       (Excludes hist 9590:9980)     32010
  Other endocrine            640, 940:949 (Excludes hist 9590:9980)  32020
  (includes
   thymus)

 Lymphomas

       SITE GROUP                       ICD-O CODES                   RECODE

 Lymphomas                                                    33000*
  Hodgkin's Disease          Histologies: 9650:9667                   33010*
    Nodal                      Sites: 416,460,471,491,640,692,960:969 33011
    Extranodal                 All other sites                        33012
  Non-Hodgkin's lymphomas    Histologies: 9590:9642,9670:9710,9750    33040*
    Nodal                      Sites: 416,460,471,491,640,692,960:969 33041
    Extranodal                 All other sites                        33042

 Multiple Myeloma

       SITE GROUP                       ICD-O CODES                   RECODE

 Multiple myeloma            Histologies: 9730:9731 (all sites)       34000

 Leukemias

       SITE GROUP                       ICD-O CODES                   RECODE

 Leukemias                                                    35000*
  Lymphocytic                                                       35010*
    Acute lymphocytic        Histology: 9821                          35011
    Chronic lymphocytic      Histology: 9823                          35012
    Other lymphocytic        Histologies: 9820, 9822, 9824, 9825      35013

  Granulocytic                                                        35020*
    Acute granulocytic       Histologies: 9861, 9867                  35021
    Chronic granulocytic     Histologies: 9863, 9868                  35022
    Other granulocytic       Histologies: 9860, 9862, 9864, 9865,     35023
                                          9866

  Monocytic                                                     35030*
    Acute monocytic          Histology: 9891                          35031
    Chronic monocytic        Histology: 9893                          35032
    Other monocytic          Histologies: 9890, 9892, 9894            35033

  Other                                                 35040*
    Other acute              Histologies: 9801, 9841                  35041
    Other chronic            Histologies: 9803, 9842                  35042
    Aleukemic, subleukemic   Histologies: 9800, 9802, 9804,           35043
      and NOS                       9810, 9830,
                                    9840, 9850, 9870, 9880,
                                    9900, 9910, 9920, 9930,
                                    9931, 9932, 9940, 9951
 Ill Defined and Unspecified Sites

       SITE GROUP                       ICD-O CODES                   RECODE

 Ill defined and             Histologies: 9720:9723,                  37000
 unspecified                              9740:9741, 9950,
   sites                                  9960:9980, 9760-9764
                             950:958,999  (Excludes hist 9590:9980)
                             690:699      (Excludes hist 9590:9980)
                             960:969      (Excludes hist 9590:9980)
2Reference to *

 *These are aggregated recode categories and do not occur on the file.  They
 are used in calculating aggregate rates.


APPENDIX E - SITE SPECIFIC SURGERY CODES

 1973-82 Diagnoses - All Sites (140.0-199.9)

 Code:

        No Cancer-Directed Surgery/Unknown

 00 No surgical procedure
 09 Unknown if surgery done

        Type of Cancer-Directed Surgery

 90 Surgery, NOS

 1983+ Diagnoses

 Stomach (151.0-151.9)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Local surgical excision (includes polypectomy, excision of ulcer, other
    lesions, or stomach tissue with evidence of cancer)

 20 Partial/subtotal/hemigastrectomy:  Upper (proximal) portion (may
    include part of esophagus, i.e., esophagogastrectomy)

 30 Partial2/subtotal/hemigastrectomy:  Lower (distal) portion (may include
    part of duodenum, i.e., gastropylorectomy); Billroth I (indicates
    anastomosis to duodenum); duodenostomy; Billroth II (indicates anastomosis
    to jejunum); jejunostomy; antrectomy (resection of pyloric antrum of
    stomach)

 40 Partial2/subtotal/hemigastrectomy, NOS; resection of portion of stomach,
    NOS

 50 Total/near total gastrectomy (includes resection with pouch left for
    anastomosis; total gastrectomy following previous partial resection for
    another cause)

 60 Gastrectomy, NOS

 70 Gastrectomy (partial, total, radical) PLUS partial or total removal of
    other organs

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes 10-70 may include removal of spleen, nodes, omentum, mesentery,
         or mesocolon.
       Ignore incidental removal of gallbladder, bile ducts, appendix, or
         vagus nerve.
       Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Colon (Excludes Rectosigmoid, Rectum) (153.0-153.9)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Local cancer destruction WITHOUT pathology specimen (includes laser
    surgery, cryosurgery, electrocautery, or fulguration)

 20 Local surgical excision WITH pathology specimen (includes polypectomy,
    snare, or laser surgery)

 30 Partial/subtotal colectomy, but less than hemicolectomy (includes
    segmental resection, e.g., cecectomy, appendectomy, sigmoidectomy,
    partial resection of transverse colon and flexures, ileocolectomy,
    enterocolectomy, and partial/subtotal colectomy, NOS)

 40 Hemicolectomy or greater (but less than total); right/left colectomy
    (all of right or left colon beginning at mid-transverse)

 50 Total colectomy (beginning with cecum and ending with sigmoid/rectum or
    part of rectum)

 60 Colectomy, NOS

 70 Colectomy (subtotal, hemicolectomy or total) PLUS partial or total
    removal of other organs

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes 30-70 may include removal of lymph nodes, mesentery, mesocolon,
         peritoneum, a portion of terminal ileum, or omentum.
       Ignore incidental removal of appendix, gallbladder, bile ducts, or
         spleen.
       Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.
       If not clear from either the operative or pathology report what was
         removed, but the title of the operative report is hemicolectomy, code
         as hemicolectomy.

 Rectosigmoid, Rectum (154.0-154.1)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Local cancer destruction WITHOUT pathology specimen (includes laser
    surgery, cryosurgery, electrocautery, or fulgeration)

 20 Local surgical excision WITH pathology specimen (includes polypectomy,
    snare, or laser surgery)

 30 Anterior/posterior resection, wedge or segmental resection, transsacral
    rectosigmoidectomy, Hartmann's operation, partial proctectomy, rectal
    resection, NOS

 40 Pull-through resection WITH sphincter preservation (e.g., Turnbull's and
    Swenson's operations, Soave's submucosal resection, Altemeier's operation,
    and Duhamel's operation)

 50 Abdominoperineal resection (e.g., Miles' and Rankin's operations),
    complete proctectomy

 60 Any of codes 30-50 PLUS partial or total removal of other organs

 70 Pelvic Exenteration (partial or total)
    Posterior exenteration (includes rectum and rectosigmoid with ligamentous
      attachments and pelvic lymph nodes)
    Total exenteration (includes removal of all pelvic contents and pelvic
      lymph nodes)
    Extended exenteration (includes pelvic blood vessels or bony pelvis)

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes 30-70 may include removal of lymph nodes and/or removal of
         section of colon.
       Ignore incidental removal of gallbladder, bile ducts, or appendix.
       Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Bronchus and Lung (162.2-162.9)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Local surgical excision or destruction of lesion

 20 Partial/wedge/segmental resection, lingulectomy, partial lobectomy,
    sleeve resection (bronchus only)

 30 Lobectomy/bilobectomy (includes lobectomy plus segmental/sleeve
    resection, radical lobectomy, partial pneumonectomy) WITHOUT dissection
    of lymph nodes

 40 Lobectomy/bilobectomy (includes lobectomy plus segmental/sleeve
    resection, radical lobectomy, partial pneumonectomy) WITH dissection of
    lymph nodes

 50 Complete/total/standard pneumonectomy (includes hilar and parabronchial
    lymph nodes); pneumonectomy, NOS

 60 Radical pneumonectomy (complete pneumonectomy PLUS dissection of
    mediastinal lymph nodes)

 70 Extended radical pneumonectomy (includes parietal pleura, pericardium
    and/or chest wall (with diaphragm) plus lymph nodes)

 80 Surgery of regional and/or distant site(s)/node(s) ONLY (includes
    removal of mediastinal mass ONLY)

 90 Resection of lung, NOS; surgery, NOS


 NOTE: Ignore incidental removal of rib(s) (operative approach).
       Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Skin (173.0-173.9)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Local cancer destruction WITHOUT pathology specimen (includes laser
    surgery, cryosurgery, fulgeration, or electrocauterization)

 20 Simple excision/excisional biopsy; shave biopsy; local surgical
    excision; wedge resection; laser surgery WITH pathology specimen;
    excision, NOS

 30 Shave/punch biopsy/biopsy, NOS followed by excision of lesion (not a
    wide excision)

 40 Wide/re-excision or minor (local) amputation (includes digits, ear,
    eyelid, lip, nose)
       WITHOUT lymph node dissection

 45 Radical excision WITHOUT lymph node dissection

 49 Wide/radical excision/re-excision or minor (local) amputation (incl.
    digits, ear, eyelid, lip, nose)

 50 Codes 10-49 WITH lymph node dissection

 60 Amputation (other than code 40) WITHOUT lymph node dissection;
    amputation, NOS

 70 Amputation (other than in code 40) WITH lymph node dissection

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Breast (174.0-174.9 Female, 175.9 Male)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code

 10 Partial/less than total mastectomy (includes segmental mastectomy,
    lumpectomy, quadrantectomy, tylectomy, wedge resection, nipple resection,
    excisional biopsy, or partial mastectomy, NOS) WITHOUT dissection of
    axillary lymph nodes

 20 Partial/less than total mastectomy WITH dissection of axillary lymph
    nodes

 30 Subcutaneous mastectomy WITH/WITHOUT dissection of axillary nodes

 40 Total (simple) mastectomy (breast only) WITHOUT dissection of axillary
    lymph nodes

 50 Modified radical/total (simple) mastectomy (may include portion of
    pectoralis major) WITH dissection of axillary lymph nodes

 60 Radical mastectomy WITH dissection of majority of pectoralis major WITH
    dissection of axillary lymph nodes

 70 Extended radical mastectomy (code 60 PLUS internal mammary node
    dissection; may include chest wall and ribs)

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Mastectomy, NOS; Surgery, NOS


 NOTE: Codes `10'-`78' apply to unilateral resection of primary cancer.
       Ignore removal of fragments or tags of muscle; removal of pectoralis
         minor; resection of pectoralis muscles, NOS; and resection of fascia
         with no mention of muscle.
       Oophorectomy, adrenalectomy, and hypophysectomy will be coded as
         Endocrine (Hormone/Steroid) Therapy.
       Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Cervix Uteri (180.0-180.0)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Cryosurgery; laser surgery WITHOUT pathology specimen

 15 Dilatation and curettage (in situ ONLY); endocervical curettage (in
    situ ONLY)

 19 Cryosurgery, laser surgery (vaporized--no path specimen); D & C (in
    situ ONLY)

 20 Local surgical excision; excisional biopsy; trachelectomy; amputation
    of cervix or cervical stump; laser surgery WITH pathology specimen;
    conization

 29 Local excision and/or conization, excisional biopsy, trachelectomy,
    amputation of cervix, laser (with path specimen), endocervical curettage
    (in situ only)

 30 Total/pan/simple hysterectomy (includes both corpus and cervix uteri)
    WITHOUT removal of tubes and ovaries WITHOUT dissection of lymph nodes

 35 Total/pan/simple hysterectomy (includes both corpus and cervix uteri)
    WITHOUT removal of tubes and ovaries WITH dissection of lymph nodes

 40 Total/pan/simple hysterectomy WITH removal of tube(s) and ovary(ies)
    WITHOUT dissection of lymph nodes

 50 Modified radical/extended hysterectomy (includes uterus, tube(s),
    ovary(ies), and para-aortic and pelvic lymph nodes, and may include
    vaginal cuff); radical hysterectomy (includes uterus, tube(s), ovary(ies),
    vagina, all parametrial and paravaginal tissue, and para-aortic and pelvic
    lymph nodes); Wertheim's operation

 60 Hysterectomy, NOS

 70 Pelvic Exenteration (partial or total)
    Anterior exenteration (includes bladder, distal ureters, and genital
      organs with their ligamentous attachments and pelvic lymph nodes)
    Posterior exenteration (includes rectum and rectosigmoid with
      ligamentous attachments and pelvic lymph nodes)
    Total exenteration (includes removal of all pelvic contents and pelvic
      lymph nodes)
    Extended exenteration (includes pelvic blood vessels or bony pelvis)

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes 30 and 40 may include a portion of vaginal cuff.
       Ignore incidental removal of appendix.
       Ignore omentectomy if it was the only surgery performed in addition
         to hysterectomy.
       Ignore surgical approach, i.e., abdominal or vaginal.
       For invasive cancers only, dilatation and curettage is to be coded
         as an incisional biopsy.
       Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Corpus Uteri (182.0-182.8)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)

 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Polypectomy; myomectomy (simple excision); simple excision, NOS

 20 Subtotal hysterectomy; supracervical hysterectomy; fundectomy (cervix
    left in place
      WITH/WITHOUT removal of tubes and ovaries)

 30 Total/pan/simple hysterectomy (includes both corpus and cervix uteri)
    WITHOUT removal of tubes and ovaries WITHOUT dissection of lymph nodes

 35 Total/pan/simple hysterectomy (includes both corpus and cervix uteri)
    WITHOUT removal of tubes and ovaries WITH dissection of lymph nodes

 40 Total/pan/simple hysterectomy WITH removal of tube(s) and ovary(ies)
    WITHOUT dissection of lymph nodes

 50 Modified radical/extended hysterectomy (includes uterus, tube(s),
    ovary(ies), and para-aortic and pelvic lymph nodes, and may include
    vaginal cuff); radical hysterectomy (includes uterus, tube(s), ovary(ies),
    vagina, and all parametrial and paravaginal tissue, and para-aortic and
    pelvic lymph nodes); Wertheim's operation

 60 Hysterectomy, NOS

 70 Pelvic Exenteration (partial or total)
    Anterior exenteration (includes bladder, distal ureters, and genital
      organs with their ligamentous attachments and pelvic lymph nodes)
    Posterior exenteration (includes rectum and rectosigmoid with
      ligamentous attachments and pelvic lymph nodes)
    Total exenteration (includes removal of all pelvic contents and pelvic
      lymph nodes)
    Extended exenteration (includes pelvic blood vessels or bony pelvis)

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes 30 and 40 may include a portion of vaginal cuff.
       Ignore incidental removal of appendix.
       Ignore omentectomy if it is the only surgery performed in addition
         to hysterectomy.
       Ignore surgical approach, i.e., abdominal or vaginal.
       For invasive and in situ cancers, dilatation and curettage is to be
         coded as an incisional biopsy.
       Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as
         part of the planned first course of therapy.

 Ovary (183.0)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Subtotal/partial or unilateral (salpingo)-oophorectomy; wedge resection
    WITHOUT hysterectomy

 20 Subtotal/partial or unilateral (salpingo)-oophorectomy WITH hysterectomy

 30 Bilateral (salpingo)-oophorectomy WITHOUT hysterectomy;
      (salpingo)-oophorectomy, NOS

 40 Bilateral (salpingo)-oophorectomy WITH hysterectomy

 50 Omentectomy (partial, total, or NOS) with unilateral or bilateral
      (salpingo)-oophorectomy, unknown if hysterectomy done

 51 Omentectomy (partial, total, or NOS) with unilateral or bilateral
      (salpingo)-oophorectomy, WITHOUT hysterectomy

 52 Omentectomy (partial, total, or NOS) with unilateral or bilateral
    (salpingo)-oophorectomy, WITH hysterectomy

 60 Debulking of ovarian cancer mass (may include ovarian tissue)

 70 Pelvic Exenteration (partial or total)
    Anterior exenteration (includes bladder, distal ureters, and genital
      organs with their ligamentous attachments and pelvic lymph nodes)
    Posterior exenteration (includes rectum and rectosigmoid with
      ligamentous attachments and pelvic lymph nodes)
    Total exenteration (includes removal of all pelvic contents and pelvic
      lymph nodes)
    Extended exenteration (includes pelvic blood vessels or bony pelvis)

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Ignore incidental removal of appendix.
       Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Prostate (185.9)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Transurethral resection of prostate (TURP); cryoprostatectomy; local
    surgical excision of lesion WITHOUT lymph node dissection

 20 Transurethral resection of prostate (TURP); cryoprostatectomy; local
    surgical excision of lesion WITH lymph node dissection

 30 Subtotal/simple prostatectomy (segmental resection or enucleation
    leaving capsule intact) WITHOUT dissection of lymph nodes

 40 Subtotal/simple prostatectomy (segmental resection or enucleation) WITH
    dissection of lymph nodes

 50 Radical/total prostatectomy (excised prostate, ejaculatory ducts (ductus
    deferens), and seminal vesicles) WITHOUT dissection of lymph nodes

 60 Radical/total prostatectomy (excised prostate, ejaculatory ducts (ductus
    deferens), and seminal vesicles) WITH dissection of lymph nodes

 70 Cystoprostatectomy, radical cystectomy, pelvic exenteration WITH/WITHOUT
    dissection of lymph nodes

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Prostatectomy, NOS; Surgery, NOS


 NOTE: Orchiectomy will be coded as Endocrine (Hormone/Steroid) Therapy.
       Ignore surgical approach, i.e., suprapubic, retropubic, or perineal.
       Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Bladder (188.0-188.9)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Transurethral resection of bladder (TURB); local destruction
    (electrocoagulation, fulguration, cryosurgery); excisional biopsy

 20 Partial/subtotal cystectomy (includes segmental resection) WITHOUT
    dissection of pelvic lymph nodes

 30 Partial/subtotal cystectomy (includes segmental resection) WITH
    dissection of pelvic lymph nodes

 40 Complete/total/simple cystectomy WITHOUT dissection of lymph nodes

 50 Complete/total/simple cystectomy WITH dissection of lymph nodes

 60 Cystectomy, NOS

 70 Radical cystectomy (in men: removal of bladder, prostate, seminal
      vesicles, surrounding perivesical tissues and distal ureters; in women:
      removal of bladder, uterus, ovaries, fallopian tubes, surrounding
      peritoneum, and sometimes urethra and vaginal wall)
    Pelvic Exenteration (partial, total, or extended)
    Anterior exenteration (includes bladder, distal ureters, and genital
      organs with their ligamentous attachments and pelvic lymph nodes)
    Posterior exenteration (includes rectum and rectosigmoid with
      ligamentous attachments and pelvic lymph nodes)
    Total exenteration (includes removal of all pelvic contents and pelvic
      lymph nodes)
    Extended exenteration (includes pelvic blood vessels or bony pelvis)

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Ignore partial removal of ureter in coding cystectomy.
       Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Kidney, Renal Pelvis, and Ureter (189.0-189.2)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Partial/subtotal nephrectomy (includes local excision, wedge resection,
      and segmental resection);
    Partial ureterectomy

 20 Complete/total/simple nephrectomy  for kidney parenchyma
    Nephroureterectomy (includes bladder cuff)  for renal pelvis or ureter
      WITHOUT dissection of lymph nodes

 30 Complete/total/simple nephrectomy  for kidney parenchyma
    Nephroureterectomy (includes bladder cuff)  for renal pelvis or ureter
      WITH dissection of lymph nodes

 40 Radical nephrectomy (includes removal of vena cava, adrenal gland(s),
    Gerota's fascia, perinephric fat, or partial ureter) WITHOUT dissection
    of lymph nodes

 50 Radical nephrectomy (includes removal of vena cava, adrenal gland(s),
    Gerota's fascia, perinephric fat, or partial ureter) WITH dissection of
    lymph nodes

 60 Nephrectomy, NOS
    Ureterectomy, NOS

 70 Codes 20-60 PLUS other organs (e.g., bladder, colon)

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Ignore incidental removal of rib(s).
       Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 All Sites 1983-87 (140.0-199.9)

 Code Exceptions
 Except: 151.0-151.9, 153.0-153.9, 154.0, 154.1, 162.2-162.9,
         173.0-173.9, 174.0-174.9, 175.9, 180.0-180.9,
         182.0-182.8, 183.0, 185.9, 188.0-188.9, 189.0-189.2

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 90 Surgery, NOS

 1988+ Diagnoses

 Oral Cavity (140.0-149.9)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
     site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Electrocautery, or cryosurgery; laser surgery WITHOUT pathology specimen

 20 Laser surgery WITH pathology specimen; excisional biopsy

 30 Local surgical excision

 40 Radical excision

 50 Local/radical excision WITH radical neck dissection

 70 Radical neck dissection ONLY

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.
3Pancreas (157.0-157.0)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Local or partial surgical excision of pancreas

 20 Total pancreatectomy WITH/WITHOUT splenectomy

 30 Subtotal gastrectomy, duodenectomy with complete or partial
      pancreatectomy
      WITH/WITHOUT splenectomy (Whipple's operation)

 40 Radical regional (partial) pancreatectomy with lymph node dissection and
      adjacent soft tissue resection

 50 Pancreatectomy, NOS

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Larynx (161.0-161.9)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Laser surgery WITHOUT pathology specimen

 20 Local surgical excision or destruction of lesion; laser surgery WITH
    pathology specimen;
    stripping

 30 Partial laryngectomy WITH/WITHOUT node dissection

 40 Total laryngectomy WITHOUT dissection of lymph nodes; total
    laryngectomy, NOS

 50 Total laryngectomy WITH dissection of lymph nodes; radical laryngectomy

 60 Laryngectomy, NOS

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Bone,Connective & Other Soft Tissue(170.0-170.9,171.0,171.2-171.

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Local or wide excision of lesion

 20 Resection, partial
    Internal hemipelvectomy (pelvis)

 30 Radical excision/resection
    Limb salvage (arm or leg)

 40 Amputation, partial/total of limb

 50 Amputation, forequarter (incl. scapula)
    Amputation, hindquarter (incl. ilium/hip bone)
    Hemipelvectomy

 60 Excision/resection, NOS

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Testis (186.0-186.9)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
     site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Local surgical excision or partial resection of testicle

 20 Excision of testicle WITHOUT cord

 30 Excision of testicle WITH cord (or cord not mentioned)

 40 Excision of testicle WITH unilateral lymph node dissection

 50 Excision of testicle WITH bilateral lymph node dissection

 60 Orchiectomy, NOS

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes `10'-`59' take priority over codes `60'-`99'.
       Codes `10'-`99' take priority over codes `00'-`09'.
       In the range `10'-`58' the higher code has priority.
       Codes `01'-`07' take priority over code `09'.
       In the range `01'-`06' the higher code has priority.
       Surgery of primary not included in any category should be coded `90'.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Thyroid (193.9)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Local surgical excision or partial removal of lobe

 20 Lobectomy WITH/WITHOUT isthmectomy, WITH/WITHOUT dissection of lymph
    nodes

 30 Lobectomy, isthmectomy and partial removal of contralateral lobe (near
    total thyroidectomy)
    WITH/WITHOUT dissection of lymph nodes

 40 Total thyroidectomy WITHOUT dissection of lymph nodes

 50 Total thyroidectomy WITH limited lymph node dissection (nodal sampling
    or "berry picking") or lymph node dissection, NOS

 60 Total thyroidectomy WITH radical/modified lymph node dissection

 70 Thyroidectomy, NOS

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 Lymph Nodes and Spleen (169.2, 196.0-196.9)

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Excision of localized tumor mass

 20 Splenectomy (partial, total, or NOS)

 30 Lymph node dissection, one chain

 31 Lymph node dissection, one chain PLUS splenectomy

 40 Lymph node dissection, 2+ chains and/or adjacent organ(s)

 41 Lymph node dissection, 2+ chains and/or adjacent organ(s) PLUS
      splenectomy

 50 Lymph node dissection, NOS

 51 Lymph node dissection, NOS PLUS splenectomy

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.

 All Other Sites

 150.0-150.9, 152.0-152.9, 154.2-156.9, 158.0-160.9, 162.0,
 163.0-165.9, 169.0-169.1, 169.3-169.9, 179.9, 181.9, 183.2-184.9,
 187.1-187.9, 189.3-192.9, 194.0-195.8, 199.9

 No Cancer-Directed Surgery/Unknown
 Code:

 00 No surgical procedure
 01 Incisional, needle, or aspiration biopsy of other than primary site
 02 Incisional, needle, or aspiration biopsy of primary site
 03 Exploratory ONLY (no biopsy)
 04 Bypass surgery, -ostomy ONLY (no biopsy)
 05 Exploratory ONLY AND incisional, needle or aspiration biopsy of primary
      site or other sites
 06 Bypass surgery, -ostomy ONLY AND incisional, needle or aspiration biopsy
      of primary site or other sites
 07 Non-cancer directed surgery, NOS
 09 Unknown if surgery done

 Type of Cancer-Directed Surgery
 Code:

 10 Cryosurgery

 20 Cautery, fulguration, laser surgery WITHOUT pathology specimen

 30 Laser surgery WITH pathology specimen

 35 Excisional biopsy; polypectomy; excision of lesion

 37 Partial removal of primary site WITHOUT dissection of lymph nodes

 38 Partial removal of primary site WITH dissection of lymph nodes

 40 Simple removal of primary site WITHOUT dissection of lymph nodes

 50 Simple removal of primary site WITH dissection of lymph nodes

 55 Debulking WITH or WITHOUT dissection of lymph nodes

 60 Radical surgery (primary site plus partial or total removal of other
      organs)

 80 Surgery of regional and/or distant site(s)/node(s) ONLY

 90 Surgery, NOS


 NOTE: Codes `10'-`90' have priority over codes `00'-`09'.
       Codes `10'-`78' have priority over codes `80'-`90'.
       Surgery of primary not included in any category should be coded `90'.
       In the range `10'-`78', the higher code has priority.
       Codes `01'-`07' have priority over code `09'.
       In the range `01'-`06', the higher code has priority.
       Codes `01'-`07' and `09' cannot be used in combination with codes
         `10'-`90'.
       Codes `01'-`06' have priority over code `07'.
       Second digit is to be coded `8' when reconstructive surgery of the
         primary site is done as part of the planned first course of therapy.


POPULATION FILE

 General Information

  Areas:  Seer Registries and Total US
  Years:  1973-1988
  Races:  Total, White, Black, and Total Non-White
  Documentation Version:  January 1992

 File Description
 
 Overview

 The SEER Population File has been constructed for the analysis of SEER and
 other databases.  It contains population data for a specified set of years,
 geographic areas and demographic characteristics.  The source of these
 populations is estimates for intracensal years or special racial groups
 provided by the U.S. Census Bureau and estimates computed by NCI.  The title
 page specifies the geographic areas, racial groups, and years for which
 populations are provided.

 The documentation defines the record format, field definitions, and file
 characteristics for any population file.

 Storage Characteristics

 A.  Size:          dependent upon file content-for most files,
                    may be approximated by:  # of geographic
                    areas *# of races *2  (here the 2 represents
                    male plus female)

                    (Records for specific races may not be
                    included if when census taken, no persons of
                    that race resided in that specified
                    geographic area or estimates were not
                    computed.)

 B.  Organization:  Sequential

 File Characteristics

 If on tape, the file has the following characteristics:

 A.  Logical Record Length:  200 characters
 B.  Blocksize:              9800 characters
 C.  Record Format:          Fixed length records; fixed length blocks
 D.  EBCDIC
 E.  Odd parity
 F.  IBM Standard labels


 If on diskette, the file has the following characteristics:

 A.  Logical Record Length:  200 characters
 B.  Record format:          Fixed length records
 C.  ASCII text file

 Record Identifier

 Record Identifier:  Population Year/Month of Census/Geographic Area/Race/Sex
                     where Geographic Area may be a combination of the SEER
                     Registry, State, Standard Metropolitan Statistical Area
                     (SMSA), County, or Census Tract

 Record Format

         ITEM NAME                            ITEM #    POSITIONS    LENGTH

 RECORD IDENTIFICATION
   Population Year                              01       001-002        2
   Race                                         02       003-004        2
   SEER Registry                                03       005-006        2
   State                                        04       007-008        2
   Standard Metropolitan Statistical Area       05       009-012        4
      (SMSA)
   County                                       06       013-015        3
   Census Tract                                 07       016-021        6
   Month of Census                              08       022-022        1
   Sex                                          09       023-023        1
   Filler - zero                                10       024-024        1
   Standard Population Year                     11       025-026        2
   Filler - space                               12       027-027        1
   Suppression Indicator                        13       028-028        1

 FIVE YEAR POPULATIONS
   Population:  Ages <5                         14       029-037        9
   Population:  Ages 05-09                      15       038-046        9
                   .                             .          ..
                   .                             .          ..
                   .                             .          ..
   Population:  Ages 80-84                      20       173-181        9
   Population:  Ages 85+                        21       182-190        9

 POPULATION:  ALL AGES                          22       191-200       10

 Field Descriptions
 
 Population Year

 NAME:       Population Year

 ITEM NO:    001

 PURPOSE:    To specify the year to which the population applies

 LENGTH:     2

 CONTENTS:           .
                     .
                     .
                  70 :=  1970
                  71 :=  1971
                  72 :=  1972
                     .
                     .
                     .
                  80 :=  1980
                  81 :=  1981
                     .
                     .
                     .

 Race

 NAME:       Race

 ITEM NO:    002

 PURPOSE:    To specify the race/Spanish origin of the population represented

 LENGTH:     2

 CONTENTS:   10 :=  Whites not of Spanish Origin
             11 :=  Whites of Spanish Origin
             12 :=  Total Blacks
             13 :=  American Indians, Aleuts and Eskimos
             14 :=  Chinese
             15 :=  Japanese
             16 :=  Filipinos
             17 :=  Hawaiians
             20 :=  Total Whites
             30 :=  Total Non-whites
             50 :=  Total All Persons

 SEER Registry

 NAME:       SEER Registry

 ITEM NO:    003

 PURPOSE:    To specify the SEER registry to which the population applies

 LENGTH:     2

 CONTENTS:   00 :=  not applicable
             01 :=  San Francisco-Oakland SMSA
             02 :=  Connecticut
             20 :=  Metropolitan Detroit
             21 :=  Hawaii
             22 :=  Iowa
             23 :=  New Mexico
             25 :=  Seattle (Puget Sound)
             26 :=  Utah
             27 :=  Metropolitan Atlanta
             28 :=  Puerto Rico
             33 :=  Arizona Indians
             34 :=  New Jersey
             37 :=  Rural Georgia
             99 :=  United States

 State

 NAME:       State

 ITEM NO:    004

 PURPOSE:    To specify the state of the population represented

 LENGTH:     2

 CONTENTS:   zero :=   not applicable

             ss   :=   the two-digit Federal Information Processing Standards
                       (FIPS) state codes:

                  01  Alabama               30  Montana
                  02  Alaska                31  Nebraska
                  04  Arizona               32  Nevada
                  05  Arkansas              33  New Hampshire
                  06  California            34  New Jersey
                  08  Colorado              35  New Mexico
                  09  Connecticut           36  New York
                  10  Delaware              37  North Carolina
                  11  District of           38  North Dakota
                        Columbia            39  Ohio
                  12  Florida               40  Oklahoma
                  13  Georgia               41  Oregon
                  15  Hawaii                42  Pennsylvania
                  16  Idaho                 44  Rhode Island
                  17  Illinois              45  South Carolina
                  18  Indiana               46  South Dakota
                  19  Iowa                  47  Tennessee
                  20  Kansas                48  Texas
                  21  Kentucky              49  Utah
                  22  Louisiana             50  Vermont
                  23  Maine                 51  Virginia
                  24  Maryland              53  Washington
                  25  Massachusetts         54  West Virginia
                  26  Michigan              55  Wisconsin
                  27  Minnesota             56  Wyoming
                  28  Mississippi           72  Puerto Rico
                  29  Missouri

             st   :=   the two-character alphabetic U.S. Post Office
                       abbreviations (used with SEER registry data):

