Site-Specific Factor 4

Follicular Lymphoma Prognostic Index (FLIPI)


**Note 1:** The Follicular Lymphoma Prognostic Index (FLIPI) has been developed for follicular lymphomas and predicts outcome based on the following adverse factors * Age more than 60 years * Ann Arbor Stage III or IV * More than 4 nodal areas involved * Elevated serum lactate dehydrogenase LDH level * Serum hemoglobin concentration less than 12 grams/deciliter (g/dl) **Note 2:** Record the FLIPI as documented in the medical record. Do not calculate points or assign risk. Only record points or risk if a physician has documented them. Use points over risk if both are available. **Note 3:** There are now two indices/scores associated with lymphoma * The International Prognostic Index (IPI) (**Site-Specific Factor 3**) * The Follicular Lymphoma International Prognostic Index (FLIPI) (**Site-Specific Factor 4**) Physicians may use these indices/scores interchangeably. For coding * Score identified: Value in appropriate SSF, 999 in other SSF * Score not identified, point value 5 or less: 999 in both SSF




NAACCR #2910
Code Description
000 0 points
001 1 point
002 2 points
003 3 points
004 4 points
005 5 points
988 Not applicable: Information not collected for this case
990 Stated as low risk (0-1 point)
991 Stated as intermediate risk (2 points)
992 Stated as high risk (3-5 points)
999 Unknown or no information
Not documented in patient record