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 :
- Lymphovascular invasion:
+ Perineural invasion:

- Tumor extension: Carcinoma in situ/high-grade dysplasia Tumor limited to the ampulla of Vater or sphincter of Oddi Tumor invades beyond the ampulla of Vater or sphincter of Oddi Tumor invades the duodenal submucosa Tumor invades into muscularis propria of the duodenum Tumor directly invades pancreas up to 0.5 cm Tumor extends more than 0.5 cm into pancreas Tumor extends into peripancreatic soft tissues Tumor extends into periduodenal tissue Tumor extends into duodenal serosa Tumor invades other adjacent organs or structures other than pancreas, (specify: stomach, gallbladder, omentum, celiac axis, superior mesenteric artery, common hepatic artery): Cannot be determined: No evidence of primary tumor

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:

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: