Gestational trophoblastic tumor

Primary gestational trophoblastic malignancy click to access explanations in the original CAP template

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type:
- 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 broad ligament Left broad ligamentm Broad ligament (side not specified) Other organs/tissue (specify): Cannot be determined (explain):
- Lymphovascular invasion:
+ Perineural invasion:

Surgical margins of excision specimen:

- Ectocervical/vaginal cuff margin:
- Parametrial/paracervical margin:
- Other margins (specify):

Distant Metastasis: Not applicable Not identified Lung : Spleen: Kidney: Gastrointestinal tract: Liver: Brain: Lymph node(s), any LN, (specify): Other (specify): Cannot be determined:

FIGO stage (2015 Cancer Report):

I: Disease confined to the uterus

II: Gestational trophoblastic tumor extends outside of the uterus, but limited to the genital
structures (adenexa, vagina, broad ligament)

III: Gestational trophoblastic tumor extends to the lungs, with or without known genital tract
involvement

IV: All other metastatic sites

+ Additional pathologic findings:

Implantation site

- Other (specify):

- Additional notes: