Small Intestine                                                                
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Small Intestine (SSMI)


- For resection specimens with invasive carcinomas of the small intestine, including

those with focal endocrine differentiation. Tumors arising in the ampulla of Vater and

well-differentiated neuroendocrine tumors (carcinoid tumors) are NOT included.


Specimen and Surgical Procedure

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


Tumor

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

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

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

Histologic grade............................................................................

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

Macroscopic tumor perforation...................................................... present/absent

Lymphovascular invasion.............................................................. present/absent


Final margins

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

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


Proximal resection margin (Specify if invasive, adenoma or high grade dysplasia at margin)................................................................................... positive/negative

Distal resection margin (Specify if invasive, adenoma or high grade dysplasia at margin)................................................................................... positive/negative

Mesenteric margin (0-1 mm from margin is positive)………………………. positive/negative

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


(For pancreaticoduodenal resection specimens see CAP website for margins)


Lymph Nodes

Regional lymph nodes involved.................................................................... ___

Regional lymph nodes examined.................................................................. ___


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


Gastrointestinal


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Staging


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