Organization |
Field Name |
ID |
Required |
---|---|---|---|
KCR |
Grade Post Therapy Clin (yc) |
30141 |
yes |
SEER |
Grade Post Therapy Clin (yc) |
1068 |
yes |
Note 1 Leave Grade Post Therapy Clin (yc) blank when
- No neoadjuvant therapy
- Clinical or pathological case only
- Neoadjuvant therapy completed, no microscopic exam is done prior to surgery/resection of primary tumor
- There is only one grade available and it cannot be determined if it is clinical, pathological, post therapy clinical or post therapy pathological
Note 2 Assign the highest grade from the microscopically sampled specimen of the primary site following neoadjuvant therapy or primary systemic/radiation therapy.
Note 3 If there are multiple tumors with different grades abstracted as one primary, code the highest grade.
Note 4 Code 1 for stated as “low grade” only.
Note 5 Codes 1-3 take priority over H.
- If “high grade” is documented and G2 (Moderately differentiated, high grade) or G3 (Poorly differentiated, high grade) are not documented, code H (high grade, NOS)
Note 6 G3 includes undifferentiated and anaplastic.
Note 7 Code 9 (unknown) when
- Microscopic exam is done after neoadjuvant therapy and grade from the primary site is not documented
- Microscopic exam is done after neoadjuvant therapy and there is no residual cancer
- Grade checked “not applicable” on CAP Protocol (if available) and no other grade information is available
Note 8 If you are assigning an AJCC 8th edition stage group
- Grade is required to assign stage group
- Code H is treated as a G3 when assigning AJCC stage group
- An unknown grade may result in an unknown stage group
Code |
Description |
---|---|
1 |
G1: Well differentiated, low grade |
2 |
G2: Moderately differentiated, high grade |
3 |
G3: Poorly differentiated, high grade |
H |
Stated as "high grade" only |
9 |
Grade cannot be assessed (GX); Unknown |
<BLANK> |
See Note 1 |