Adenoid Cystic Basaloid Pattern
Description
Adenoid Cystic Basaloid Pattern, the presence of a basaloid pattern on pathological examination, is a prognostic factor for adenoid cystic carcinoma of the lacrimal gland. Adenoid cystic carcinoma (ICD-O-3 morphology code 8200/3) is the most common malignant epithelial tumor of the lacrimal gland. Adenoid cystic carcinoma is a tumor composed of modified myoepithelial and ductal differentiated cells. A genetic alteration (i.e., fusion oncogene MYB-NFIB) is found in the majority of adenoid cystic carcinomas There are three histologic patterns within the adenoid cystic carcinoma group: cribriform, solid, and tubular.Rationale
Adenoid Cystic Basaloid Pattern is a Registry Data Collection Variable in AJCC 8. This data item was previously collected as Lacrimal Gland, CS SSF #6.Additional Info
**Source documents:** pathology report **Other names include** ACC, basaloid type adenoid cystic carcinomaNotes
**Note 1:** **Physician Statement** * Physician statement of basaloid pattern can be used to code this data item when no other information is available. **Note 2:** **Applicable histologies** * This is most commonly found in Adenoid Cystic Carcinoma (8200/3) but can be present in other histologies.Coding Guidelines
**1)** **Code 0.0** when the pathology report states that basaloid or solid pattern is not present **2)** **Code 0.1-100.0** when the pathology report states the percent of basaloid or solid pattern that is present **3)** **Code XXX.5** when basaloid or solid pattern present but percentage not known **4)** **Code XXX.9** when * Histopathologic pattern not documented in the medical record * Histopathologic pattern not evaluated (assessed) * Unknown if histopathologic pattern evaluated (assessed) * When histologic type other than 8200 and there is no mention of basaloid pattern| Code | Description |
|---|---|
| 0.0-100.0 | 0.0 to 100.0 percent basaloid pattern |
| XXX.5 | Basaloid pattern present, 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 Adenoid Cystic Basaloid Pattern not assessed or unknown if assessed |