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 Priority order for codes
- Urothelial cancers (WHO/ISUP grade) use codes L, H and 9
+ If only G1-G3 are documented, code 9 - Adenocarcinomas and Squamous Cell Carcinomas use codes 1-3, 9
+ If only L or H are documented, code 9
Note 5 G3 includes undifferentiated and anaplastic.
Note 6 For bladder, a TURB qualifies for a clinical grade only.
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
Code |
Description |
---|---|
1 |
G1: Well differentiated |
2 |
G2: Moderately differentiated |
3 |
G3: Poorly differentiated |
L |
LG: Low-grade |
H |
HG: High-grade |
9 |
Grade cannot be assessed (GX); Unknown |
<BLANK> |
See Note 1 |