                  US  United States         HA  Hawaii
                  AR  Arizona               MI  Michigan
                  CA  California            NJ  New Jersey
                  CT  Connecticut           NM  New Mexico
                  GA  Georgia               UT  Utah
                  IA  Iowa                  WA  Washington
                  PR  Puerto Rico

 Standard Metropolitan Statistical Area (SMSA)

 NAME:       Standard Metropolitan Statistical Area (SMSA)

 ITEM NO:    005

 PURPOSE:    To specify the Standard Metropolitan Statistical Area of the
             population represented

 LENGTH:     4

 CONTENTS:   zero :=   not applicable

             smsa :=   the four-digit FIPS code identifying the SMSA

                       See the U.S. Census Bureau document PHC80-R5 Geographic
                       Identification Code Scheme for definitions of SMSA codes.

 County

 NAME:       County

 ITEM NO:    006

 PURPOSE:    To specify the county of the population represented

             A county is defined as the primary political and administrative
             subdivision of a state.

 LENGTH:     3

 CONTENTS:   zero :=  not applicable

             ccc  :=  the three-digit FIPS county code - counties are uniquely
                      identified within a state

                      For a complete list of the counties and their assigned
                      codes for each state, see the Worldwide Geographic
                      Location Codes, published by the U.S. General Services
                      Administration, Finance Office, in June, 1982.

 Census Tract

 NAME:       Census Tract

 ITEM NO:    007

 PURPOSE:    To specify the census tract of the population represented

             A census tract is defined as small statistical subdivision of a
             county.

 LENGTH:     6

 CONTENTS:   zero :=    not applicable

             9999V99 := the four-digit basic tract code which may be followed
                        by a two-digit suffix code where V is an assumed
                        decimal point

                  If no suffix is present, two spaces are used.  For example,
                  a census tract consisting of only a four-digit basic code
                  would appear as 0001bb (where b is a space).  A census tract
                  consisting of the basic code and a suffix would appear as
                  000101.

 Month of Census

 NAME:       Month of Census

 ITEM NO:    008

 PURPOSE:    To specify the month in which the census was taken

 LENGTH:     1

 CONTENTS:   4 :=  April - the decennial censuses of 1970 and 1980 were
                   completed during April

             7 :=intracensal estimates were computed for July 1 of the year

 Sex

 NAME:       Sex

 ITEM NO:    009

 PURPOSE:    To specify the sex of the population represented

 LENGTH:     1

 CONTENTS:   1 :=  Male
             2 :=  Female

 Standard Population Year

 NAME:       Standard Population Year

 ITEM NO:    011

 PURPOSE:    To specify the year represented for records containing standard
             million populations

 LENGTH:     2

 CONTENTS:   space :=  not applicable
             40    :=  1940 Standard Million
             50    :=  1950 Standard Million
             60    :=  1960 Standard Million
             70    :=  1970 Standard Million
             80    :=  1980 Standard Million
             WR    :=  World Standard Million

 Suppression Indicator

 NAME:       Suppression Indicator

 ITEM NO:    013

 PURPOSE:    To indicate if suppression exists or existed in the population for
             this race and state/county

 LENGTH:     1

 CONTENTS:   0 :=  no suppression
             1 :=  all populations suppressed (all cells contain zero)
             2 :=  populations originally suppressed - derived from existing
                   populations for county

 Population - 5 year age group

 NAME:       Population - 5 year age group

 ITEM NO:    014-021

 PURPOSE:    To specify the number of persons in the specified age group
             residing in the geographic area of the specified race/Spanish
             origin and sex

 LENGTH:     9 for each age group

 CONTENTS:   zero - 999999999 :=  population

 Population - All ages

 NAME:       Population:  All Ages

 ITEM NO:    022

 PURPOSE:    To specify the total number of persons residing in the geographic
             area of the specified race/Spanish origin and sex

 LENGTH:     10

 CONTENTS:   zero - 999999999 :=  population




This page last reviewed: Thursday, January 28, 2016
This information is provided as technical reference material. Please contact us at cwus@cdc.gov to request a simple text version of this document.
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