- For resection specimens with invasive carcinomas of the oral cavity, including lip and tongue. Mucosal melanoma is included. Lymphomas and sarcomas are not included.
Specimen and Surgical Procedure
Specimen, laterality, procedure......................................................
Lymph node submitted and/or identified in the specimen……….yes/no
Tumor
Tumor site...................................................................................
Tumor laterality...................................................................................
Tumor focality.................................................... unifocal/multifocal (specify:___)
Tumor size...................................................................................
Tumor Depth of Invasion (DOI) (millimeters): ...............................mm
Histologic type..............................................................................
Histologic grade............................................................................
Tumor extension.....(e.g. through cortical bone, skin of face, etc., see pT stage for options)
Lymphovascular invasion.............................................................. present/absent
Perineural invasion...................................................................... present/absent
Main Specimen 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): ___
Separately Submitted/Tumor Bed Margin Orientation…………………….….(oriented/unoriented)
Separately Submitted/Tumor Bed Margins
Uninvolved by invasive tumor (list all):___
Involved by invasive tumor (list all):___
Uninvolved by high-grade dysplasia/in situ disease (list all):___
Involved by high-grade dysplasia/in situ disease (list all):___
Lymph Nodes
Regional lymph nodes involved....................................... __
Regional lymph nodes examined...................................... __
Laterality of Lymph Nodes Involved…… Ipsilateral (including midline)/Contralateral/Bilateral
Size of largest metastatic focus (in cm)........................................... __cm
Extranodal extension (ENE)................................................................... present/absent
Pathologic stage (AJCC 8th ed).................................................. pT__N__M__