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{
"id" : "ssf7_saa",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "SSF7",
"title" : "CS Site-Specific Factor 7",
"subtitle" : "Nottingham or Bloom-Richardson (BR) Score/Grade",
"notes" : "**Note 1**: AJCC recommends the Nottingham combined histologic grade (Elston-Ellis modification of the Scarff-Bloom-Richardson grading system). Terms seen on pathology reports may include: Bloom-Richardson (BR), modified Bloom-Richardson, BR, BR grading, Scarff-Bloom-Richardson, SBR grading, , Elston-Ellis modification of Bloom-Richardson score, Nottingham modification of Bloom-Richardson score, Nottingham modification of Scarff-Bloom-Richardson, Nottingham-Tenovus grade, or Nottingham grade.\n\n**Note 2**: Code the highest score prior to neoadjuvant treatment.\n\n**Note 3**: Code the tumor grade using the following priority order: a). BR scores 3-9; b). BR grade (low, intermediate, high).\n\n**Note 4**: BR score may be expressed as a range, 3-9. The score is based on three morphologic features of \"invasive no-special-type\" breast cancers (degree of tubule formation/histologic grade, mitotic activity, nuclear pleomorphism/nuclear grade of tumor cells). If a report describes any of the factors with words (low, intermediate, high) rather than numbers, do not attempt to translate these words into a score or number; use codes 110-130.\n\n**Note 5**: If only a grade of 1 through 4 is given with no information on the score and it is unclear if it is a Nottingham or BR Grade, code 999.\n\n**Note 6**: Code the highest score prior to neoadjuvant treatment if multiple scores are reported. For examples, different scores may be reported on multiple pathology reports for the same primary cancer; different scores may be reported for multiple tumors assigned to the same primary cancer.",
"last_modified" : "2015-05-27T16:20:09.697Z",
"definition" : [ {
"key" : "ssf7",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "030", "Score of 3" ], [ "040", "Score of 4" ], [ "050", "Score of 5" ], [ "060", "Score of 6" ], [ "070", "Score of 7" ], [ "080", "Score of 8" ], [ "090", "Score of 9" ], [ "110", "Low Grade, Bloom-Richardson (BR) grade 1, score not given" ], [ "120", "Medium (Intermediate) Grade, BR grade 2, score not given" ], [ "130", "High Grade, BR grade 3, score not given" ], [ "988", "Not applicable: Information not collected for this case\n(If this information is required by your standard setter, use of code 988 may result in an edit error.)" ], [ "998", "No histologic examination of primary site" ], [ "999", "Neither BR grade nor BR score given\nUnknown or no information\nNot documented in patient record" ] ]
}