Carcinoma of the Perihilar Bile Ducts

Carcinoma of the Perihilar 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:
- Treatment effect:

- Tumor extension: No invasion (carcinoma in situ / high-grade dysplasia including intraductal papillary neoplasm of bile duct with high-grade dysplasia, intraductal tubulopapillary neoplasm of bile duct with high-grade dysplasia) Confined to bile duct Invades connective tissue surrounding wall of bile duct Invades adjacent liver parenchyma Invades gallbladder Invades unilateral branches of portal vein (right or left) Invades unilateral branches of hepatic artery (right or left) Invades main portal vein or its branches bilaterally Invades common hepatic artery Invades second-order biliary radicals unilaterally Invades second-order biliary radicals bilaterally Other (specify): Cannot be assessed No evidence of primary tumor

* Please consider performing MMR/MSI and HER2 tests.

Surgical margins of segmental excision:

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

Surgical margins of hilar resection and partial hepatectomy:

- Bile duct margin:
- Hepatic parenchymal margin:
- Radial margin:
- Other margin(s), specify :

Surgical margins of total hepatectomy:

- Bile duct margin:
- Radial margin:
- Other margin(s), specify :

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

- Margin status:
- Margins involved:	Proximal: Distal: Bile duct: 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: