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Bone
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Bone
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- For resection specimens with malignant bone tumors. Hematopoietic neoplasms are not included.
Specimen and Surgical Procedure
Specimen, procedure.....................................................................
Tumor
Tumor site....(Appendicular skeleton/spine/pelvis (specify bone, if known)):....
Tumor Location and Extent (see note)…………………..…………………………………….
Tumor size.................................................................................__cm
Multifocal tumor/discontinuous tumor at primary site (skip metastasis): yes/no
Histologic type (WHO classification)*...............................................
Histologic grade............................................................................
Necrosis (macroscopic or microscopic)...................... present (extent: __%)/absent
Treatment Effect
Preresection treatment............................... none/chemo/RT/therapy NOS/unknown
Treatment effect ……………………................... present/absent/cannot be determined
Final Margins
Nearest margin............................................................................
Distance from specified margin to tumor.........................................
List any other close (<2 cm) margins..............................................
Proximal bone resection margin.................................................. positive/negative
Distal bone resection margin...................................................... positive/negative
Nearest soft tissue margin......................................................... positive/negative
Other margin(s) (if applicable; please specify).............................. positive/negative
Lymph Nodes
Regional lymph nodes involved........................................ __
Regional lymph nodes examined....................................... __
Ancillary Studies (required if applicable)
Immunohistochemistry.................................................. performed/not performed If performed, specify results...............................................
Cytogenetics (CTG-__-_____)............................ performed/pending/not performed If performed, specify results...............................................
Molecular pathology (MOL-__-_____).................. performed/pending/not performed If performed, specify results...............................................
Pathologic stage (AJCC 8th ed.)............................................. pT__N__M__