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Colon & Rectum
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Colon & Rectum
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Colon and Rectum - Polypectomy (SCOLB)
Colon and Rectum - Polypectomy (SCOLB)
Specimen Identification
Specimen, procedure.....................................................................
Tumor
Specimen integrity intact/fragmented
Site of polyp.................................................................................
Size of invasive carcinoma..............................................................___ cm
Histologic type (of invasive component)............................................
Histologic grade............................................................................
Tumor extension ...........................................................
Lymphovascular invasion.............................................................. present/absent
Final margins
Deep margin ................................................................. positive/negative
Mucosal margin .................................. positive/negative
* if high-grade dysplasia is identified at mucosal margin this MUST be specified
Ancillary Studies
Mismatch repair proteins, immunohistochemistry..................... ordered/not ordered
Colon and Rectum - Resection (SCOLR)
- For resection specimens including transanal disk excisions of rectal neoplasms
Specimen Identification
Specimen, procedure....................................................................
Tumor
Tumor site...................................................................................
Tumor size...................................................................................
Histologic type..............................................................................
Histologic grade............................................................................
Tumor extension...........................................................................
Macroscopic tumor perforation...................................................... present/absent Macroscopic intactness of mesorectum.............................................
Lymphovascular invasion.............................................................. present/absent
Specify type of vessel invasion ..
Perineural invasion...................................................................... present/absent
Tumor deposits (N1c) (if present, specify #)................................... present/absent Treatment effect......................................................................... present/absent
Response score (if applicable) ..
Final margins
Nearest margin............................................................................ Distance from specified margin to tumor.........................................
Proximal resection margin.......................................................... positive/negative
Distal resection margin*............................................................ positive/negative
Radial margin (for ascending, descending and rectal)..................... positive/negative
Distance of tumor from margin (rectal tumors only: if <1mm call positive, include LVI presence at margin) ..___
Mesenteric margin.................................................................... positive/negative
Deep Margin (for transanal disk excision specimen only) .. .. positive/negative
Distance of tumor from margin .
Mucosal Margin (for transanal disk excision specimen only) positive/negative
Distance of tumor from margin ..
Specify location (if possible) .
Other margin(s) (if applicable; please specify).............................. positive/negative
Lymph Nodes
Regional lymph nodes involved ...................................... ___
Regional lymph nodes examined ....................................... ___
Ancillary Studies
Mismatch repair proteins, immunohistochemistry..................... ordered/not ordered
Pathologic stage (AJCC 8th Ed.) .............................................. pT__N__M__