CS Site-Specific Factor 7

Nottingham or Bloom-Richardson (BR) Score/Grade


**Note 1**: AJCC recommends the Nottingham combined histologic grade (Elston-Ellis modification of the Scarff-Bloom-Richardson grading system). Terms seen on pathology reports may include: Bloom-Richardson (BR), modified Bloom-Richardson, BR, BR grading, Scarff-Bloom-Richardson, SBR grading, , Elston-Ellis modification of Bloom-Richardson score, Nottingham modification of Bloom-Richardson score, Nottingham modification of Scarff-Bloom-Richardson, Nottingham-Tenovus grade, or Nottingham grade. **Note 2**: Code the highest score prior to neoadjuvant treatment. **Note 3**: Code the tumor grade using the following priority order: a). BR scores 3-9; b). BR grade (low, intermediate, high). **Note 4**: BR score may be expressed as a range, 3-9. The score is based on three morphologic features of "invasive no-special-type" breast cancers (degree of tubule formation/histologic grade, mitotic activity, nuclear pleomorphism/nuclear grade of tumor cells). If a report describes any of the factors with words (low, intermediate, high) rather than numbers, do not attempt to translate these words into a score or number; use codes 110-130. **Note 5**: If only a grade of 1 through 4 is given with no information on the score and it is unclear if it is a Nottingham or BR Grade, code 999. **Note 6**: Code the highest score prior to neoadjuvant treatment if multiple scores are reported. For examples, different scores may be reported on multiple pathology reports for the same primary cancer; different scores may be reported for multiple tumors assigned to the same primary cancer.




NAACCR #2861


Code Description
030 Score of 3
040 Score of 4
050 Score of 5
060 Score of 6
070 Score of 7
080 Score of 8
090 Score of 9
110 Low Grade, Bloom-Richardson (BR) grade 1, score not given
120 Medium (Intermediate) Grade, BR grade 2, score not given
130 High Grade, BR grade 3, score not given
988 Not applicable: Information not collected for this case
(If this information is required by your standard setter, use of code 988 may result in an edit error.)
998 No histologic examination of primary site
999 Neither BR grade nor BR score given
Unknown or no information
Not documented in patient record