NAACCR Item #3869: LDH Level
| Item # | Length | Source of Standard | Section Name | Year Implemented | Version Implemented | XML NAACCR ID | Parent XML Element |
|---|---|---|---|---|---|---|---|
| 3869 | 1 | NAACCR | Stage/Prognostic Factors | None | None | ldhPretreatmentLevel | Tumor |
Required Status:
NPCR Collect: No recommendation
CoC Collect: Required, site specific
SEER Collect: Required, site specific
CCCR Collect: Required, site specific; when available
Description
LDH (Lactate Dehydrogenase) is an enzyme involved in conversion of sugars to energy and present in most cells in the body. Elevated pretreatment LDH is an adverse prognostic factor for plasma cell myeloma and melanoma of the skin.
Rationale
LDH (Lactate Dehydrogenase) Level is a prognostic factor required in AJCC 8^th^ edition for Chapter 83 *Plasma Cell Myeloma and Plasma Cell Disorders* and Chapter 47 *Melanoma Skin*. For Plasma Cell Myeloma, LDH is part of the RISS Stage and is new for cases diagnosed 1/1/2018+. For Melanoma Skin, LDH is used to define the M subcategories and was previously collected as LDH Pretreatment Level and Melanoma Skin, SSF #4.
Allowable Values
0, 1, 5, 7, 9
Codes
| Code | Description |
|---|---|
| 0 | Normal LDH level Low, below normal |
| 1 | Above normal LDH level; High |
| 5 | Schema Discriminator 1: Plasma Cell Myeloma Terminology coded to 1 or 9 |
| 7 | Test ordered, results not in chart |
| 9 | Not documented in medical record LDH (Lactate Dehydrogenase) Pretreatment Level 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.