HN Skin SCC

Cutaneous SCC of the Head and Neck click to access explanations in the original CAP template

- Tumor histology and immunohistochemical studies:

- Histologic type:
- Histologic Grade:
- Tumor Depth of Invasion (DOI):
+ Anatomic level:
- Lymphovascular invasion:
- Perineural invasion: Location of the involved nerve deep to the dermis serves as a surrogate for this size cut-off and qualifies as greater than or equal to 0.1 mm.

Surgical margins of excision specimen:

- Margin Status for Invasive Tumor:
- Margin Status for Noninvasive Tumor:

Regional ymph nodes:

- Number of lymph nodes examined:
- Number of lymph nodes involved:
- Laterality:
- 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 Bone Brain Lung Liver 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):

Deep invasion is defined as invasion beyond the subcutaneous fat or greater than 6 mm (as measured from the granular layer of adjacent normal epidermis to the base of the tumor); perineural invasion for T3 classification is defined as tumor cells within the nerve sheath of a nerve lying deeper than the dermis or measuring 0.1 mm or larger in caliber, or presenting with clinical or radiographic involvement of named nerves without skull base invasion or transgression.

pN2: Metastasis in a single ipsilateral lymph node, 3 cm or smaller in greatest dimension and ENE(+); or larger than 3 cm but not larger than 6 cm in greatest dimension and ENE(-); or metastases in multiple ipsilateral lymph nodes, none larger than 6 cm in greatest dimension and ENE(-); or in bilateral or contralateral lymph node(s), none larger than 6 cm in greatest dimension, ENE(-)

pN3: Metastasis in a lymph node larger than 6 cm in greatest dimension and ENE(-); or in a single ipsilateral node larger than 3 cm in greatest dimension and ENE(+); or multiple ipsilateral, contralateral, or bilateral nodes, any with ENE(+); or a single contralateral node of any size and ENE(+)

+ Brigham and Women's (BWH) Tumor Classification System:

+ High risk factors:

Tumor diameter greater than or equal to 2 cm Poorly differentiated histology Perineural invasion greater than or equal to 0.1 mm in caliber Tumor invasion beyond subcutaneous fat (excluding bone invasion, which upgrades tumor to BWH stage T3)

+ BWH Tumor Classification:

+ Additional pathologic findings:

Immunosuppressed status (specify cause, if known):

- Other (specify):

- Additional notes: