Gall Bladder                                                                
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Gallbladder (SGALR)


- For resection specimens with invasive carcinomas of the gallbladder and cystic duct including those showing focal endocrine differentiation.  Well-differentiated neuroendocrine tumors (carcinoid tumors) are NOT included.


Specimen & Surgical Procedure

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

       (examples Simple cholecystectomy, Radical cholecystectomy, Other ­­­­­____)

Tumor

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

       (examples - neck, body, cystic duct, fundus, hepatic side of gallbladder)

Tumor size................................................................................... ___ mm or ___ cm

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

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

Tumor extension*.........................................................        

Final margins

Cystic duct margin (invasive carcinoma)................ positive/negative/cannot be assessed

Cystic duct margin (high grade intraepithelial neoplasia)................ positive/negative/cannot be assessed

Liver parenchymal margin.................................. positive/negative/cannot be assessed

Other margin(s) (if applicable; please specify) .............positive/negative/cannot be assessed

Lymph Nodes

Regional lymph nodes involved......................................... __

Regional lymph nodes examined....................................... __


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


Gastrointestinal


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Staging


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