Extragonadal Germ Cell (SEGCT)

Specimen and Surgical Procedure

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

Patient age..................................................................................

Classify as one of the following

- Congenital/neonatal (birth - 6 mo)

- Childhood/prepubertal (7 mo - 12 y)

- Postpubertal/adult (≥12 y)

Tumor

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

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

Tumor weight (in grams)............................................................... __ g

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

Microscopic tumor extension........................ tumor involves coccyx/ coccyx uninvolved

Final Margins

Nearest margin............................................................................

Distance from specified margin to tumor.........................................

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

Lymph Nodes

Regional lymph nodes (involved/examined)....................................... __/__

Children’s Oncology Group Staging.............................................. Stage __

Pediatric

Staging

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