Hepatoblastoma                                                        
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Hepatoblastoma (SHBLR)


- For resection specimens with hepatoblastoma. Other malignant primary hepatic tumors are not included.


Specimen and Surgical Procedure

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


Tumor

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

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

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

Histologic grade............................................ favorable/less favorable/unfavorable


Final Margins

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

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

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


Capsular surface nearest invasive tumor.........................................

Distance from specified capsular surface to tumor............................


Lymph Nodes

Regional lymph node metastasis...................................................... yes/no

Location of positive lymph node(s).........................................

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


Distant metastasis*..................................................................... present/absent

* includes metastasis to lymph nodes in the following locations: inferior phrenic,

   distal to hilum, hepatoduodenal ligament, or caval region


Childrens Oncology Group Staging............................................. Stage __


Pediatric


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Staging


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