Uterine sarcoma

Uterine sarcoma click to access explanations in the original CAP template

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type (WHO 5e):
- Histologic grade (for adenosarcoma):
- Myometrial invasion:
	- Depth of myometrial invasion (mm):
	- Myometrial thickness (mm):
	- Myometrial invasion (%):
- Lymphovascular invasion:
+ Perineural invasion:
+ Peritoneal/ascitic fluid:

- Other tissue/ organ involvement: Not applicable Not identified Right ovary Left ovary Ovary (side not specified) Right fallopian tube Left fallopian tube Fallopian tube (side not specified) Vagina Right parametrium Left parametrium Pelvic wall Omentum Other organs/tissue (specify): Cannot be determined (explain):

Surgical margins:

- Surgical margins:

Regional lymph nodes:

- Number of regional lymph nodes examined:
- Number of lymph nodes with frank metastasis:
- Number of lymph nodes with isolated tumor cells (0.2 mm or less):
- Size of largest metastatic deposit (mm), specify site:
- Size of largest lymph node involved (mm), specify site:
- Extranodal extension:

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

FIGO stage (2015 Cancer Report):

For All Sarcomas Excluding Adenosarcoma (Including Leiomyosarcoma, Endometrial Stromal Sarcoma, and Undifferentiated Endometrial Sarcoma/Uterine Sarcoma)

I: Tumor limited to uterus

- IA: Less than or equal to 5 cm
- IB: More than 5 cm

II: Tumor extends beyond the uterus, within the pelvis

- IIA: Adnexal involvement
- IIB: Involvement of other pelvic tissues

III: Tumor invades abdominal tissues (not just protruding into the abdomen)

- IIIA: 1 site
- IIIB: More than 1 site
- IIIC: Metastasis to pelvic and/or para-aortic lymph nodes

IV: Tumor invades bladder and/or rectum and/or distant metastasis

- IVA: Tumor invades bladder and/or rectal mucosa
- IVB: Distant metastasis

For Adenosarcoma

I: Tumor limited to uterus

- IA: Tumor limited to endometrium/endocervix with no myometrial invasion
- IB: Less than or equal to half myometrial invasion
- IC: More than half myometrial invasion

II: Tumor extends beyond the uterus, within the pelvis

- IIA: Adnexal involvement
- IIB: Tumor extends to extrauterine pelvic tissue

III: Tumor invades abdominal tissues (not just protruding into the abdomen).

- IIIA: 1 site
- IIIB: More than 1 site
- IIIC: Metastasis to pelvic and/or para-aortic lymph nodes

IV: Tumor invades bladder and/or rectum and/or distant metastasis

- IVA: Tumor invades bladder and/or rectal mucosa
- IVB: Distant metastasis

- Additional notes: