Surgical Pathology Cancer Case Summary

STOMACH:             Report

STOMACH: Resection

MACROSCOPIC (check all that apply)

SPECIMEN TYPE

___ Partial gastrectomy

___ Proximal stomach

___ Distal stomach

___ Other (specify: ____________________)

___ Total gastrectomy

TUMOR SITE

___ Cardia

___ Fundus

___ Anterior wall

___ Posterior wall

___ Body

___ Anterior wall

___ Posterior wall

___ Lesser curvature

___ Greater curvature

___ Antrum

___ Anterior wall

___ Posterior wall

___ Lesser curvature

___ Greater curvature

TUMOR CONFIGURATION:

___ Exophytic (polypoid)

___ Infiltrative

___ Diffusely infiltrative (linitis plastica)

___ Expansile (noninfiltrative)

___ Ulcerating

___ Annular

TUMOR SIZE: ___ x ___ x ___ cm

MICROSCOPIC (check all that apply)

HISTOLOGIC TYPE

___ Adenocarcinoma

___ Papillary adenocarcinoma

___ Tubular adenocarcinoma

___ Mucinous adenocarcinoma (>50% mucinous)

___ Signet ring cell carcinoma (>50% signet ring cells)

___ Other:___________________

HISTOLOGIC GRADE (adenocarcinoma only)

___ Not applicable

___ GX: Cannot be assessed

___ G1: Well differentiated (>95% gland forming)

___ G2: Moderately differentiated (50-95% gland forming)

___ G3: Poorly differentiated (5-49% gland forming)

___ G4: Undifferentiated (<5% gland forming)

EXTENT OF INVASION

___ TX: Cannot be assessed

___ T0: No evidence of primary tumor

___ Tis: Carcinoma in situ

___ T1: Tumor invades lamina propria or submucosa

___ T1a: Tumor invades lamina propria

___ T1b: Tumor invades submucosa

___ T2: Tumor invades muscularis propria or subserosa

___ T2a: Tumor invades muscularis propria

___ T1b: Tumor invades subserosa

___ T3: Tumor pentrates serosa without invasion of adjacent structures

___ T4: Tumor directly invades adjacent structures

MARGINS

___ Uninvolved by tumor

Distance of tumor from closest margin: ___ cm

(Specify margin: ___________________________)

___ Involved by tumor

___ Proximal margin involved by tumor

___ Distal margin involved by tumor

___ Mesenteric margin involved by tumor

__ Other (specify: _________________________)

BLOOD/LYMPHATIC VESSEL INVASION

___ Absent

___ Present

___ Indeterminate

PERINEURAL INVASION

___ Absent

___ Present

REGIONAL LYMPH NODES

___ NX: Cannot be assessed

___ N0: No regional lymph node metastasis

Number examined: ___

___ N1: Metastasis in 1-6 perigastric lymph nodes

Number examined: ___

Number involved: ___

___ N2: Metastasis in 7-15 perigastric lymph nodes

Number examined: ___

Number involved: ___

___ N3: Metastasis in >15 perigastric lymph nodes

Number examined: ___

Number involved: ___

DISTANT METASTASIS

___ MX: Cannot be assessed

___ M0: No distant metastasis

___ M1: Distant metastasis (site(s):____________

________________________________________)

ADDITIONAL PATHOLOGIC FINDINGS

___ None identified

___ Intestinal metaplasia

___ Dysplasia

___ Gastritis (type: _____________________)

___ Polyp(s) (type(s): ___________________)

___ Other (specify: _____________________)

COMMENT

___________________________________________

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