CS Site-Specific Factor 1

This input is used for staging

Prognostic Scoring Index

Notes

**Note 1**: Stage for gestational trophoblastic tumors is anatomically defined, but the Prognostic Scoring Index is used to substage patients. Substage A (low risk) and Substage B (high risk) are assigned on the basis of a non-anatomic risk factor scoring system: Age: Score 0: Age less than 40 Score 1: Age equal to or greater than 40 Antecedent Pregnancy: Score 0: Hydatidiform mole Score 1: Abortion Score 2: Term pregnancy Interval Months from Index Pregnancy: Score 0: Less than 4 months Score 1: 4-6 months Score 2: 7-12 months Score 4: More than 12 months Pretreatment Serum human chorionic gonadotropin (hCG) (IU/ml): Score 0: Less than 10 to 3rd power (1,000) Score 1: 10 to 3rd power to less than 10 to 4th power (1,000 to less than 10,000) Score 2: 10 to 4th power to less than 10 to 5th power (10,000 to less than 100,000) Score 4: Equal to or greater than 10 to 5th power (100,000 or greater) Largest Tumor Size, Including Uterus: Score 0: Less than 3 cm Score 1: 3 cm to 5 cm'; Score 2: Equal to or greater than 5 cm Sites of Metastases: Score 0: Lung only or none Score 1: Spleen, kidney Score 2: Gastrointestinal tract Score 4: Liver, brain Number of Metastases Identified: Score 0: 0 Score 1: 1-4 Score 2: 5-8 Score 4: Greater than 8 Previous Failed Chemotherapy: Score 2: Single drug Score 4: 2 or more drugs **Note 2**: Clinician scoring is recommended, but the score may be assigned if clinician scoring is unavailable. **Note 3**: Sum the score of the prognostic risk factors to determine the final Prognostic Scoring Index. If any one of the factors is unknown, do not assign score, unless low risk or high risk can be determined with the information available.

Default

999

NAACCR Item

NAACCR #2880

Metadata

CCCR_ESSENTIAL_FOR_TNM_CLASSIFICATION
NPCR_REQUIRED_WHEN_AVAILABLE_2011_FORWARD

Code	Description
000	Clinician stated no risk factors
001	OBSOLETE DATA RETAINED V0200 Clinician stated low risk (sum score of 7 or less) Stated to be substage A, but score not specified
002	OBSOLETE DATA RETAINED V0200 Clinician stated high risk (sum score of 8 or greater or NOS) Stated to be substage B, but score not specified
010	Clinician stated low risk (Prognostic score of 6 or less)
050	Stated to be substage A, but score not specified
110	Clinician stated high risk (Prognostic score of 7 or greater or NOS)
150	Stated to be substage B, but score not specified
200	Clinician stated risk factors present, but unknown whether low or high risk
988	Not applicable: Information not collected for this case (If this item is required by your standard setter, use of code 988 will result in an edit error.)
999	Unknown or no information Not documented in patient record