Tumor Tip of the Week-Lymphovascular Invasion and Neoadjuvant Therapy - Omega Healthcare

Tumor Tip of the Week-Lymphovascular Invasion and Neoadjuvant Therapy

Tumor Tip header image

Scenario: 2022

  • colonoscopy+ rectal adenocarcinoma { Lymphovascular Invasion not mentioned on path report}
  • patient treated with neoadjuvant xrt/chemo
  • after neoadjuvant treatment patient undergoes resection path report states  Lymphovascular Invasion: Not Identified

Question:  How would you code Lymphovascular invasion?

  • 0 Lymphovascular Invasion stated as Not Present
  • 9 Unknown/Indeterminate/not mentioned in path report

Answer:   9

Rationale: STORE 2022

f. For cases treated with neoadjuvant therapy, refer to table below in order to code this field. However, if documentation in the medical record indicates information that conflicts with this table, code lymphovascular invasion with the documentation in the medical record.

  1. If LVI was present prior to neoadjuvant therapy (codes 1-4) but LVI was not present after neoadjuvant therapy (codes 0 or 9), code the LVI to present (codes1-4).
  2. the LVI was not present prior to neoadjuvant therapy (codes 0 or 9), but LVI was

present after neoadjuvant therapy (codes 1-4), code LVI to present (codes 1-4).

Comments are closed.

Certificates of Compliance