Breast Cancer Abstracting Boot Camp

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About Course

Start with normal breast function, ducts, lobules, and regional lymph nodes. Learn how breast cancer begins and spreads, current incidence, risk factors, symptoms, imaging, biopsy, biomarkers, and treatment concepts before using registry codes.

Build a 2026 breast abstract in the order an abstractor works: primary site and laterality, multiple primaries and histology, grade and ER/PR/HER2, EOD, Summary Stage and AJCC, surgery, radiation, and systemic therapy. Interactive checks and scored reviews appear throughout.

Finish with a text-abstraction guide, five full fictional patient records with 39 detailed source reports, an interactive 36-field coding and seven-text-entry worksheet for each case, a cumulative 28-question exam, and a five-question course review. Verify exact coding against the diagnosis-year SEER, STORE, Solid Tumor Rules, SEER*RSA, Grade/SSDI, and AJCC resources. Designed for learners new to breast cancer and registry work.

Course Content

Module 1: Breast Cancer Fundamentals
Start with normal breast anatomy and lymphatics, then learn cancer development, histology, types, and diagnosis. Follow fictional Linda Martinez from screening to biopsy confirmation with colorful activities, flashcards, and a 10-question quiz. No registry coding in this module.

Lesson 1: Anatomy and Physiology of the Breast
Lesson 2: Breast Lymphatics and Regional Lymph Nodes
Lesson 3: Understanding Breast Cancer
Lesson 4: Histology of Breast Cancer
Lesson 5: Types and Presentations of Breast Cancer
Lesson 6: How Breast Cancer Is Diagnosed and Module Summary
Module 1 Review: Breast Fundamentals
Module 1 Feedback: What Helped You Learn?

Module 2: Breast Primary Site, Multiple Primaries, and Histology
Apply diagnosis-year breast site guidance and the 2026.1 Breast Solid Tumor Rules to separate lesions, in situ and invasive components, and histology. Includes a linked fictional case, five reveal-and-reason decisions, a scored review, summary, and feedback.

Module 3: Breast Grade and Biomarker Coding
Code clinical and pathological grade, ER, PR, HER2, and genomic test evidence for 2026 breast abstracts. Follow Naomi Ellis across biopsy and reflex testing, then practice with a scored review and ungraded feedback.

Lesson 1: Nottingham Grade and Timing
Lesson 2: ER and PR Summary from the Invasive Tumor
Lesson 3: HER2 IHC, Reflex ISH, and Overall Summary
Lesson 4: Oncotype and an Evidence Timeline
Case File: Naomi Ellis HER2 Reflex Addendum
Interactive Case Lab: Five Grade and Biomarker Decisions
Lesson 5: Complete 2026 Breast SSDI Field Map
Lesson 6: Neoadjuvant Response, RCB, and Post-Therapy Grade
Interactive Lab: Six Breast SSDI Coding Decisions
Module 3 Review: Grade and Biomarkers
Module 3 SSDI Review: 2026 Breast Coding
Module 3 Summary and Source Checklist
Module 3 Feedback: What Helped You Learn?

Module 4: Breast Extent of Disease and Summary Stage
Use 2026 SEER breast EOD v3.3 and Summary Stage 2018 to code tumor extension, regional nodes, distant disease, and stage from Naomi Ellis’s definitive operation and pathology. Includes interactive decisions, full linked reports, recap, scored review, and feedback.

Lesson 1: EOD Evidence Trail and Diagnosis-Year Schema
Lesson 2: EOD Primary Tumor and Skin Language
Lesson 3: EOD Regional Nodes and Sentinel Pathology
Lesson 4: Distant Disease and Summary Stage
Case File: Naomi Ellis Surgery and Final Pathology
Interactive Case Lab: Seven EOD Decisions for Naomi
Module 4 Summary and EOD Workpaper
Module 4 Review: EOD and Summary Stage
Module 4 Feedback: What Helped You Learn?

Module 5: Breast AJCC TNM and Prognostic Stage
Stage Naomi Ellis at diagnosis and after upfront surgery using AJCC breast 8th edition. Practice cT/cN/cM, pT/pN, sentinel-node notation, grade and biomarker inputs, and clinical versus pathological prognostic groups. Includes interactive case, recap, scored review, and feedback.

Lesson 1: AJCC Version and Stage Timing
Lesson 2: Clinical T, N, and M from Pretreatment Records
Lesson 3: Pathological T and Sentinel Node N
Lesson 4: Anatomic Versus Prognostic Stage Groups
Case File: Naomi Ellis Clinical and Pathological Staging Workpaper
Interactive Case Lab: Eight AJCC Staging Decisions
Module 5 Summary and Stage Source Checklist
Module 5 Review: Breast AJCC Stage
Module 5 Feedback: AJCC Staging Experience

Module 6: Breast Surgery and Regional Node Treatment Coding
Apply 2026 STORE and SEER breast surgery codes to Naomi’s biopsy-proven lumpectomy, same-day cavity shaves, sentinel node biopsy, margins, dates, and node counts. Includes an interactive case lab, recap, 10-question scored review, and feedback.

