Grade Clinical
This input is used for staging
Notes
**Note 1:** Clinical grade must not be blank. **Note 2:** Assign the highest grade from the primary tumor assessed during the clinical time frame. **Note 3:** Codes 1-5 take priority over A-E. **Note 4:** Code 9 when * Grade from primary site is not documented * Clinical workup is not done (for example, cancer is an incidental finding during surgery for another condition) * Grade checked “not applicable” on CAP Protocol (if available) and no other grade information is available **Note 5:** If there is only one grade available and it cannot be determined if it is clinical, pathological, or after neo-adjuvant therapy, assign as a clinical grade and code unknown (9) for pathological grade, and blank for post-therapy grade. **Note 6:** 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 groupDefault
9NAACCR Item
NAACCR #3843Metadata
SSDI| Code | Description |
|---|---|
| 1 | Grade Group 1: Gleason score less than or equal to 6 |
| 2 | Grade Group 2: Gleason score 7 Gleason pattern 3+4 |
| 3 | Grade Group 3: Gleason score 7 Gleason pattern 4+3 |
| 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 Any Gleason patterns combination equal to 7 not specified in 2 or 3 |
| 9 | Grade cannot be assessed; Unknown |