Collaborative Stage

Note 1: Code the Gleason's primary and secondary pattern from needle core biopsy or TURP ONLY in this field.
Note 2: 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% of 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.
    o    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.
    o    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 as '9'.
    o    If only one number is given and it is greater than 5, assume that it is a score.
    o    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.
Note 3: If multiple needle core biopsies performed or needle core biopsy and TURP both performed, code the highest or most aggressive pattern.
Note 4: If needle core biopsy/TURP is not performed, assign code 998. If the Gleason's pattern is not documented on needle core biopsy/TURP, assign code 999.

Code	Description
011	Primary pattern 1, secondary pattern 1
012	Primary pattern 1, secondary pattern 2
013	Primary pattern 1, secondary pattern 3
014	Primary pattern 1, secondary pattern 4
015	Primary pattern 1, secondary pattern 5
019	Primary pattern 1, secondary pattern unknown
021	Primary pattern 2, secondary pattern 1
022	Primary pattern 2, secondary pattern 2
023	Primary pattern 2, secondary pattern 3
024	Primary pattern 2, secondary pattern 4
025	Primary pattern 2, secondary pattern 5
029	Primary pattern 2, secondary pattern unknown
031	Primary pattern 3, secondary pattern 1
032	Primary pattern 3, secondary pattern 2
033	Primary pattern 3, secondary pattern 3
034	Primary pattern 3, secondary pattern 4
035	Primary pattern 3, secondary pattern 5
039	Primary pattern 3, secondary pattern unknown
041	Primary pattern 4, secondary pattern 1
042	Primary pattern 4, secondary pattern 2
043	Primary pattern 4, secondary pattern 3
044	Primary pattern 4, secondary pattern 4
045	Primary pattern 4, secondary pattern 5
049	Primary pattern 4, secondary pattern unknown
051	Primary pattern 5, secondary pattern 1
052	Primary pattern 5, secondary pattern 2
053	Primary pattern 5, secondary pattern 3
054	Primary pattern 5, secondary pattern 4
055	Primary pattern 5, secondary pattern 5
059	Primary pattern 5, secondary pattern unknown
099	Primary pattern unknown, secondary pattern unknown
988	Not applicable: Information not collected for this case
998	No needle core biopsy/TURP performed
999	No Gleason's pattern documented on needle core biopsy/TURP Unknown or no information Not documented in patient record

Prostate

CS Site-Specific Factor 7
Gleason's Primary Pattern and Secondary Pattern Value on Needle Core Biopsy/TURP

Prostate

CS Site-Specific Factor 7Gleason's Primary Pattern and Secondary Pattern Value on Needle Core Biopsy/TURP

CS Site-Specific Factor 7
Gleason's Primary Pattern and Secondary Pattern Value on Needle Core Biopsy/TURP