Rhabdomyosarcoma                                                        
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Rhabdomyosarcoma (SRMS)


- For resection specimens with rhabdomyosarcoma and related neoplasms.


Specimen and Surgical Procedure

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

Lymph nodes submitted and/or identified in the specimen.................. yes/no


Tumor

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

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

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

Anaplasia....................................................................... absent/focal/diffuse


Final Margins

Nearest margin.............................................................................

Distance from specified margin to tumor...........................................


Lymph Nodes

Regional lymph node metastasis..................................................... yes/no

Lymph nodes (involved/examined).................................................. __/__


Distant metastasis.................................................................. present/absent


The Intergroup Rhabdomyosarcoma Study Postsurgical Clinical

Grouping System........................................................................ Group __



Response Options for "Anaplasia"

___ Not identified

___ Focal (single or few scattered anaplastic cells)

___ Diffuse (clusters or sheets of anaplastic cells)

___ Indeterminate

___ Cannot be assessed


Pediatric


Staging


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