Surgical Pathology Cancer Case Summary

TESTIS:             Report

TESTIS: Retroperitoneal lymphadenectomy

MACROSCOPIC (check all that apply)

SPECIMEN SITE(S): ___________________________

NUMBER OF NODAL GROUPS PRESENT: ___

___ Cannot be determined

LARGEST TUMOR SIZE: ___ x ___ x ___ cm

OTHER ORGANS (see optional Extended Synopsis)

___ Spermatic cord

___ Univolved by tumor

___ Involved by tumor

___ Other (specify: ________________________)

SERUM HORMONE LEVELS

___ Unknown

___ Serum marker studies within normal limits

___ Alpha-fetoprotein (AFP) elevation

___ b-subunit of human chorionic gonadotropin (b-hCG) elevation

___ Lactate dehydrogenase (LDH) elevation

MICROSCOPIC (check all that apply)

REGIONAL LYMPH NODES

___ NX: Cannot be assessed

___ N0: No regional lymph node metastasis

___ N1: Metastasis with a lymph node mass < 2 cm in greatest dimension and 5 or fewer positive nodes, none > 2 cm in greatest dimension

___ N2: Metastasis with a lymph node mass >2 cm but ≤ 5 cm in greatest dimension, or more than 5 nodes positive, none > 5 cm; or evidence of extranodal extension of tumor

___ N3: Metastasis in a lymph node > 5 cm in greatest dimension

NON-REGIONAL LYMPH NODE METASTASIS (M1a)

___ Not applicable

___ Absent

___ Present

HISTOLOGIC TYPE OF METASTATIC TUMOR

___ Not applicable

Germ Cell Tumor

___ Seminoma

___ Embryonal carcinoma

___ Yolk sac tumor

___ Choriocarcinoma

___ Placental site trophoblastic tumor

___ Teratoma

___ Mature

___ Immature

___ Other (specify: ___________________)

___ Mixed germ cell tumor

___ Other (specify: ___________________)

Sex Cord-Stromal Tumor

___ Leydig cell tumor

___ Sertoli cell tumor

___ Granulosa cell tumor

___ Mixed and indeterminate (unclassified) sex cord stromal tumor

Mixed Germ Cell-Sex Cord-Stromal Tumor

___ Gonadoblastoma

___ Others (specify: ______________________)

___ Other (specify: ______________________)

COMMENT

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