Uterine Cervix - Cone/LEEP (SUTC)
- Recommended but not required for cold knife cone or LEEP excisions with primary invasive carcinoma or carcinosarcoma of the cervix
Specimen and Surgical Procedure
Specimen, procedure...................................................................
Tumor
Tumor size.................................................................................. __ cm
Histologic type.............................................................................
Histologic grade...........................................................................
Stromal invasion (provide measurements OR state "depth/extent cannot be determined")
Depth (in mm)*................................................................. __ mm
Horizontal extent longitudinal/length (in mm)........................ __ mm
Horizontal extent circumferential/width* (in mm)..................... __ mm
Lymphovascular invasion.............................................................. not identified/present
Final Margins
Endocervical margin
Invasive carcinoma at margin........................ uninvolved/involved (specify location)
Intraepithelial neoplasia at margin..................uninvolved/involved by high-grade squamous intraepithelial lesion (CIN 2-3)/involved by adenocarcinoma in situ
Ectocervical margin
Invasive carcinoma at margin........................ uninvolved/involved (specify location)
Intraepithelial neoplasia at margin..................uninvolved/involved by high-grade squamous intraepithelial lesion (CIN 2-3)/involved by adenocarcinoma in situ
Deep margin
Invasive carcinoma at margin........................ uninvolved/involved (specify location)
Intraepithelial neoplasia at margin..................uninvolved/involved by high-grade squamous intraepithelial lesion (CIN 2-3)/involved by adenocarcinoma in situ
Uterine Cervix - Hysterectomy (SUTCH)
- For hysterectomy, trachelectomy, or pelvic exenteration with primary invasive carcinoma or carcinosarcoma of the cervix
Specimen and Surgical Procedure
Specimen, procedure...................................................................
Lymph nodes submitted and/or identified in the specimen................ yes/no
Tumor
Tumor size…............................................................................... __ cm
Histologic type.............................................................................
Histologic grade...........................................................................
Stromal invasion (provide measurements OR state "depth/extent cannot be determined")
Depth (in mm)*................................................................. __ mm
Horizontal extent longitudinal/length (in mm)........................ __ mm
Horizontal extent circumferential/width* (in mm)..................... __ mm
Other tissue/organ involvement.....................................................
Lymphovascular invasion.............................................................. not identified/present
Final Margins
Ectocervical margin
Invasive carcinoma at margin........................ uninvolved/involved (specify location)
Intraepithelial neoplasia at margin..................uninvolved/involved by high-grade squamous intraepithelial lesion (CIN 2-3)/involved by adenocarcinoma in situ
Radial (circumferential) margin
Invasive carcinoma at margin........................ uninvolved/involved (specify location)
Lymph Nodes** (required only if lymph nodes are present in specimen)
Total number of nodes examined (sentinel and non-sentinel): _____
Specify Site(s)#: ____________________________
# Note: Information should include location and laterality of lymph nodes examined.
Number of sentinel nodes examined: _____
Specify lymph node(s) with tumor#: ____________________________
# Note: Information should include location and laterality of lymph nodes with tumor.
Number of nodes with metastasis (excludes ITCs): _____
Number of nodes with isolated tumor cells (ITCs) (0.2 mm or less): _____
Pathologic stage (AJCC 8th ed.).................................................. pT__N__M__