Esophagus (SESOR)

- For resection specimens with carcinomas of the esophagus including esophagogastric junction carcinomas.  Well-differentiated neuroendocrine tumors (carcinoid tumors) are NOT included.

Specimen and Surgical Procedure

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

Tumor

Tumor site...................................................................................

Relationship of Tumor to Esophagogastric Junction (see note).........................................

Distance of tumor center from esophagogastric junction (specify, if applicable):….. ___ cm

Tumor size................................................................................... 

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

Histologic grade............................................................................

Tumor extension...........................................................

Lymphovascular invasion..................................... present/absent/cannot  be determined

Treatment effect …………….................................... No prior treatment/Present/absent

Final margins

(For each positive margin indicate finding: low grade/ high grade squamous dysplasia, low grade/high grade glandular dysplasia, Barrett/intestinal metaplasia, invasive carcinoma)

For esophagectomy and esophagogastrectomy

Proximal margin (specify finding)................................................. positive/negative 

Distal margin (specify finding)..................................................... positive/negative 

Circumferential (aka radial or adventitial) margin(specify finding).... positive/negative

Other margin(s) (if applicable; please specify).............................. positive/negative

For endoscopic resection specimens

Mucosal margin (specify finding)................................................. positive/negative 

Deep margin (specify finding)..................................................... positive/negative 

Other margin(s) (if applicable; please specify).............................. positive/negative

Lymph Nodes

Regional lymph nodes involved....................................... ____

Regional lymph nodes examined....................................... ____

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

Gastrointestinal

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