The SEER Site Summary is a combination of Primary Site and histology. For 
example, breast cancer is not just "cancer with primary site breast"; it 
excludes some histologies; in the recode 
definition<http://seer.cancer.gov/siterecode/icdo3_d01272003/>, we see:

Site Group      ICD-O-3 Site    ICD-O-3 Histology (Type)        Recode

Breast  C500-C509       excluding 9590-9989, and sometimes 9050-9055, 
9140+<http://seer.cancer.gov/siterecode/icdo3_d01272003/#_+>      26000

In 
seer_recode.sql<https://informatics.kumc.edu/work/browser/heron_load/seer_recode.sql>
 this becomes:


/* Breast */ when (site between 'C500' and 'C509')
  and  not (histology between '9050' and '9055'
   or histology = '9140'
   or histology between '9590' and '9992') then '26000'

A blog item tells the whole story:

  *   Adding SEER Site Recode to HERON Tumor Registry 
integration<https://informatics.kumc.edu/work/blog/2012/01/seer-recode-sql>  -- 
Posted on 2012-01-24

--
Dan

________________________________
From: [email protected] [[email protected]] on 
behalf of Justin Dale [[email protected]]
Sent: Friday, August 22, 2014 4:30 PM
To: [email protected]
Subject: Cancer Identification\Primary Site VS SEER Site Summary

Can someone provide insight on the differences between the Primary Site under 
Cancer Identification vs SEER Site Summary?

For example, the breast has nine corresponding ICD-0-3 sites (C500-C509), all 
of which are listed under Cancer Identification > Primary Site > Breast in 
KUMC's babel hierarchy.  I can select the individual sites or the entire folder 
to include all sites.  Under the SEER Site Summary in KUMC's babel hierarchy, 
Breast is listed with a recode of 26000, which I assume rolls up the nine site 
codes based on info from the SEER website 
(http://seer.cancer.gov/siterecode/icdo3_d01272003/).

I'm having difficulty understanding the differences between the two and is it 
really necessary to implement the SEER Site Summary in our i2b2.  Does it have 
to do with a point in time in which ICD-0 was implemented and the SEER site 
summary was how it used to be done?

Your insights are much appreciated. Thanks.

Justin
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