| Scenario | Scenario | Date of Regional Lymph Node Dissection | Rationale
STORE Date Regional Lymph Node Dissection Records the date non-sentinel regional node dissection was performed. This data item is required for CoC-accredited facilities as of cases diagnosed 01/01/2018 and later. |
| SLN Only | 04-01-2022 Breast Cancer case treated with Lumpectomy + Sentinel Lymph Node Biopsy | BLANK [Date of RLN dissection Flag 11] |
This field records the date of non-sentinel node dissection, this patient ONLY had a sentinel lymph node dissection, so leave it BLANK. |
| SLN Only | 04-01-2022 Endometrial Cancer Case treated with Total Abdominal Hysterectomy + Sentinel Lymph Node Biopsy | BLANK [Date of RLN dissection Flag 11] |
This field records the date of non-sentinel node dissection, this patient ONLY had a sentinel lymph node dissection, so leave it BLANK. CAnswer Forum Post |
| SLN biopsy+ Excision of non-SLN | 04-01-2022 wide resection, left axillary sentinel lymph node biopsy, left axillary non-sentinel node biopsy… Geiger counter was used to locate the SLN, as we did this, we noticed another lymph node right next to it. We went ahead and resected the non-sentinel lymph node | BLANK [Date of RLN dissection Flag 11] |
Physician did not perform a formal regional lymph node dissection, leave this field Blank. All information collected in the SLN fields. CAnswer Forum Post |
| No Formal Dissection, Pathologist found node in specimen | 04-01-2022 Thyroid Cancer Case, treated with Total Thyroidectomy [Physician did not perform a lymph node dissection, however pathologist found 2 nodes in the thyroidectomy tissue submitted] 04-01-2022 Thyroid Cancer Case, treated with Total Thyroidectomy [Physician did not perform a lymph node dissection, however pathologist found 2 nodes in the thyroidectomy tissue submitted] |
BLANK [Date of RLN dissection Flag 11] |
Physician did not perform a formal regional lymph node dissection, leave this field Blank. CAnswer Forum Post |
| No Formal Dissection, lymph node harvest | 7-7-2021 Mediastinoscopy-Lymph nodes from R4, L4 and STATION 7 were removed and sent to pathology {R4 [1 node negative] Station 7 [2 nodes negative], L4 [1 node negative]} 08-12-2021Right Lower lobe lobectomy & 1 Level 8 node harvested [Lymph node from level 8 was harvested and sent for permanent section. Additional mediastinal lymph node dissection was attempted, however her nodal areas were very inflamed and fibrotic, and given her previous mediastinoscopy, these areas were not fully dissected]Path 1 Level 8 node (-), 2.6cm Mixed invasive mucinous and non-mucinous adenocarcinoma |
BLANK [Date of RLN dissection Flag 11] |
There’s no mention that a mediastinal lymph node dissection was performed. Therefore, you would not have a date. CAnswer Forum Post |
| Regional Lymph Node Dissection | 04-01-2022 Breast Cancer case treated with Lumpectomy + Sentinel Lymph Node Biopsy & Axillary Dissection | 04-01-2022 | Patient also had an Axillary Lymph Node Dissection, so fill in the Date of the non-sentinel regional node dissection. |
| Regional Lymph Node dissection done without a statement of dissection | 04-01-2022 Colon Cancer Case Op Report states treated with left hemicolectomy Path Report states 16 peri colonic lymph nodes were negative |
04-01-2022 | A lymph node “dissection” is removal of most or all of the nodes in the lymph node chain(s) that drain the area around the primary tumor. Clearly this patient had a lymph node dissection even though the operative report does not come out and state it. Sometimes you must read between the lines. |
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Omega Healthcare
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PUBLISHED ON April 20, 2022
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Omega Healthcare
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PUBLISHED ON April, 20 2022