Data Last Updated: Sept. 13, 2023

Gleason Tertiary Pattern

Notes

**Note 1:** Physician statement of Gleason tertiary pattern can be used to code this data item when there is no other information available. **Note 2:** If present, a high Gleason Tertiary Pattern appears to be an indication for a worse outcome. **Note 3:** Record the tertiary pattern documented on radical prostatectomy or autopsy only. Record the tertiary pattern prior to neoadjuvant treatment. * If a tertiary pattern is documented on needle core biopsy or transurethral resection of prostate (TURP), it should be disregarded. * Do not code the tertiary pattern on radical prostatectomy or autopsy in Gleason Patterns Pathological. **Note 4:** The CAP Prostate Protocol does not include Patterns 1 and 2 for Tertiary Pattern. **Note 5:** If neoadjuvant therapy was given, code Gleason patterns as X9.
Code Description
10 Tertiary pattern 1
20 Tertiary pattern 2
30 Tertiary pattern 3
40 Tertiary pattern 4
50 Tertiary pattern 5
X7 No radical prostatectomy/autopsy performed
X8 Not applicable: Information not collected for this case
(If this information is required by your standard setter, use of code X8 may result in an edit error.)
X9 Not documented in medical record
Gleason Tertiary Pattern not assessed or unknown if assessed