Lesson 1: Code the Biopsy-Proven Lumpectomy
Lesson 2: Sentinel Biopsy Versus Axillary Dissection
Practice Lab: Five Regional Node Operative Notes
Lesson 3: Final Margins, Dates, and Evidence
Lesson 4: Compare Breast-Conserving and Mastectomy Codes
Case File: Naomi Ellis Surgery Coding Workpaper
Interactive Case Lab: Eight Breast Surgery Decisions
Module 6 Summary and Treatment Source Checklist
Module 6 Review: Breast Surgery and Nodes
Module 6 Feedback: Surgery Coding Experience

Module 7: Breast Radiation Coding with STORE
Read a realistic breast radiation completion report, identify delivered phases and target volumes, and code 2026 STORE modality, planning technique, draining nodes, fractions, doses, course total, dates, location, and surgery sequence. Includes interactive practice, scored review, recap, and feedback.

Lesson 1: Read the Radiation Summary and Define Phases
Lesson 2: Target Volumes, Draining Nodes, Modality, and Technique
Lesson 3: Fractions, Delivered Dose, Course Total, and Dates
Case File: Naomi Ellis Full Radiation Treatment Report
Worked Abstract: Naomi’s Phase and Summary Codes
Interactive Lab: Five Breast Radiation Test Abstracts
Module 7 Summary and Radiation Source Checklist
Module 7 Review: Breast Radiation STORE Coding
Module 7 Feedback: Breast Radiation Learning Experience

Module 8: Breast Systemic Therapy and First-Course Coding
Follow Naomi Ellis from postoperative medical oncology consultation through chemotherapy refusal and verified endocrine therapy start. Use STORE 2026 and SEER*Rx to code chemotherapy, hormone therapy, immunotherapy, dates, sequence, and treatment at this versus another facility. Includes interactive cases, recap, scored review, and feedback.

Lesson 1: Systemic Therapy Source Trail and STORE Fields
Lesson 2: Planned, Refused, and Delivered First-Course Therapy
Lesson 3: Endocrine, Chemotherapy, Immunotherapy, and Targeted Agents
Case File: Naomi Ellis Full Medical Oncology Consultation
Case File: Letrozole Start and Follow-Up Record
Worked Abstract: Naomi’s Systemic Treatment Codes
Interactive Lab: Five Breast Systemic Therapy Test Abstracts
Module 8 Summary and Systemic Source Checklist
Module 8 Review: Breast Systemic Therapy Coding
Module 8 Feedback: Systemic Therapy Learning Experience

Module 9: Integrated Breast Practice Abstracts
Work five complete fictional breast case records across reportability, site, histology, grade, biomarkers, stage, surgery, radiation, and systemic treatment. Enter an abstract before revealing source-linked answers; finish with a scored review and feedback.

How to Write Breast Abstract Text and Use the Five-Case Lab
Case 1: Naomi Ellis Complete Breast Abstract
Case 2: Marisol Chen DCIS and Treatment Timing
Case 3: Evelyn Reed Lobular Carcinoma
Case 4: Talia Brooks Stage and Treatment Audit
Case 5: Simone Hart Neoadjuvant Timeline
Module 9 Summary and Five-Case Source Checklist
Module 9 Review: Five Breast Abstracts
Module 9 Feedback: Integrated Breast Practice

Module 10: Breast Abstract Quality Review
Audit an intentionally flawed 2026 breast abstract against the linked reports. Correct unsupported site, tumor size, biomarkers, stage, surgery, radiation, systemic therapy, and dates; finish with interactive micro-audits, scored review, recap, and feedback.

Module 11: Breast Boot Camp Course Summary, Final Exam, and Review
Complete this after Modules 1–10. Synthesize the full breast abstraction workflow, take the cumulative final exam, and share separate ungraded course feedback.

Optional Refresher: Breast Foundations
Begin with Module 1: Breast Cancer Fundamentals for the updated six-lesson beginner pathway and Linda Martinez’s story. These earlier breast foundation lessons are optional reference material.

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About Course

Course Content

Lesson 1: Anatomy and Physiology of the Breast

Lesson 2: Breast Lymphatics and Regional Lymph Nodes

Lesson 3: Understanding Breast Cancer

Lesson 4: Histology of Breast Cancer

Lesson 5: Types and Presentations of Breast Cancer

Lesson 6: How Breast Cancer Is Diagnosed and Module Summary

Module 1 Review: Breast Fundamentals

Module 1 Feedback: What Helped You Learn?

Lesson 1: Breast Primary Site from Imaging and Pathology

Lesson 2: Walk the 2026.1 Breast Solid Tumor Rules

Lesson 3: Histology and the Source Hierarchy

Case File: Nora Vega’s Two Right-Breast Lesions

Interactive Case Lab: Five Decisions for Nora Vega

Module 2 Summary and Abstracting Workpaper

Module 2 Review: Site, Primaries, and Histology

Module 2 Feedback: What Helped You Learn?

