Uterine Sarcoma                                                        
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Uterine Sarcoma (SUTS)


- For hysterectomy specimens with sarcomas of the uterus.  Not required for myomectomy specimens.

Specimen and Surgical Procedure

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

Specimen integrity................................................................. intact/opened/morcellated

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

Tumor

Tumor size..................................................................................  ___ cm

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

Histologic grade (required only for adenosarcoma)....................... low grade/high grade/with sarcomatous overgrowth

Myometrial invasion (required only for adenosarcoma).................. not identified/present

                       Depth of invasion: __ mm

                       Myometrial thickness: __ mm

                       Percentage of myometrial invasion: ___ % (or estimated less than or greater than or equal to 50% myometrial invasion)

Other tissue/organ involvement.....................................................

Lymphovascular invasion.............................................................. not identified/present

Final Margins

Margin(s) .........................................................uninvolved/involved (specify margin(s):)

Lymph Nodes* (required only if lymph nodes are present in specimen)

Total number of nodes examined: _____

Specify site(s)#: ____________________________

# Note: Information should include location and laterality of lymph 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__


Gynecologic


Staging


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