Debunking Urban Legends in Staging
Recorded on August 21, 2009 (60 minutes)

This presentation is intended to provide physicians and cancer registrars with highlights of the AJCC staging rules, especially the changes that have taken place in the 7th Edition, which become effective with cases diagnosed January 1, 2010.  This session will discuss clinical and pathologic classifications, along with the pre and post-treatment staging used for patients receiving neoadjuvant therapy.  The specific rules for assigning the T, N, and M categories will be discussed and how they apply in both the clinical and pathologic staging settings.


Target Audience:
This program is intended for physicians, cancer registrars, and those individuals interested in gaining a better understanding of the AJCC staging rules and the application of those rules.


Learning Objectives:

    1. Identify the important role of staging in patient care and data analysis.
    2. Comprehend the general rules applied to staging, separating fact from fiction.
    3. Recognizing information in the medical record, both stated and implied.


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Frederick L. Greene, MD, FACS
Carolinas Medical Center
Charlotte, NC

Frederick L. Greene, MD, FACS,
received his medical school training at the University of Virginia, Charlottesville, where he was elected for membership in Alpha Omega Alpha. He completed a residency in surgery at Yale University School of Medicine, New Haven, CT.  Dr. Greene was also an American Cancer Society Clinical Research Fellow at Yale. He was on active duty with the United States Navy and was surgeon on the USS Nimitz. He is currently the Chairman of the Department of General Surgery at Carolinas Medical Center in Charlotte, NC, Director of the Surgical Residency Program at that institution, and Clinical Professor of Surgery at the University of North Carolina School of Medicine in Chapel Hill.

Dr. Greene is an active clinician in the area of surgical oncology and has been involved in organizational work pertaining to cancer for a number of years.  Dr. Greene is a Fellow of the American College of Surgeons and has served on the Board of Governors of that organization. Dr. Greene serves on the Commission on Cancer of the American College of Surgeons and served as the Chair of the Commission from 2004-2008.  He has represented the American College of Surgeons on the American Joint Committee on Cancer (AJCC) and served as Chair of the AJCC from 2000-2006.  Dr. Greene is the Editor of the 6th Edition of the AJCC Cancer Staging Manual.

Dr. Greene belongs to numerous surgical organizations including the Society of Surgical Oncology, the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), the Southern Surgical Association and the American Surgical Association. Dr. Greene was a founding member of SAGES  and served as its president in 1992-1993.

Dr. Greene's publications have included approximately 160 papers, 30 book chapters, and two textbooks relating to cancer surgery and, specifically, the use of laparoscopic surgery in the management of cancer patients. Dr. Greene serves as the Associate Editor of the Annals of Surgical Oncology and on numerous editorial boards including Surgical Endoscopy, Journal of Surgical Education, Journal of Surgical Oncology, World Journal of Surgery, American Surgeon, Journal of Clinical Oncology, Surgical Endoscopy, and Laparoscopy and Percutaneous Techniques.  He is also Editor of General Surgery News.


Donna M. Gress
Technical Specialist, American Joint Committee on Cancer
Chicago, IL

Donna M. Gress is the Technical Specialist for the American Joint Committee on Cancer in Chicago, IL.  An active member of associations for both the health information management and cancer registry professions, she has held many offices and chairs. She is a Past President of the National Cancer Registrars Association (NCRA) and was awarded the 2007 NCRA Distinguished Member Award in May 2008.  She co-authored the AHIMA/NCRA Cancer Registry Management college classes.  Her work experience includes that of a RHIT in the health information management field and 30 years in the cancer registry field, with 27 of those years being spent working in hospital cancer registries.

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