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    Item # 
    Length 
    Source of Standard 
    Year Implemented 
    Version Implemented 
    Year Retired 
    Version Retired 
   
  
    3923 
    1 
    NAACCR 
    2018 
    18 
     
     
   
NAACCR XML: Tumor.sCategoryClinical
Description
S Category Clinical combines the results of pre-orchiectomy Alpha Fetoprotein (AFP), Human Chorionic Gonadotropin (hCG) and Lactate Dehydrogenase (LDH) into a summary S value.
Rationale
S Category Clinical 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+.
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  
        9 SX: Not documented in medical record  
 S Category Clinical not assessed or unknown if assessed  
*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. 
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