Grade Post Therapy Clin (yc) (Lymphoma Ocular Adnexa)

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 Grade is applicable for the follicular lymphomas only (9690/3, 9691/3, 9695/3, 9698/3). For all other lymphoma histologies, code 9.

Note 3 Assign the highest grade from the microscopically sampled specimen of the primary site following neoadjuvant therapy or primary systemic/radiation therapy.

Note 4 If there are multiple tumors with different grades abstracted as one primary, code the highest grade.

Note 5 Follicular lymphoma grade is based on the absolute number of centroblasts per high-power (40 x objective, 0.159 square mm) microscopic field (HPF).

Note 6 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