Lung                                                                                
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Lung (SLUNR)


- For resection specimens (including wedge resections, segmentectomies, lobectomies and pneumonectomies) with any type of carcinoma or carcinoid tumor


Specimen and Surgical Procedure

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

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


Tumor

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

Tumor focality................................................. unifocal/multifocal/cannot be determined

(if multifocal, specify if separate tumor nodules are in the same lobe or

different lobes and/or whether synchronous carcinomas are present)

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

Histologic type* ...........................................................................

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

Visceral pleural invasion....................................... present/absent/cannot be determined

Classify as present if

- tumor is present at pleural surface and/or

- tumor penetrates through pleural elastic layer (on elastic stain)

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

Lymph-vascular invasion.............................................................. present/absent

Tumor-associated atelectasis or obstructive pneumonitis...................

       Classify as one of the following

       - Not identified

       - Present; extends to the hilar region but does not involve entire lung

       - Present; involves entire lung

Treatment effect...........................................................................

Classify as one of the following

- N/A

- Cannot be determined

- >10% residual viable tumor

- <10% residual viable tumor


Final Margins

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

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


Bronchial margin........................................... positive/negative/NA/cannot be assessed

       Carcinoma in situ at margin................................................. present/absent

Vascular margin............................................ positive/negative/NA/cannot be assessed

Parenchymal margin...................................... positive/negative/NA/cannot be assessed

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


Lymph Nodes

Number of peribronchial nodes (involved/examined) .......................... __/__

Other lymph nodes (list each group separately by site)....................... __/__


Pathologic stage........................................................................ pT__N__M__


Thorax


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Staging


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