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Thyroid
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Thyroid
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- For resection specimens with carcinomas of the thyroid gland. Lymphomas, sarcomas and metastases are not included.
Specimen and Surgical Procedure
Specimen, laterality, procedure....................................................
(if the specimen includes isthmus and/or a neck dissection, this MUST be specified)
Tumor
Tumor focality........................................................................ unifocal/multifocal (if multifocal MUST specify whether the foci are ipsilateral, bilateral or midline)
Tumor site....................................................................................____
Tumor size................................................................................... ___cm
Histologic type*(MUST include subtype from list below).....................................
Angioinvasion(vascular invasion) Not identified/Present/Absent.....................................
Extent (if present)............... focal (<4 vessels)/extensive (≥4 vessels)
Lymphatic invasion (Not identified/Present/Cannot be determined) .
Extrathyroidal extension**
___ Not identified
___ Present (MUST choose from below)
Extent (requires clinical/macroscopic AND microscopic tumor invasion):
___Invading only strap muscles (ie, pT3b)
___ Invading subcutaneous soft tissues, larynx, trachea, esophagus or recurrent laryngeal nerve (ie, pT4a)
___Invading prevertebral fascia or encasing the carotid artery or mediastinal vessels (ie, pT4b)
___ Cannot be determined
Final margins .......................................................(Cannot Assess/Involved/Uninvolved)
Lymph Nodes
Specify nodal levels examined*** (level VI, level VII, level I-V , other) .
Number of lymph nodes examined (if can’t be determined explain, i.e. matted nodes) .......... __
Number of lymph nodes involved......................................................... __
Specify nodal levels of lymph nodes involved*** .
Size of Largest Metastatic Deposit: .. ___ cm
Extranodal Extension . Not identified/Present/Cannot be determined
Pathologic stage (AJCC 8th ed.)................................................. pT__N__M__