Pancreas endocrine tumor

Endocrine pancreas tumor click to access explanations in the original CAP template

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type and grade (WHO 5e): Using 22 mm eyepiece, x40 objective, Count 42 fields = 10 mm². Divide by 5 to get hot spot mitotic count of 2 mm².
	- Mitotic rate:
	- Ki-67 labeling index:
- Tumor size:
- Tumor focality:
+ Functional type:
+ Tumor necrosis:
- Lymphatic and / or Vascular Invasion:
- Perineural invasion:
- Tumor extension:	Tumor is limited to the Pancreas Tumor invades the Common bile duct Tumor invades the Ampulla of Vater Tumor invades the Duodenum Tumor invades the Stomach Tumor invades the Spleen Tumor invades the Colon Tumor invades the Adrenal gland Tumor invades the Celiac axis Tumor invades Superior mesenteric artery Tumor invades Superior mesenteric vein Tumor invades Splenic artery Tumor invades Splenic vein Tumor invades Gastroduodenal artery Tumor invades Gastroduodenal vein Tumor invades Portal vein Tumor invades other organs (specify): Tumor invades the wall of large vessels (specify): Cannot be assessed No evidence of primary tumor

For distal pancreatectomy specimens:

- Proximal pancreatic parenchymal margin:
- Other margin(s) (specify):

For segmental pancreatectomy specimens:

- Proximal pancreatic parenchymal margin:
- Distal pancreatic parenchymal margin:
- Other margin(s) (specify):

For enucleation specimens:

- Pancreatic parenchymal margin:
- Other margin(s) (specify):

For pancreaticoduodenal resection specimens:

- Proximal margin (gastric or duodenal):
- Distal margin (distal duodenal or jejunal):
- Uncinate (retroperitoneal/superior mesenteric artery) margin:
- Bile duct margin:
- Pancreatic neck/parenchymal margin:

Regional lymph nodes:

- Number of regional lymph nodes examined:
- Number of lymph nodes involved:
+ 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): Bone (specify): Peritoneum (specify): Ovary (specify): Other (specify): Cannot be determined:

Pathologic Stage Classification (AJCC 9e):

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

+ Additional pathologic findings:

Atrophy Chronic inflammation Acute pancreatitis Adenomatosis (multiple neuroendocrine tumors, < 5 mm each)

- Other (specify) :

- Additional notes: