Version 25
Data Item #3924: S Category Pathological

Length: 1
Source of Standard: NAACCR
Section Name: Stage/Prognostic Factors
Year Implemented: 2018
Version Implemented: 18
Record Types: A, M, C, I

XML NAACCR ID: sCategoryPathological

Parent XML Element: Tumor

Required Status:

NPCR Collect: . - No recommendations
CoC Collect: RS - Required, site specific
SEER Collect: RS - Required, site specific
CCCR Collect: RS* - Required, site specific; when available

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+.

Item Data Type:

digits

Allowable Values

0-3, 5, 9

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

Code Notes:

*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.

Version 25 Data Item #3924: S Category Pathological