Esophagus cancers

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

Please also seen notes on Japanese Classification of Esophageal Cancer 12th edition (2024).

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic types (2019):
- Histologic grade:
- Tumor extension:
Squamous cell carcinoma - Sub-mucosal Invasion (pT1 only):	Depth of Sub-mucosal Invasion
Squamous cell carcinoma - Sub-mucosal Invasion (pT1 only):	Extent of Sub-mucosal Invasion
Adenocarcinoma - Sub-mucosal Invasion (pT1 only):	Depth of Sub-mucosal Invasion
Adenocarcinoma - Sub-mucosal Invasion (pT1 only):	Extent of Sub-mucosal Invasion
- Lymphovascular invasion:
+ Perineural invasion:
- Treatment effect:
- Treatment effect:	- Tumor regression grading (Mandard 1994):

Surgical margins for esophagus resection specimens:

- Proximal margin:
- Distal margin:
- Radial margin:
- Other margin(s) (specify: ):

Surgical margins for endoscopic resection:

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

Regional ymph nodes:

- Number of regional lymph nodes examined:
- Number of lymph nodes involved:
- Extracapsular spread:
- 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:

Intestinal metaplasia (Barrett’s esophagus) Low-grade squamous dysplasia High-grade squamous dysplasia Low-grade glandular dysplasia High-grade glandular dysplasia Esophagitis (type): Gastritis (type):

- Other (specify):

- Additional notes: