- 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__