Merkel Cell Carcinoma                                                
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Merkel Cell Carcinoma (SSKMK)


- For excisional biopsies and resection specimens with Merkel cell carcinoma of cutaneous surfaces only.  Use of case summary is not required for punch or shave biopsies.

Specimen and Surgical Procedure

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

Tumor

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

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

Tumor thickness........................................................................ __ mm/at least __ mm Tumor growth pattern............................................................. nodular/infiltrative

Mitotic rate................................................................................... 

Tumor infiltrating lymphocytes........................................................

Lymphovascular invasion............................................ present/not identified

Tumor extension (not identified, cannot be assessed,  invasion of bone, muscle, fascia, cartilage, other)………………………………………………..

Final Margins

Distance from carcinoma to nearest peripheral margin.................... positive/__mm         Specify location of nearest peripheral margin, if possible.........

Distance from carcinoma to nearest deep margin............................ positive/__mm Specify location of nearest deep margin, if possible.................

Lymph Nodes (section required ONLY if LNs present in the specimen)

                                                               SLN          Non-SLN        Total

# examined

# with metastasis                                _____________                        ____

Size of largest nodal metastasis......................................................

Extranodal extension………………………………………….(not identified, present)

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


Skin


Staging


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