Module 3: Breast Grade and Biomarker Coding Code clinical and pathological grade, ER, PR, HER2, and genomic test evidence for 2026 breast abstracts. Follow Naomi Ellis across biopsy and reflex testing, then practice with a scored review and ungraded feedback.

Lesson 1: Nottingham Grade and Timing

Lesson 2: ER and PR Summary from the Invasive Tumor

Lesson 3: HER2 IHC, Reflex ISH, and Overall Summary

Lesson 4: Oncotype and an Evidence Timeline

Case File: Naomi Ellis HER2 Reflex Addendum

Interactive Case Lab: Five Grade and Biomarker Decisions

Lesson 5: Complete 2026 Breast SSDI Field Map

Lesson 6: Neoadjuvant Response, RCB, and Post-Therapy Grade

Interactive Lab: Six Breast SSDI Coding Decisions

Module 3 Review: Grade and Biomarkers

Module 3 SSDI Review: 2026 Breast Coding

Module 3 Summary and Source Checklist

Module 3 Feedback: What Helped You Learn?

Lesson 1: EOD Evidence Trail and Diagnosis-Year Schema

Lesson 2: EOD Primary Tumor and Skin Language

Lesson 3: EOD Regional Nodes and Sentinel Pathology

Lesson 4: Distant Disease and Summary Stage

Case File: Naomi Ellis Surgery and Final Pathology

Interactive Case Lab: Seven EOD Decisions for Naomi

Module 4 Summary and EOD Workpaper

Module 4 Review: EOD and Summary Stage

Module 4 Feedback: What Helped You Learn?

Lesson 1: AJCC Version and Stage Timing

Lesson 2: Clinical T, N, and M from Pretreatment Records

Lesson 3: Pathological T and Sentinel Node N

Lesson 4: Anatomic Versus Prognostic Stage Groups

Case File: Naomi Ellis Clinical and Pathological Staging Workpaper

Interactive Case Lab: Eight AJCC Staging Decisions

Module 5 Summary and Stage Source Checklist

Module 5 Review: Breast AJCC Stage

Module 5 Feedback: AJCC Staging Experience

Lesson 1: Code the Biopsy-Proven Lumpectomy

Lesson 2: Sentinel Biopsy Versus Axillary Dissection

Practice Lab: Five Regional Node Operative Notes

Lesson 3: Final Margins, Dates, and Evidence

Lesson 4: Compare Breast-Conserving and Mastectomy Codes

Case File: Naomi Ellis Surgery Coding Workpaper

Interactive Case Lab: Eight Breast Surgery Decisions

Module 6 Summary and Treatment Source Checklist

Module 6 Review: Breast Surgery and Nodes

Module 6 Feedback: Surgery Coding Experience

Lesson 1: Read the Radiation Summary and Define Phases

Lesson 2: Target Volumes, Draining Nodes, Modality, and Technique

Lesson 3: Fractions, Delivered Dose, Course Total, and Dates

Case File: Naomi Ellis Full Radiation Treatment Report

Worked Abstract: Naomi’s Phase and Summary Codes

Interactive Lab: Five Breast Radiation Test Abstracts

Module 7 Summary and Radiation Source Checklist

Module 7 Review: Breast Radiation STORE Coding

Module 7 Feedback: Breast Radiation Learning Experience

Lesson 1: Systemic Therapy Source Trail and STORE Fields

Lesson 2: Planned, Refused, and Delivered First-Course Therapy

Lesson 3: Endocrine, Chemotherapy, Immunotherapy, and Targeted Agents

Case File: Naomi Ellis Full Medical Oncology Consultation

Case File: Letrozole Start and Follow-Up Record

Worked Abstract: Naomi’s Systemic Treatment Codes

Interactive Lab: Five Breast Systemic Therapy Test Abstracts

Module 8 Summary and Systemic Source Checklist

Module 8 Review: Breast Systemic Therapy Coding

Module 8 Feedback: Systemic Therapy Learning Experience

How to Write Breast Abstract Text and Use the Five-Case Lab

Module 3: Breast Grade and Biomarker Coding
Code clinical and pathological grade, ER, PR, HER2, and genomic test evidence for 2026 breast abstracts. Follow Naomi Ellis across biopsy and reflex testing, then practice with a scored review and ungraded feedback.

Module 11: Breast Boot Camp Course Summary, Final Exam, and Review
Complete this after Modules 1–10. Synthesize the full breast abstraction workflow, take the cumulative final exam, and share separate ungraded course feedback.

Optional Refresher: Breast Foundations
Begin with Module 1: Breast Cancer Fundamentals for the updated six-lesson beginner pathway and Linda Martinez’s story. These earlier breast foundation lessons are optional reference material.