* Response Options to "Histologic type"
___ Adenocarcinoma
___ Invasive mucinous carcinoma
___ Mixed invasive mucinous and nonmucinous adenocarcinoma
___ Colloid adenocarcinoma
___ Fetal adenocarcinoma
___ Enteric adenocarcinoma
___ Minimally invasive adenocarcinoma
___ Adenocarcinoma in-situ
___ Squamous cell carcinoma
___ Keratinizing squamous cell carcinoma
___ Non-keratinizing squamous cell carcinoma
___ Basaloid squamous cell carcinoma
___ Small cell carcinoma
___ Combined small cell carcinoma (small cell carcinoma and non-small cell component)
(specify type of non-small cell carcinoma component): _______________
___ Large cell neuroendocrine carcinoma
___ Typical carcinoid
___ Atypical carcinoid
___ Large cell carcinoma
___ Adenosquamous carcinoma
___ Pleomorphic carcinoma
___ Spindle cell carcinoma
___ Giant cell carcinoma
___ Carcinosarcoma
___ Pulmonary blastoma
___ Lymphoepithelioma-like carcinoma
___ NUT carcinoma
___ Mucoepidermoid carcinoma
___ Adenoid cystic carcinoma
___ Epithelial-myoepithelial carcinoma
___ Carcinoma, type cannot be determined
___ Non-small cell carcinoma, subtype cannot be determined
___ Other (specify): ______________
** Response Options to "Tumor Extension" (list all that apply)
___ Not applicable
___ Not identified
___ Superficial spreading tumor with invasive component limited to bronchial wall
___ Tumor involves main bronchus 2 cm or more distal to the carina
___ Parietal pleura
___ Chest wall
___ Diaphragm
___ Mediastinal pleura
___ Phrenic nerve
___ Parietal pericardium
___ Tumor in the main bronchus less than 2 cm distal to the carina but does not involve
the carina
___ Mediastinum
___ Heart
___ Great vessels
___ Trachea
___ Esophagus
___ Vertebral body
___ Carina
___ Other (specify): ____________