Adrenal carcinoma

Carcinoma of the adrenal gland click to access explanations in the original CAP template

- Procedure:
- Tumor laterality:
- Tumor size:
- Tumor weight (whole gland incluidng tumor):
- Tumor description:	Hemorrhagic Necrotic Other (specify):

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type:
- Histologic grade:
- Lymphatic and/on vascular invasion:
+ Perineural invasion:
+ Necrosis:
- Tumor extension:	Not applicable Confined to adrenal cortex without invasion into or through the adrenal capsule (if present) Invades into or through the adrenal capsule, with no peri-adrenal adipose tissue invasion Kidney Pancreas Liver Spleen Diaphragm Stomach Peri-adrenal adipose tissue Large blood vessels Other adjacent organs and structures (specify): Cannot be determined:
+ Functional status:	Urinary 17-ketosteroids increased (10 mg/g cr/24 hours) Cushing syndrome Conn syndrome Virilization Feminization Weight loss Other (specify):
- Ancillary studies:	- Proliferation index Ki-67 (specify): + SF1/Melan-A/Calretinin/Inhibin/Synaptophysin + p53 + beta-catenin + Reticulin stain (specify type(s) and result(s)): + Other (specify type and result):

- Use 22 mm eyepiece at 40x objective, counting 21 fields, approximates original cut-off of 20 mitosis per 50 high power fields for the 20 mm objective in older microscopes.

Surgical margins of excision specimen:

Regional lymph nodes:

- Number of regional lymph nodes examined:
- Number of lymph nodes involved (specify locations):
+ Extranodal extension:
+ Size of largest metastatic deposit (mm), specify site:
+ Size of largest lymph node involved (mm), specify site:

Distant Metastasis: Not applicable Not identified Non-regional lymph node(s) (specify): Lung (specify): Liver (specify): Other (specify): Cannot be determined:

Pathologic Stage Classification (AJCC 8e):

- TNM Descriptors:	m (multiple primary tumors) r (recurrent) y (post treatment)
- Primary tumor (pT):
- Regional lymph nodes (pN):
- Distant metastasis (pM):

+ Additional pathologic findings:

Hemorrhage Cystic change Calcifications

- Other (specify):

- Additional notes: