Ampulla of Vater carcinoma

Carcinoma of the Ampulla of Vater click to access explanations in the original CAP template

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type (WHO 2019):
- Histologic type (WHO 2019):	- Others :
- Histologic grade:
- Histologic grade:	- Others :
- Tumor Size:
	- Aggregate Size of all Invasive Foci (cm):

- Lymphatic and/or Vascular invasion:
- Perineural invasion:
- Treatment effect:

- Tumor extension: Carcinoma in situ / high-grade dysplasia including intra-ampullary papillary tubular neoplasm with high-grade dysplasia Limited to ampulla of Vater or sphincter of Oddi Invades beyond sphincter of Oddi (perisphincteric invasion) Invades into duodenal submucosa Invades into muscularis propria of duodenum Directly invades pancreas (up to 0.5 cm) Extends more than 0.5 cm into pancreas Extends into peripancreatic soft tissues Extends into periduodenal tissue Extends into duodenal serosa Invades other adjacent organ(s) or structure(s) other than pancreas, Stomach Invades other adjacent organ(s) or structure(s) other than pancreas, Gallbladder Invades other adjacent organ(s) or structure(s) other than pancreas, Omentum Invades other adjacent organ(s) or structure(s) other than pancreas, Celiac axis Invades other adjacent organ(s) or structure(s) other than pancreas, Superior mesenteric artery Invades other adjacent organ(s) or structure(s) other than pancreas, Common hepatic artery Invades other adjacent organ(s) or structure(s) other than pancreas, Other (specify): Cannot be determined: No evidence of primary tumor

*Please consider perform MMR/MSI and HER2 tests.

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:
- Other margin(s), specify :

For ampullectomy specimens:

- Deep, duodenal mucosal or other margins, specify:

Surgical margins of High-Grade Intraepithelial Neoplasia / High-Grade Dysplasia:

- Margin status:
- Margins involved:	Pancreatic neck / parenchymal: Bile duct: Proximal (gastric or duodenal): Distal (duodenal or jejunal): Proximal (gastric or duodenal): Posterior surface: Vascular groove: Other (specify): Cannot be assessed

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): 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:

Dysplasia/adenoma

- Other :

- Additional notes: