Anal cancers

Carcinoma of the Anus click to access explanations in the original CAP template

There is different protocol for biopsy specimen

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type (WHO 2019):
- Histologic grade:
+ Lymphatic and/or Vascular Invasion:
+ Perineural invasion:
- Treatment effect:

- Tumor extension: Carcinoma in situ Tumor invades lamina propria Tumor invades muscularis mucosae Tumor invades submucosa Tumor invades into but not through anal sphincter muscle Tumor invades into but not through muscularis propria of rectum Tumor invades through anal sphincter muscle into perianal or perirectal soft tissue without involvement of adjacent structures Tumor directly invades adjacent structures (specify): Tumor invades perianal skin Cannot be determined: No evidence of primary tumor

Surgical margins for abdominoperineal resection specimens:

- Proximal margin:
- Distal margin:
- Circumferential (radial) margin:
- Other margin(s) (specify: ):

Surgical margins for transanal disk excision or polypectomy specimens:

- Deep margin:
- Mucosal margin:
- Other margin(s) (specify: ):

Lymph nodes examination:

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

- Number of exterrnal iliac lymph nodes examined:
- Number of exterrnal iliac lymph nodes involved:
- Number of other regional lymph nodes examined:
- Number of other regional lymph nodes involved:
- Extranodal extensxion:
- Size of largest metastatic deposit (mm), specify site:
- Size of largest lymph node involved (mm), specify site:

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:

Condyloma acuminatum Crohn disease Anal fistula Dysplasia Associated rectal carcinoma (Paget disease)

- Other (specify):

- Additional notes: