Response Options to “Histologic Type”

___ Leiomyosarcoma

___ Leiomyosarcoma, epithelioid type

___ Leiomyosarcoma, myxoid type

___ Endometrial stromal sarcoma, low grade#

___ Endometrial stromal sarcoma with smooth muscle differentiation, low grade

___ Endometrial stromal sarcoma with sex cord elements, low grade

___ Endometrial stromal sarcoma with glandular elements, low grade

___ Endometrial stromal sarcoma, high grade

___ Undifferentiated uterine/endometrial sarcoma

___ Adenosarcoma

___ Adenosarcoma with rhabdomyoblastic differentiation

___ Adenosarcoma with cartilaginous differentiation

___ Adenosarcoma with osseous differentiation

___ Adenosarcoma with other heterologous element (specify): _______________________

___ Adenosarcoma with sarcomatous overgrowth

___ Rhabdomyosarcoma

___ Malignant perivascular epithelioid cell tumor

___ Other histologic type not listed (specify): _________________________________

# Low-grade endometrial stromal sarcoma is distinguished from benign endometrial stromal nodule by depth of myometrial invasion ≥3 mm, lymphovascular invasion, or ≥3 foci of myometrial invasion of any depth. Minor marginal irregularity in the form of tongues <3 mm is allowable for an endometrial stromal nodule. This protocol does not apply to endometrial stromal nodules.

Response Options to “Other Tissue/ Organ Involvement” (select all that apply)

Note: Any organ not selected is either not involved or was not submitted.

___ Not applicable

___ Not identified

___ Right ovary

___ Left ovary

___ Ovary (side not specified)

___ Right fallopian tube

___ Left fallopian tube

___ Fallopian tube (side not specified)

___ Vagina

___ Right parametrium

___ Left parametrium

___ Parametrium (side not specified)

___ Pelvic wall

___ Omentum

___ Other organs/tissue (specify): ________________

___ Cannot be determined (explain):_________________________

*Note: Lymph nodes designated as pelvic, parametrial, obturator, internal iliac (hypogastric), external iliac, common iliac, sacral, presacral, and para-aortic are considered regional lymph nodes. Any other involved nodes should be categorized as metastases (pM1) and commented on in the distant metastasis section. Presence of isolated tumor cells no greater than 0.2 mm in regional lymph node(s) is considered N0(i+). Reporting the number of lymph nodes with isolated tumor cells is required only in the absence of metastasis greater than 0.2 mm in other lymph nodes.

Gynecologic

Staging

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