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Cancer treatment—lung cancer surgical margin qualifier, code N[N]

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termSurgical margin qualifier (lung cancer)
METeOR identifier:Help on this term433052
Registration status:Help on this termHealth, Standard 08/05/2014
Definition:Help on this termThe orientation of the surgical margin that is closest to the invasive or in situ carcinoma after surgical treatment for lung cancer, as represented by a code.
Data Element Concept:Cancer treatment—surgical margin qualifier

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN[N]
Maximum character length:Help on this term2
Permissible values:Help on this term
ValueMeaning
1Bronchial
2Mediastinal
3Vascular
4Parenchymal
5Parietal pleural
6Chest wall
88Other
Supplementary values:Help on this term
97Not applicable-surgery was not performed
98Unknown whether margin involvement was present
99Margin involvement present but not qualified

Collection and usage attributes

Guide for use:Help on this termRecord the code number for the surgical margin closest to the invasive or in situ carcinoma.

Source and reference attributes

Submitting organisation:Help on this termCancer Australia
Reference documents:Help on this term

College of American Pathologists (CAP) 2009. Protocol for the examination of specimens from patients with primary non-small cell carcinoma, small cell carcinoma, or carcinoid tumour of the lung. Viewed 7 June 2011,

http://www.cap.org/apps/docs/committees/cancer/
cancer_protocols/2011/Lung_11protocol.pdf

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

Surgical margins represent sites that have either been cut or bluntly dissected by the surgeon to resect the specimen.

The presence of tumour at a surgical margin is an important finding because there is the potential for residual tumour remaining in the patient in the area surrounding a positive margin.

Record the code for the margin described as the closest surgical margin from the invasive or in situ carcinoma. Where two or more margins are reported, only the closest should be recorded.

Record only for the most definitive surgical procedure performed. For instance, if a surgical procedure to remove a portion of tumour at the primary site is followed by additional surgery to remove the remainder of the tumour at that site, code the closest surgical margin for the final surgical procedure.

Record for the primary tumour site only, not for metastatic sites.
Collection methods:Help on this term

This information should be sought from the patient's pathology report under microscopic findings.

Collect this item when a person undergoes surgery for the treatment of lung cancer.
Comments:Help on this termIdentifying the margins involved by in situ or invasive carcinoma is useful for surgical audit. Margin involvement may influence treatment decisions and is a prognostic indicator.

Source and reference attributes

Submitting organisation:Help on this termCancer Australia

Relational attributes

Related metadata references:Help on this term

See also Cancer treatment—distance of closest surgical margin, total millimetres N[N] Health, Standard 08/05/2014

See also Cancer treatment—surgical margin status, positive/negative/unknown code N Health, Standard 14/05/2015

Implementation in Data Set Specifications:Help on this term
All attributes +

Lung cancer (clinical) DSS Health, Superseded 14/05/2015

DSS specific attributes +

Lung cancer (clinical) NBPDS Health, Standard 14/05/2015

DSS specific attributes +
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