Organization |
Field Name |
ID |
Required |
---|---|---|---|
KCR |
Gleason Patterns Pathological |
34038 |
yes |
SEER |
Gleason Patterns Pathological |
3839 |
yes |
Note 1 Physician statement of Gleason Patterns Pathological can be used to code this data item when there is no other information available.
Note 2 Code the Gleason primary and secondary patterns from a radical prostatectomy or autopsy only in this field. Unlike Grade Group Pathological, do not include patterns from tissues taken prior to prostatectomy.
Note 3 Usually prostate cancers are graded using Gleason score or pattern. Gleason grading for prostate primaries is based on a 5-component system (5 histologic patterns). Prostatic cancer generally shows two main histologic patterns. The primary pattern, the pattern occupying greater than 50% of the cancer, is usually indicated by the first number of the Gleason grade, and the secondary pattern is usually indicated by the second number. These two numbers are added together to create a pattern score.
Note 4 If the only information available is the Gleason Score, code the patterns X6 (primary pattern unknown, secondary pattern unknown).
Note 5 If different patterns are documented on multiple specimens, code the pattern that reflects the highest or most aggressive score regardless if the pathologist provides an overall pattern in a final summary. If different patterns equal the same high score, give priority to the highest primary pattern and then the highest secondary pattern.
Note 6 If neoadjuvant therapy was given, code Gleason pathological patterns as X9.
Note 7 Do not infer Gleason Primary and Secondary Pattern from Grade Group (Code X9).
Note 8 If a tertiary pattern is documented on prostatectomy or autopsy, code in Gleason Tertiary Pattern (NAACCR Data Item #3842).
Note 9 The pathological score is recorded in Gleason Score Pathological (NAACCR Data Item #3841).
Code |
Description |
---|---|
11 |
Primary pattern 1, secondary pattern 1 |
12 |
Primary pattern 1, secondary pattern 2 |
13 |
Primary pattern 1, secondary pattern 3 |
14 |
Primary pattern 1, secondary pattern 4 |
15 |
Primary pattern 1, secondary pattern 5 |
19 |
Primary pattern 1, secondary pattern unknown |
21 |
Primary pattern 2, secondary pattern 1 |
22 |
Primary pattern 2, secondary pattern 2 |
23 |
Primary pattern 2, secondary pattern 3 |
24 |
Primary pattern 2, secondary pattern 4 |
25 |
Primary pattern 2, secondary pattern 5 |
29 |
Primary pattern 2, secondary pattern unknown |
31 |
Primary pattern 3, secondary pattern 1 |
32 |
Primary pattern 3, secondary pattern 2 |
33 |
Primary pattern 3, secondary pattern 3 |
34 |
Primary pattern 3, secondary pattern 4 |
35 |
Primary pattern 3, secondary pattern 5 |
39 |
Primary pattern 3, secondary pattern unknown |
41 |
Primary pattern 4, secondary pattern 1 |
42 |
Primary pattern 4, secondary pattern 2 |
43 |
Primary pattern 4, secondary pattern 3 |
44 |
Primary pattern 4, secondary pattern 4 |
45 |
Primary pattern 4, secondary pattern 5 |
49 |
Primary pattern 4, secondary pattern unknown |
51 |
Primary pattern 5, secondary pattern 1 |
52 |
Primary pattern 5, secondary pattern 2 |
53 |
Primary pattern 5, secondary pattern 3 |
54 |
Primary pattern 5, secondary pattern 4 |
55 |
Primary pattern 5, secondary pattern 5 |
59 |
Primary pattern 5, secondary pattern unknown |
X6 |
Radical prostatectomy done, primary pattern unknown, secondary pattern unknown |
X7 |
No radical prostatectomy/autopsy performed |
X8 |
Not applicable: Information not collected for this case |
X9 |
Not documented in medical record |