Endometrium                                                                
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Endometrial Carcinoma (SEMCA)


- For hysterectomy specimens with carcinoma, carcinosarcoma (malignant mixed Müllerian tumor) and neuroendocrine carcinomas arising in the endometrium


Specimen and Surgical Procedure

Specimen, procedure...................................................................

Lymph nodes submitted and/or identified in the specimen................. yes/no


Tumor

Tumor size.................................................................................. ___ cm

Histologic type.............................................................................

Histologic grade (FIGO grade for endometrioid and mucinous type only)

       Architectural grade.............................................................

       Nuclear grade....................................................................

       Composite FIGO grade........................................................

Myometrial invasion..................................................................... not identified/present

       Maximum depth of invasion (in mm)..................................... __mm

       Myometrial thickness (in mm).............................................. __mm

                       Percentage of myometrial invasion: ___ % (or estimated less than or greater than or equal to 50% myometrial invasion)

Uterine serosa involvement...........................................................not identified/present

Cervical stromal involvement.........................................................not identified/present

Other tissue/organ involvement.....................................................

Lymphovascular invasion.............................................................. not identified/present        


Final Margins (required only if cervix and/or parametrium/paracervix is involved by carcinoma)

Ectocervical/vaginal cuff margin........................................................involved/uninvolved

Parametrial/paracervical margin........................................................involved/uninvolved


Lymph Nodes** (required only if lymph nodes are present in the specimen)

Pelvic lymph nodes (Includes parametrial, obturator, internal iliac (hypogastric), external iliac, common iliac, sacral and presacral nodes)

Total number of pelvic nodes examined (sentinel and non-sentinel): _____

Number of pelvic sentinel nodes examined: _____

Laterality of pelvic node(s) examined: ____________________________

Laterality of node(s) with tumor (if applicable): ____________________________

Number with macrometastasis (greater than 2 mm): _____

Number with micrometastasis (greater than 0.2 mm and up to 2 mm): _____

Number with isolated tumor cells (0.2 mm or less): _____


Para-aortic lymph nodes

Total number of para-aortic nodes examined (sentinel and non-sentinel): _____

Number of para-aortic sentinel nodes examined: _____

Laterality of para-aortic node(s) examined: ____________________________ Laterality of node(s) with tumor (if applicable): ____________________________

Number with macrometastasis (greater than 2 mm): _____

Number with micrometastasis (greater than 0.2 mm and up to 2 mm): _____

Number with isolated tumor cells (0.2 mm or less) (if applicable): _____


Pathologic stage (AJCC 8th ed.)............................................................pT__N__M__


Gynecologic


Comments


Staging


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