Stomach                                                                        
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Stomach (SSTMR)


- For resection specimens with invasive carcinomas of the stomach.  Tumors of the esophagogastric junction and well-differentiated neuroendocrine tumors (carcinoid tumors) are NOT included.

Specimen and Surgical Procedure

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


Tumor

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

Tumor size................................................................................... ___cm

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

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

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

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

Treatment effect......................................................................... present/absent

       Response score (if applicable)…………………………………………………..        


Final margins

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

Proximal margin....................................................................... positive/negative

       Carcinoma in situ/low-grade glandular dysplasia at margin...... present/absent

       If present, specify grade of dysplasia................................... low grade/high grade

Distal margin........................................................................... positive/negative

       Carcinoma in situ/low-grade glandular dysplasia at margin...... present/absent

       If present, specify grade of dysplasia................................... low grade/high grade

Lesser omental (aka hepatogastric ligament) margin..................... positive/negative

Greater omental margin............................................................ positive/negative

Mucosal margin (endoscopic resections only)………………………………….. positive/negative

       Carcinoma in situ/low-grade glandular dysplasia at margin...... present/absent

       If present, specify grade of dysplasia................................... low grade/high grade

Deep margin (endoscopic resections only)……………………………………………. positive/negative

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


Ancillary Studies…………………………………………………………………………………..


Lymph Nodes

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

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


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


Gastrointestinal


Comments


Staging


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