Larynx (SLAR)

- For resection specimens with invasive carcinomas of the larynx, including supraglottis, glottis, and subglottis. Mucosal melanoma is included.  Lymphomas and sarcomas are not included.  

Specimen and Surgical Procedure

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

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

Tumor

Tumor site...................................................................................         Transglottic extension........................................................................ yes/no Tumor laterality................................................ R/L/bilateral/midline/not specified

Tumor focality........................................ unifocal/multifocal (specify:___)

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

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

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

Lymphovascular invasion.............................................................. present/absent Perineural invasion...................................................................... present/absent

Margins

Uninvolved by invasive tumor

Distance from closest margin (millimeters): ____ mm

Location of closest margin: ___

Other uninvolved margins (list all):__

Involved by invasive tumor

       Location of margin(s): ___

Uninvolved by high-grade dysplasia/in situ disease

Distance from closest margin (millimeters): ____ mm

Location of closest margin: ___

Other uninvolved margins (list all):__

Involved by high-grade dysplasia/in situ disease

Location of margin(s): ___

       

Lymph Nodes

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

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

Laterality of Lymph Nodes Involved……………………………….Ipsilateral(including midline)/ contralateral/bilateral/cannot be determined

Size of largest metastatic focus (in cm)........................................... __cm

Extranodal extension................................................................... present/absent

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

Head & Neck

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