Pancreas - Exocrine Carcinoma (SPAEX)

- For Invasive carcinomas including small cell and large cell (poorly differentiated) neuroendocrine carcinoma. Well-differentiated neuroendocrine tumors and tumors of the ampulla of Vater are NOT included.

Specimen and Surgical Procedure

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

Tumor

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

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

Histologic type..............................................................................

Histologic grade (ductal carcinoma only)..........................................

Tumor extension...........................................................................

Lymphovascular invasion.............................................................. present/absent Perineural invasion...................................................................... present/absent Treatment effect …………………………………………....................................

       

Final margins (for high grade intraepithelial neoplasia and invasive carcinoma)

Proximal margin (gastric or duodenal)......................................... positive/negative

Distal margin (distal duodenal)................................................... positive/negative

Uncinate process margin (nonperitonealized surface).................... positive/negative

Bile duct margin....................................................................... positive/negative

Pancreatic resection margin....................................................... positive/negative

Other margin(s) (if applicable; please specify).............................. positive/negative

Lymph Nodes

Regional lymph nodes involved....................................... __

Regional lymph nodes examined....................................... __

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

Gastrointestinal

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Staging

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