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Anus
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- For invasive carcinomas of the anal canal removed via transanal disk excision or abdominoperineal resection
Specimen and Surgical Procedure
Specimen, procedure....................................................................
Specimen integrity (only required for excisions).......................... intact/fragmented
Lymph nodes submitted and/or identified in the specimen................... yes/no
Tumor
Tumor site...................................................................................
Tumor size...................................................................................
Histologic type..............................................................................
Histologic grade............................................................................
Microscopic tumor extension*.........................................................
Lymph-vascular invasion................................................................ present/absent
Treatment effect...........................................................................
Final margins
Nearest margin............................................................................
Distance from specified margin to tumor.........................................
Proximal resection margin.......................................................... positive/negative
Carcinoma in situ (high-grade squamous intraepithelial lesion)... present/absent
Distal resection margin.............................................................. positive/negative
Carcinoma in situ (high-grade squamous intraepithelial lesion)... present/absent
Circumferential (radial) margin................................................... positive/negative
Other margin(s) (if applicable; please specify).............................. positive/negative
Lymph Nodes
Perirectal lymph nodes (involved/examined)...................................... __/__
Internal iliac lymph nodes (involved/examined).................................. __/__
Inguinal lymph nodes (involved/examined)........................................ __/__
Pathologic stage........................................................................ pT__N__M__