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Peritoneum
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Peritoneum
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- For resection specimens with primary borderline and malignant epithelial tumors and malignant mesothelial neoplasms of the peritoneum.
Specimen and Surgical Procedure
Specimen, procedure.....................................................................
Lymph nodes submitted and/or identified in the specimen................... yes/no
Tumor
Tumor site...................................................................................
Tumor size...................................................................................
Tumor focality....................................................................... unifocal/multifocal/diffuse
Histologic type..............................................................................
Histologic grade*...........................................................................
* borderline neoplasms and mesotheliomas should not be graded - "not applicable" is the appropriate response for those cases
Involvement of Other Locations
Right ovary**.................................................................................
If present, tumor size (in 3 dimensions)............................ __ x __ x __ mm
Left ovary**...................................................................................
If present, tumor size (in 3 dimensions)............................ __ x __ x __ mm
Other (specify:_____)....................................................................
If present, tumor size (in 3 dimensions)............................ __ x __ x __ mm
No pathologic staging (pTNM) system from the AJCC/UICC is available for primary peritoneal neoplasia
** Please classify involvement of each ovary as one of the following:
- No tumor
- Confined to surface epithelium
- Surface and cortical stroma involvement
- Only ovarian substance involvement
CAP Approved Other • Peritoneum 3.2.0.1