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Wiki Cancer coding

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AlaskanCoder

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Wondering if any one has thoughts on this. My surgeon was planing a Whipple procedure on a patient with cancer of the pancreatic body C25.1. When he got into resect the pancreas, he discovered that the tumor in the body of the pancreas was infiltrating the superior mesenteric artery and the aorta. This makes the tumor unresectable.

My question is, does this infiltration now make the correct choice an overlapping lesion of the pancreas C25.0? I don't know that it would be considered secondary CA of the aorta and/or mesentary C78.6 and C79.89. I haven't seen a guideline for this situation, but it isn't totally uncommon.

Thoughts?

TIA,
Karen
 
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