If a patient has multiple primary cancers:

• A. All records will be updated with the date of last contact, but the cancer status will need to entered separately.
• B. All records are updated with the date of last contact, but record cancer status only if the patient still has evidence of disease.
• C. All records are updated with the date of last contact. The cancer status is not updated when performing patient follow-up.
• D. None of the above.

Answer: (A)

When a patient has more than one primary cancer, each cancer is treated as a separate record. For follow-up, the date of last contact should be updated on every cancer record to reflect the latest patient contact. However, the cancer status must be recorded separately for each primary cancer, reflecting its own disease status (alive with disease, no evidence of disease, deceased, etc.). This allows accurate tracking of outcomes for each cancer site over time, since the status can differ between primaries and may change independently of one another.