Difference between revisions of "L4E rule 9 (2018)"

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L4E rule 9 (2018) (view source)

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==Overview==
==Overview==
*This rule applies to radical resections and complex cases.
*This rule applies to resections post treatment/no residual tumour (pyT0).  
*It defines the ''L6 code'' as an all encompassing code for a case. Resections that include lymph nodes and several organs are given a L6 code and adjusted upwards if (1) >30 blocks (see details) and/or (2) require more than one CAP synoptic report.


==Details==
==Details==
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! Weight (L4E)
! Weight (L4E)
! Details
! Details
! Examples
! Example
|-
|-
| Radical resections with one synoptic
| Resections post-therapy with or without residual tumour
| 10 L4E + 0.33 L4E/block for each block >30 blocks
| 10 L4E for first 40 blocks, 0.25 L4E/blocks in excess of 40
| 30 blocks = 10 L4E, 31 blocks = 10.33 L4E, 32 blocks = 10.66 L4E
| 40 blocks = 15 L4E, 41 blocks = 15.25 L4E, 42 blocks = 15.5 L4E; [[L4E rule 5 (2018)|rule 5]] applies if a synoptic is done
| prostatectomy with lymph nodes in 30 blocks = 10 L4E, radical mastectomy with lymph nodes in 60 blocks = 10 L4E + 30 x 0.33 L4E = 60 L4E
| lumpectomy post treatment in breast cancer in 44 blocks, ypT0 = 10 + 1 (extra block) + 3 (synoptic report) L4Es
|-
| Radical resections with more than one synoptic
| 10 L4E + 0.33 L4E/block for each block >30 blocks + 5 L4E/additional synoptic
| 30 blocks = 10 L4E, 31 blocks = 10.33 L4E, 32 blocks = 10.66 L4E
| cytoprostatecomy with lymph nodes [[urothelial carcinoma|UCC]] and [[prostate cancer|Pca]] in 45 blocks = 10+5+5 L4E, radical bilateral mastectomy with lymph nodes and 2 separate cancers in 66 blocks = 10+12+5 L4E
|}
|}


Michael
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