Distal extrahepatic bile ducts cancers

Carcinoma of the distal extrahepatic bile ducts click to access explanations in the original CAP template

- Tumor histology and immunohistochemical studies:

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

- Lymphatic and/on Vascular invasion:
- Perineural invasion:
- Depth of tumor invasion:
- Treatment effect:

- Tumor extension: No evidence of primary tumor No invasion (carcinoma in situ/high-grade dysplasia) Tumor confined to the bile duct histologically Tumor invades beyond the wall of the bile duct Tumor invades the duodenum Tumor invades the pancreas Tumor invades the pancreas, involves posterior surface of pancreas Tumor invades the pancreas, involves anterior surface of pancreas Tumor invades the pancreas, involves vascular bed/groove (corresponding to superior mesenteric vein/portal vein) Tumor invades gallbladder Tumor directly invades adjacent organs other than the gallbladder, specify (duodenum, amplulla, stomach, gallbladder, omentum, celiac azis, superior mesenteric artery, common hepatic artery, etc.): Cannot be assessed

* Please consider ancillary tests: MMR/MSI, HER2, etc.

Surgical margins of segmental excision:

- Proximal bile duct margin:
- Distal bile duct margin:
- Radial 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:
- Other margin(s), specify :

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

- Margin status:
- Margins involved:	Proximal bile duct: Distal bile duct: Bile duct: Pancreatic neck / parenchymal: Proximal (gastric or duodenal): Distal (duodenal or jejunal): 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:

Choledochal cyst Dysplasia Primary sclerosing cholangitis Biliary stones

- Other (specify):

- Additional notes: