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Ampulla of Vater
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Ampulla of Vater
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- For resection specimens with intra-ampullary and peri-ampullary carcinomas.
Well differentiated neuroendocrine neoplasms (carcinoid tumors) are NOT included.
Specimen and Surgical Procedure
Specimen, procedure....................................................................
Tumor
Tumor site...................................................................................
(examples - "intra-ampullary, and/or" peri-ampullary,")
Tumor size...................................................................................
Histologic type..............................................................................
Histologic grade............................................................................
Tumor extension...........................................................
Lymphovascular invasion.............................................................. present/absent
Final margins
Ampullectomy specimens
Nearest margin............................................................................
Distance from specified margin to tumor.........................................
Mucosal margin........................................................................positive/negative
Deep margin............................................................................positive/negative
Other margin(s) (if applicable; please specify)..............................positive/negatiive
Pancreaticoduodenal resection specimens (specify if high grade dysplasia and/or invasive carcinoma if positive)
Pancreatic neck margin Positive/Negative
Superior Mesenteric Artery (Uncinate/Retroperitoneal) Margin Positive/Negative
Inked surface of portal vein bed....................................................... Positive/Negative
Bile Duct Margin .. .. Positive/Negative
Proximal (gastric or duodenal) Margin .. Positive/Negative
Distal (duodenal or jejunal) Margin . Positive/Negative
Other (specify) . Positive/Negative
Lymph Nodes
Regional lymph nodes involved.......................................... __
Regional lymph nodes examined....................................... __
Pathologic stage (AJCC 8th Edition)........................................... pT__N__M__