Definition
The side of a paired organ that is the origin of the primary cancer in a person with cancer, as represented by a code.
Components
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Data Element ConceptPerson with cancer—laterality of primary cancer
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Object ClassPerson with cancer
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PropertyLaterality of primary cancer
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Value DomainLaterality code A
Representation
This representation is based on the value domain for this data element, more information is available at " Laterality code A ".| Data Type | String |
|---|---|
| Format | A |
| Maximum character length | 1 |
| Value | Meaning | Start Date | End Date | |
|---|---|---|---|---|
| Permissible Values | R | Right | ||
| L | Left | |||
| B | Bilateral | |||
| Supplementary Values | N | Not applicable | ||
| U | Unknown |
Comments
Guide for use:
Record the appropriate code at the time of diagnosis.
Definitions
Right:
Origin of primary site is on the right side of a paired organ.
Left:
Origin of primary site is on the left side of a paired organ.
Bilateral:
Origin of primary site is on both sides of a paired organ. (When tumours of the same morphology are diagnosed simultaneously in both sides of a paired organ.)
Includes organs that are bilateral as a single primary (e.g. bilateral retinoblastoma (M9510/3, C69.2), (M9511/3, C69.2), (M9512/3, C69.2), (C69.6, C48.0), bilateral Wilms tumours (C64.9, M8960/3))
Note: Bilateral cancers are very rare.
Unknown:
It is unknown whether, for a paired organ the origin of the cancer was on the left or right side of the body.
Paired organs and structures
The valid International Classification of Diseases for Oncology values for paired organs are provided in the list below:
|
C02.4 |
Lingual tonsil |
|
C07.9 |
Parotid gland |
|
C08.0 |
Submandibular gland |
|
C08.1 |
Sublingual gland |
|
C09.0 |
Tonsillar fossa |
|
C09.1 |
Tonsillar pillar |
|
C09.8 |
Overlapping lesion of tonsil |
|
C09.9 |
Tonsil, NOS |
|
C11.1 |
Posterior wall of nasopharynx |
|
C30.0 |
Nasal cavity (excluding nasal cartilage and nasal septum) |
|
C30.1 |
Middle ear |
|
C31.0 |
Maxillary sinus |
|
C31.2 |
Frontal sinus |
|
C34.0 |
Main bronchus (excluding carina) |
|
C34.1-C34.9 |
Lung |
|
C38.4 |
Pleura |
|
C40.0 |
Long bones of upper limb and scapula |
|
C40.1 |
Short bones of upper limb |
|
C40.2 |
Long bones of lower limb |
|
C40.3 |
Short bones of lower limb |
|
C41.3 |
Rib and clavicle (excluding sternum) |
|
C41.4 |
Pelvic bones (excluding sacrum, coccyx and symphysis pubis) |
|
C44.1 |
Skin of eyelid |
|
C44.2 |
Skin of external ear |
|
C44.3 |
Skin of other and unspecified parts of face |
|
C44.5 |
Skin of trunk |
|
C44.6 |
Skin of upper limb and shoulder |
|
C44.7 |
Skin of lower limb and hip |
|
C47.1 |
Peripheral nerves and autonomic nervous system of upper limb and shoulder |
|
C47.2 |
Peripheral nerves and autonomic nervous system of lower limb and hip |
|
C49.1 |
Connective, subcutaneous and other soft tissues of upper limb and shoulder |
|
C49.2 |
Connective, subcutaneous and other soft tissues of lower limb and hip |
|
C50.0-C50.9 |
Breast |
|
C56.9 |
Ovary |
|
C57.0 |
Fallopian tube |
|
C62.0-C62.9 |
Testis |
|
C63.0 |
Epididymis |
|
C63.1 |
Spermatic cord |
|
C64.9 |
Kidney, NOS |
|
C65.9 |
Renal pelvis |
|
C66.9 |
Ureter |
|
C69.0-C69.9 |
Eye and lacrimal gland |
|
C70.0 |
Cerebral meninges, NOS |
|
C71.0 |
Cerebrum |
|
C71.1 |
Frontal lobe |
|
C71.2 |
Temporal lobe |
|
C71.3 |
Parietal lobe |
|
C71.4 |
Occipital lobe |
|
C72.2 |
Olfactory nerve |
|
C72.3 |
Optic nerve |
|
C72.4 |
Acoustic nerve |
|
C72.5 |
Cranial nerve, NOS |
|
C74.0-C74.9 |
Adrenal gland |
|
C75.0 |
Parathyroid glands |
|
C75.4 |
Carotid body |
|
C76.4 |
Upper limb, NOS |
|
C76.5 |
Lower limb, NOS |
|
C77.3 |
Lymph nodes of axilla or arm |
|
C77.4 |
Lymph nodes of inguinal region or leg |
Origin:
World Health Organization
Comments:
The laterality of the primary tumour may have implications for treatment and prognosis, and can be of assistance to cancer registries for the coding of subsequent tumours in paired organs.
References
American College of Surgeons 2002. Facility Oncology Registry Data Standards (FORDS), 2010 revision. Commission on Cancer
Fritz A et al. 2000. International Classification of Diseases for Oncology (ICD-O), 3rd edition. Geneva: World Health OrganizationThis content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.