Ureter Renal Pelvis

Ureter and Renal Pelvis (SURTR)

- For resection specimens (including ureterectomy and both partial and complete nephroureterectomy) with carcinoma of the ureter and renal pelvis.

Specimen and Surgical Procedure

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

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

Tumor

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

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

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

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

Lymphovascular invasion................................................................

Final margins

Proximal ureteral margin*......................................................... positive/negative

Distal ureteral margin*............................................................. positive/negative

Deep soft tissue margin............................................................ positive/negative

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

*if carcinoma in situ/noninvasive high-grade/noninvasive low-grade urothelial carcinoma is identified at the margin, this MUST be specified

Lymph Nodes

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

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

Other findings

Findings in nonneoplastic kidney (see list on following page)................

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