NAACCR Item #3924: S Category Pathological
| Item # | Length | Source of Standard | Section Name | Year Implemented | Version Implemented | XML NAACCR ID | Parent XML Element |
|---|---|---|---|---|---|---|---|
| 3924 | 1 | NAACCR | Stage/Prognostic Factors | 2018 | 18 | sCategoryPathological | 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
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+.
Allowable Values
0-3, 5, 9
Codes
| Code | Description |
|---|---|
| 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.