Comments (Vagina)                                                        
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Response Options to “Histologic Type”


___ Squamous cell carcinoma, NOS

___ Squamous cell carcinoma, keratinizing

___ Squamous cell carcinoma, nonkeratinizing

___ Squamous cell carcinoma, basaloid

___ Squamous cell carcinoma, verrucous

___ Squamous cell carcinoma, warty

___ Squamous cell carcinoma, papillary

___ Adenocarcinoma, NOS

___ Mucinous carcinoma, NOS

___ Endometrioid carcinoma

___ Clear cell carcinoma

___ Mesonephric carcinoma

___ Adenosquamous carcinoma

___ Adenoid basal carcinoma

___ Small cell neuroendocrine carcinoma

___ Large cell neuroendocrine carcinoma

___ Undifferentiated carcinoma

___ Carcinosarcoma

___ Other histologic type not listed (specify): _________________________

___ Carcinoma, type cannot be determined

Note: Microinvasive/superficial invasive carcinoma is not currently a recognized entity in the vagina, and thus the term is not used.


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

___ Paravaginal tissues

___ Pelvic sidewall

___ Vagina, lower third

___ Bladder mucosa

___ Rectal mucosa

___ Other organs/tissue (specify): ________________

___ Cannot be determined (explain):_________________________


*Note: For upper two-thirds of the vagina, the following are considered regional lymph nodes: pelvic, parametrial, obturator, internal iliac (hypogastric), external iliac, common iliac, sacral, presacral, and para-aortic. For lower third of the vagina, the following are considered regional lymph nodes: inguinal and femoral. Any involved nonregional 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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