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Data Standards and Data Dictionary

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Length: 5
Source of Standard: NAACCR
Section Name: Stage/Prognostic Factors
Year Implemented: 2018
Version Implemented: 18
Record Types: A, M, C, I

XML NAACCR ID: ki67

Parent XML Element: Tumor

Required Status:

NPCR Collect: . - No recommendations
CoC Collect: RS - Required, site specific
SEER Collect: RC - Collected by SEER from CoC-accredited hospitals
CCCR Collect: . - No recommendations

Description:

Ki-67 (MIB-1) (Proliferative Index) is a marker of cell proliferation. A high value indicates a tumor that is proliferating more rapidly. Codes and coding instructions for this data item are site-specific.

Rationale:

Ki-67 (MIB-1) (Proliferative Index) is a Registry Data Collection Variable in AJCC. It was a new data item for breast cases diagnosed 1/1/2018+. It will apply to neuroendocrine tumors (NET) of the gastrointestinal tract (AJCC Chapters 29 – 34) for cases diagnosed 1/1/2021+. High Ki-67 is an adverse prognostic factor and Ki-67 is a component of grade for these tumors. NCCN guidelines recommend that tumor differentiation, mitotic rate and Ki-67 should be recorded in the pathology report for these tumors.

Item Data Type:

text

Allowable Values

0.0-100.0, XXX.4, XXX.5, XXX.6, XXX.7, XXX.8, XXX.9

Codes:

0.0-100.0

0.0 to 100.0 percent positive: enter percent positive

XXX.4

Ki-67 stated as less than 3%

XXX.5

Ki-67 stated as 3%-20%

XXX.6

Ki-67 stated as greater than 20%

XXX.7

Test done, actual percentage not stated

XXX.8

Not applicable: Information not collected for this case
(If this item is required by your standard setter, use of code XXX.8 will result in an edit error.)

XXX.9

Not documented in medical record
Ki-67 (MIB-1) not assessed or unknown if assessed

Code Notes:

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.