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Neuroblastoma
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Neuroblastoma
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- For resection specimens with neuroblastoma and related neuroblastic tumors.
Specimen and Surgical Procedure
Specimen, laterality, procedure.....................................................
Patient age..................................................................................
Classify as one of the following
- Not specified
- <18 months
- ≥18 months and <5 years
- ≥5 years
Tumor
Tumor size..................................................................................
Tumor weight (in grams)............................................................... __ g
Histologic type.............................................................................
Degree of differentiation (neuroblastic component)...........................
Mitotic-karyorrhectic index (neuroblastic component)........................
International Neuroblastoma Pathology Classification (INPC).............
Extent of primary tumor...............................................................
Treatment history............................ none/presurgical chemotherapy/not specified
Final margins ........................................................................ positive/negative
Location of positive margin(s) .....................................................
Lymph Nodes
Regional lymph node metastasis .................................................. yes/no
Location of positive lymph node(s) ...............................................
Regional lymph nodes (involved/examined) ................................... __/__
Distant metastasis ................................................................. present/absent
International Neuroblastoma Staging System............................. Stage __