Ocular Adnexal Lymphoma (SOCAL)
- For specimens with primary hematopoietic neoplasms of the conjunctiva, orbital soft tissue, lacrimal gland, lacrimal drainage apparatus, and eyelid. Intraocular lymphomas and secondary hematopoietic neoplasms are not included.
Specimen and Surgical Procedure
Specimen, procedure...................................................................
Lymph node sampling..................................................................
List all that apply
- Not applicable
- Regional lymph node(s) (preauricular/parotid, submandibular, or cervical)
- Central lymph node(s) (lymph nodes from the trunk, eg, mediastinal,
para-aortic)
- Peripheral lymph node(s) (lymph nodes from distant sites other than
central)
- Other (specify: ____)
- Not specified
Lymph nodes (involved/examined).................................................. __/__
Neoplasm
Histologic type.............................................................................
Immunophenotyping (flow cytometry and/or immunohistochemistry)..
Classify as one or more of the following
- Performed, see separate report (FLW-__-____)
- Performed, see above immunoperoxidase table
- Not performed
Pathologic stage........................................................................ pT__N__M__