V.6.3.5 Pathologic Stage Descriptor

V.6.3.5 Pathologic Stage Descriptor – Prefix/Suffix

This field isolates the pathologic stage (prefix/suffix) descriptor known following the completion of surgical therapy. The stage descriptor identifies special cases that need separate analysis. These descriptors supplement but do not change the stage group.

Coding Instructions:

Refer to the most current AJCC Cancer Staging Manual for coding instructions.
Code the pathologic stage (prefix/suffix) descriptor as documented by the managing provider or first treating provider in the medical record.
If the managing provider has not recorded the pathologic descriptor, registrars will code the pathologic descriptor based on the best information available.

Codes:

Code	Label	Description
0	None	There are no prefix or suffix descriptors that would be used for this case.
1	E - Extranodal, lymphomas only	A lymphoma case involving an extranodal site.
2	S - Spleen, lymphomas only	A lymphoma case involving the spleen.
3	M - Multiple primary tumors in a single site	This is one primary with multiple tumors in the primary site at the time of diagnosis.
4	Y - Classification after initial multimodality therapy	Neoadjuvant treatment given before staging.
5	E&S - Extranodal and spleen, lymphomas only	A lymphoma case with involvement of both an extranodal site and the spleen.
6	M&Y Multiple primary tumors and initial multimodality therapy	A case meeting the parameters of both codes 3 (multiple primary tumors in a single site) and 4 (classification after initial multimodality (therapy).
9	Unknown; not staged in patient record	A prefix of suffix would describe this stage, but it is not known which would be correct.

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