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 Codes 1-5 take priority over A-E.
Note 5 For prostate, TURP or simple prostatectomy qualify for a clinical grade only.
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
Note 7 If you are assigning an AJCC 8th edition stage group
- Grade is required to assign stage group
- Codes A-E are treated as an unknown grade when assigning AJCC stage group
- An unknown grade may result in an unknown stage group
Code |
Description |
---|---|
1 |
Grade Group 1: Gleason score less than or equal to 6 |
2 |
Grade Group 2: Gleason score 7 |
3 |
Grade Group 3: Gleason score 7 |
4 |
Grade Group 4: Gleason score 8 |
5 |
Grade Group 5: Gleason score 9 or 10 |
A |
Well differentiated |
B |
Moderately differentiated |
C |
Poorly differentiated |
D |
Undifferentiated, anaplastic |
E |
Stated as "Gleason score 7" with no patterns documented or |
9 |
Grade cannot be assessed; Unknown |
<BLANK> |
See Note 1 |