Item # Length Source of Standard Year Implemented Version Implemented Year Retired Version Retired
1,880 2 CoC

NAACCR XML: Tumor.recurrenceType1st

Alternate Names
   Type of First Recurrence (CoC)
Description

Code for the type of first recurrence after a period of documented disease free intermission or remission.

Codes

00Patient became disease-free after treatment and has not had a recurrence; leukemia in remission.
04*In situ* recurrence of an invasive tumor.
06*In situ* recurrence of an *in situ* tumor.
10Local recurrence and there is insufficient information available to code to 13-17. Recurrence is confined to the remnant of the organ of origin; to the organ of origin; to the anastomosis; or to scar tissue where the organ previously existed.
13Local recurrence of an invasive tumor.
14Trocar recurrence of an invasive tumor. Includes recurrence in the trocar path or entrance site following prior surgery.
15Both local and trocar recurrence of an invasive tumor (both 13 and 14).
16Local recurrence of an *in situ* tumor.
17Both local and trocar recurrence of an *in situ* tumor.
20Regional recurrence, and there is insufficient information available to code to 21-27.
21Recurrence of an invasive tumor in adjacent tissue or organ(s) only.
22Recurrence of an invasive tumor in regional lymph nodes only.
25Recurrence of an invasive tumor in adjacent tissue or organ(s) and in regional lymph nodes (both 21 and 22) at the same time.
26Regional recurrence of an *in situ* tumor, NOS.
27Recurrence of an *in situ* tumor in adjacent tissue or organ(s) and in regional lymph nodes at the same time.
30Both regional recurrence of an invasive tumor in adjacent tissue or organ(s) and/or regional lymph nodes (20-25) and local and/or trocar recurrence (10, 13, 14, or 15).
36Both regional recurrence of an *in situ* tumor in adjacent tissue or organ(s) and/or regional lymph nodes (26 or 27) and local and/or trocar recurrence (16 or 17).
40Distant recurrence and there is insufficient information available to code to 46-62.
46Distant recurrence of an *in situ* tumor.
51Distant recurrence of an invasive tumor in the peritoneum only. Peritoneum includes peritoneal surfaces of all structures within the abdominal cavity and/or positive ascitic fluid.
52Distant recurrence of an invasive tumor in the lung only. Lung includes the visceral pleura.
53Distant recurrence of an invasive tumor in the pleura only. Pleura includes the pleural surface of all structures within the thoracic cavity and/or positive pleural fluid.
54Distant recurrence of an invasive tumor in the liver only.
55Distant recurrence of an invasive tumor in bone only. This includes bones other than the primary site.
56Distant recurrence of an invasive tumor in the CNS only. This includes the brain and spinal cord, but not the external eye.
57Distant recurrence of an invasive tumor in the skin only. This includes skin other than the primary site.
58Distant recurrence of an invasive tumor in lymph node only. Refer to the staging scheme for a description of lymph nodes that are distant for a particular site.
59Distant systemic recurrence of an invasive tumor only. This includes leukemia, bone marrow metastasis, carcinomatosis, and generalized disease.
60Distant recurrence of an invasive tumor in a single distant site (51-58) and local, trocar, and/or regional recurrence (10-15, 20-25, or 30).
62Distant recurrence of an invasive tumor in multiple sites (recurrences that can be coded to more than one category 51-59).
70Since diagnosis, patient has never been disease-free. This includes cases with distant metastasis at diagnosis, systemic disease, unknown primary, or minimal disease that is not treated.
88Disease has recurred, but the type of recurrence is unknown.
99It is unknown whether the disease has recurred or if the patient was ever disease-free.