NAACCR Item #3924: S Category Pathological
| Item # | Length | Source of Standard | Year Implemented | Version Implemented | Year Retired | Version Retired |
|---|---|---|---|---|---|---|
| 3,924 | 1 | NAACCR | 2018 | 18 |
NAACCR XML: Tumor.sCategoryPathological
Description
S Category Pathological combines the results of post-orchiectomy Alpha Fetoprotein (AFP), Human Chorionic Gonadotropin (hCG) and Lactate Dehydrogenase (LDH) into a summary S value.
Rationale
S Category Pathological is required for prognostic stage grouping in AJCC 8th edition, Chapter 59, Testis. It is a new data item for cases diagnosed 1/1/2018+.
Codes
| 0 | S0: Marker study levels within normal levels |
| 1 | S1: At least one of these values is elevated AND LDH less than 1.5 x N\* AND hCG (mIU/L) less than 5,000 AND AFP (ng/mL) less than 1,000 |
| 2 | S2 LDH 1.5 x N\* to 10 x N\* OR hCG (mIU/L) 5,000 to 50,000 OR AFP (ng/mL) 1,000 to 10,000 |
| 3 | S3: Only one elevated test is needed LDH greater than 10 x N\* OR hcG (mIU/mL) greater than 50,000 OR AFP (ng/mL) greater than 10,000 |
| 5 | Post orchiectomy serum tumor markers unknown or not done but pre orchiectomy serum tumor markers were normal |
| 9 | SX: Not documented in medical record S Category Pathological not assessed or unknown if assessed |
*N indicates the upper limit of normal for the LDH assay.
Each Site-Specific Data Item (SSDI) applies only to selected primary sites, histologies, and years of diagnosis. Depending on applicability and standard-setter requirements, SSDIs may be left blank.