|
Vulva
|   |
- For excisional biopsies and resection specimens with invasive carcinoma
Specimen and Surgical Procedure
Specimen, procedure.....................................................................
Tumor
Tumor site......... (classify as right vulva (labium majus, labium minus), left vulva (labium majus, labium minus), clitoris, etc.)
Tumor size ...................................................................__cm
Tumor focality........................................................................ unifocal/multifocal Histologic type..............................................................................
Histologic grade............................................................................
Depth of invasion (mm; from stromal-epithelial junction)...... __mm
Lymphovascular invasion............... (not identified/present/cannot be determined)
Other tissue/Organ Involvement ………………………………………
Margins
Peripheral Margins:
___ Cannot be assessed (explain): ___________________
___ Uninvolved by invasive carcinoma
___ Uninvolved by intraepithelial carcinoma
___ Involved by invasive carcinoma, specify location (s):
___ Involved by high-grade squamous intraepithelial lesion (VIN 2-3) , specify location (s):
___ Involved by vulvar intraepithelial neoplasia, differentiated type, specify location (s):
___ Involved by Paget disease, specify location (s):
Deep Margins:
___ Cannot be assessed (explain): ___________________
___ Uninvolved by invasive carcinoma
___ Uninvolved by intraepithelial carcinoma
___ Involved by invasive carcinoma, specify location (s):
___ Involved by high-grade squamous intraepithelial lesion (VIN 2-3) , specify location (s):
___ Involved by vulvar intraepithelial neoplasia, differentiated type, specify location (s):
___ Involved by Paget disease, specify location (s):
___ No nodes submitted or found
Regional Lymph nodes (inguinal or femoral nodes)
Total Number of nodes examined (sentinel and nonsentinel):
___ Number cannot be determined (explain):___________
Specify site (s):________
Number of sentinel nodes examined:_________
___ Number cannot be determined (explain):___________
Lymph Node Examination
Number of lymph nodes with metastasis 5 mm or greater ___
___ Number cannot be determined (explain): ____________________________
Number of lymph nodes with metastasis less than 5 mm (excludes ITCs) ___
___ Number cannot be determined (explain): ____________________________
Number of lymph nodes with isolated tumor cells (ITCs, 0.2 mm or less) ___
___ Number cannot be determined (explain): ____________________________
Specify Lymph Node(s) with Tumor (if applicable) #: ____________________________
# Note: Information should include location and laterality of sentinel or non-sentinel regional lymph nodes with tumor.
Additional Lymph Node Findings
___ None identified
___ Extranodal extension
___ Fixed/ulcerated nodes
Other (specify): _______________
Cannot be determined (explain): ____________________________
Pathologic stage classification (pTNM, AJCC 8th ed.)....... pT__N__M__