CS Site-Specific Factor 5

OBSOLETE - Gleason's Primary Pattern and Secondary Pattern Value

Notes

**Note**: This CS Site-Specific Factor is obsolete beginning with CS Version 2 (codes, code descriptions, and notes). Old data are retained during conversion, but new cases are not coded 000-099 or 000. Use only code 988 for this field for all cases entered in CS Version 2. **OBSOLETE V0200 Note 1**: Usually prostate cancers are graded using Gleason's score or pattern. Gleason's 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, that is, the pattern occupying greater than 50% the cancer, is usually indicated by the first number of the Gleason's grade and the secondary pattern is usually indicted by the second number. These two numbers are added together to create a pattern score, ranging from 2 to 10. * If there are two numbers, assume that they refer to two patterns (the first number being the primary and the second number being the secondary) and sum them to obtain the score. * If only one number is given and it is less than or equal to 5, assume that it describes a pattern and uses the number as the primary pattern and code the secondary pattern as 9. * If only one number is given and it is greater than 5, assume that it is a score. * If the pathology report specifies a specific number out of a total of 10, the first number given is the score. Example: The pathology report says "Gleason's 3/10". The Gleason's score would be 3. **OBSOLETE V0200 Note 2**: Following AJCC guidelines for coding multiple Gleason's Scores in prostate cancer, if there is more than one primary and secondary pattern value, the value to be coded is the one based on the larger tumor specimen. Please note that this rule is not the same as the rule for coding grade.

Default

988

NAACCR Item

NAACCR #2920
Code Description
000 OBSOLETE DATA RETAINED V0200
Test not done (test was not ordered and was not performed)
011 OBSOLETE DATA RETAINED V0200

Primary pattern 1, secondary pattern 1
012 OBSOLETE DATA RETAINED V0200

Primary pattern 1, secondary pattern 2
013 OBSOLETE DATA RETAINED V0200

Primary pattern 1, secondary pattern 3
014 OBSOLETE DATA RETAINED V0200

Primary pattern 1, secondary pattern 4
015 OBSOLETE DATA RETAINED V0200

Primary pattern 1, secondary pattern 5
019 OBSOLETE DATA RETAINED V0200

Primary pattern 1, secondary pattern 9
021 OBSOLETE DATA RETAINED V0200

Primary pattern 2, secondary pattern 1
022 OBSOLETE DATA RETAINED V0200

Primary pattern 2, secondary pattern 2
023 OBSOLETE DATA RETAINED V0200

Primary pattern 2, secondary pattern 3
024 OBSOLETE DATA RETAINED V0200

Primary pattern 2, secondary pattern 4
025 OBSOLETE DATA RETAINED V0200

Primary pattern 2, secondary pattern 5
029 OBSOLETE DATA RETAINED V0200

Primary pattern 2, secondary pattern unknown
031 OBSOLETE DATA RETAINED V0200

Primary pattern 3, secondary pattern 1
032 OBSOLETE DATA RETAINED V0200

Primary pattern 3, secondary pattern 2
033 OBSOLETE DATA RETAINED V0200

Primary pattern 3, secondary pattern 3
034 OBSOLETE DATA RETAINED V0200

Primary pattern 3, secondary pattern 4
035 OBSOLETE DATA RETAINED V0200

Primary pattern 3, secondary pattern 5
039 OBSOLETE DATA RETAINED V0200

Primary pattern 3, secondary pattern unknown
041 OBSOLETE DATA RETAINED V0200

Primary pattern 4, secondary pattern 1
042 OBSOLETE DATA RETAINED V0200

Primary pattern 4, secondary pattern 2
043 OBSOLETE DATA RETAINED V0200

Primary pattern 4, secondary pattern 3
044 OBSOLETE DATA RETAINED V0200

Primary pattern 4, secondary pattern 4
045 OBSOLETE DATA RETAINED V0200

Primary pattern 4, secondary pattern 5
049 OBSOLETE DATA RETAINED V0200

Primary pattern 4, secondary pattern unknown
051 OBSOLETE DATA RETAINED V0200

Primary pattern 5, secondary pattern 1
052 OBSOLETE DATA RETAINED V0200

Primary pattern 5, secondary pattern 2
053 OBSOLETE DATA RETAINED V0200

Primary pattern 5, secondary pattern 3
054 OBSOLETE DATA RETAINED V0200

Primary pattern 5, secondary pattern 4
055 OBSOLETE DATA RETAINED V0200

Primary pattern 5, secondary pattern 5
059 OBSOLETE DATA RETAINED V0200

Primary pattern 5, secondary pattern unknown
099 OBSOLETE DATA RETAINED V0200

Primary pattern unknown, secondary pattern unknown
988 Not applicable: Information not collected for this schema
999 OBSOLETE DATA RETAINED V0200

Unknown or no information
Not documented in patient record