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{
"id" : "ssf7_saa",
"algorithm" : "tnm",
"version" : "1.6",
"name" : "SSF7",
"title" : "Site-Specific Factor 7",
"subtitle" : "Nottingham or Bloom-Richardson (BR) Score/Grade",
"notes" : "**Note 1:** TNM recommends the Nottingham combined histologic grade (Elston-Ellis modification of the Scarff-Bloom-Richardson grading system). Terms seen on pathology reports may include\n* Bloom-Richardson (BR) \n* Modified Bloom-Richardson, BR \n* BR grading \n* Scarff-Bloom-Richardson \n* SBR grading \n* Elston-Ellis modification of Bloom-Richardson score \n* Nottingham modification of Bloom-Richardson score\n* Nottingham modification of Scarff-Bloom-Richardson\n* Nottingham-Tenovus grade\n* 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\n* BR scores 3-9 \n* 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 \n* Degree of tubule formation/histologic grade\n* Mitotic activity \n* Nuclear pleomorphism/nuclear grade of tumor cells). \n\nIf 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. \n* 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" : "2018-02-02T14:54:20.841Z",
"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" ], [ "998", "No histologic examination of primary site" ], [ "999", "Neither BR grade nor BR score given\nUnknown or no information\nNot documented in patient record" ] ]
}
