Grade Clinical (Adrenal Gland)
Data Item Details
Parent Schema: Adrenal Gland
NAACCR Item: #3843
NAACCR XML ID: gradeClinical
Organization Field Mapping
Organization | Field Name | ID# | ID Name | Required |
|---|---|---|---|---|
KCR | Grade Clinical | 30136 | GradeClin | yes |
SEER | Grade Clinical | gradeClinical | yes |
Valid Values
Notes
Note 1 Grade Clinical must not be blank.
Note 2 Assign the highest grade from the primary tumor assessed during the clinical time frame.
Note 3 If there are multiple tumors with different grades abstracted as one primary, code the highest grade.
Note 4 Codes L, H and M take priority over A-D.
Note 5 Code 9 (unknown) 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 6 If there is only one grade available and it cannot be determined if it is clinical or pathological, assume it is a Grade Clinical and code appropriately per Grade Clinical categories for that site, and then code unknown (9) for Grade Pathological, and blank for Grade Post Therapy Clin (yc) and Grade Post Therapy Path (yp).
Code | Description |
|---|---|
L | LG: Low grade (≤20 mitoses per 50 HPF) |
H | HG: High grade (>20 mitosis per 50 HPF) |
M | TP53 or CTNNB Mutation |
A | Well differentiated |
B | Moderately differentiated |
C | Poorly differentiated |
D | Undifferentiated, anaplastic |
9 | Grade cannot be assessed (GX); Unknown |
For official definitions and additional context, refer to the NAACCR Data Dictionary.