Domain 1 Casefinding Open Book

Question 1

The inpatient medical record disease index has the following diagnoses. Which one would, potentially, be a registry case?

• Squamous cell carcinoma of penile skin
• Basal cell carcinoma of arm skin
• Basal cell carcinoma of the scalp
• Squamous cell carcinoma of leg skin

Answer 1

Squamous cell carcinoma of penile skin.

Question 2

Which of the following cases is eligible for the registry?

• Hepatoma
• Hidradenoma
• Cystadenoma
• Fibroadenoma

Answer 2

Hepatoma

Question 3

Malignancies with behavior codes of ____ are required to be reported

Answer 3

2-3

Question 4

Which of the following cases, as stated in report, are reportable?

• Rule out lung carcinoma
• Papillary-mucinous carcinoma, intraductal, invasive
• Potentially malignant colon tumor
• Suggests liver cancer

Answer 4

Papillary-mucinous carcinoma, intraductal, invasive

Question 5

Case scenario 1: • 1/17/2018 Pelvic US: endometrial thickening; no other abnormalities • 2/13/2018 Endometrial bx: endometrioid
adenocarcinoma with clear cell and papillary serous features • 2/26/2018 hysterectomy: endometrioid adenocarcinoma, grade 2,
invading inner third of myometrium What is the Multiple Primary Rule?

Answer 5

M2

Question 6

Which case should be included in the registry?

• Fibrofolliculoma
• Fibromyxoma
• Fibroepithelioma
• Fibromyoma

Answer 6

Fibroepithelioma

Question 7

In 2017 a patient was diagnosed with ductal carcinoma of the right breast, which was treated with a lumpectomy and radiation. In
2019 the patient presented with lobular carcinoma in the right breast. What is the M Rule?

Answer 7

M10

Question 8

An elderly patient has a chest x-ray that shows a lesion in the left lower lobe of the lung. The final diagnosis states “worrisome for
cancer”. No further workup is done. Is this case reportable?

Answer 8

No

Not reportable because worrisome is an ambiguous term that is NOT diagnostic for cancer.

Question 9

Diagnosis: Bone marrow: hypocellular bone marrow. Clinical History: Staging for small cell carcinoma (8041/3) of lung. Is this case
reportable?

Answer 9

Yes.
Reportable because the bone marrow was biopsied for purpose of staging the lung cancer. Be careful with the use of the word “history”. “History” may not necessarily mean disease free.

Question 10

In the absence of a histologic or cytologic confirmation of a reportable neoplasm, a case is reportable based on the clinical diagnosis
(when a recognized medical practitioner says the patient has a cancer, carcinoma, malignant neoplasm, or reportable neoplasm).

Answer 10

True

Question 11

Case scenario: • 1/17/2018 Pelvic US: endometrial thickening; no other abnormalities • 2/13/2018 Endometrial bx: endometrioid
adenocarcinoma with clear cell and papillary serous features • 2/26/2018 hysterectomy: endometrioid adenocarcinoma, grade 2,
invading inner third of myometrium What is the primary site?

Answer 11

C54.1

Question 12

Is the following circumstance reportable or not reportable? Carcinoma in situ of the cervix.

Answer 12

Not reportable

Question 13

Case scenario: • 1/17/2018 Pelvic US: endometrial thickening; no other abnormalities • 2/13/2018 Endometrial bx: endometrioid
adenocarcinoma with clear cell and papillary serous features • 2/26/2018 hysterectomy: endometrioid adenocarcinoma, grade 2,
invading inner third of myometrium How many primaries are there?

Answer 13

1 primary

Question 14

Is the following case reportable? Unspecified/other malignant neoplasm of skin of scalp & neck Topography code C44.4.

Answer 14

Not reportable

Question 15

Which case should be included in the registry?

• Leiomyoma
• Mesothelioma
• Adenoids cysticum epithelioma
• Fascial fibroma

Answer 15

Mesothelioma