Pancreas (exocrine) cancers

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

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type (2019):
- Histologic type (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: No invasion (carcinoma in situ / high-grade dysplasia) Confined to pancreas Vascular bed / groove (corresponding to superior mesenteric vein / portal vein) Ampulla of Vater or sphincter of Oddi Duodenal wall Peripancreatic soft tissues Peripancreatic soft tissues, Retroperitoneal soft tissue Peripancreatic soft tissues, Mesenteric adipose tissue Peripancreatic soft tissues, Mesocolon Peripancreatic soft tissues, Other peripancreatic soft tissue (specify): Extrapancreatic common bile duct Stomach Superior mesenteric vein Portal vein Celiac axis Superior mesenteric artery Common hepatic artery Other adjacent organ(s) or structure(s) (specify): Cannot be assessed No evidence of primary tumor

* Please consider performing 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 :

* If there is margin involvement, try also specifiy the status of the surfaces of the pancreas (anterior, posterior and vascular groove).

For partial pancreatectomy specimens:

- Proximal pancreatic parenchymal margin:
- Distal pancreatic parenchymal margin:
- Other margin(s), specify :

For enucleation specimens:

- Pancreatic parenchymal margin:
- Other margin(s), 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:
- 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:

Pancreatic intraepithelial neoplasia (highest grade), specify: Chronic pancreatitis Acute pancreatitis

- Other :

- Additional notes: