Kidney Cancers

Renal Cell Carcinoma click to access explanations in the original CAP template

This is additional protocol for biopsy specimen.

Gross core data elements:

- Procedure:
- Tumor Laterality:
- Tumor Focality:
- Tumor site:	Upper pole Middle Lower pole Other (specify): Not specified
- Tumor size:

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type:
- Sarcomatoid features:
- Rhabdoid features:
- Histologic grade (WHO / ISUP Grade):
- Tumoe necrosis:
- Lymphatic and / or Vascular Invasion : (exclude renal vein and its segmental branches, and IVC)
+ Perineural invasion:

- Tumor extension: Tumor limited to kidney Tumor extension into perinephric tissue (beyond renal capsule) Tumor extension into renal sinus Tumor extension beyond Gerota’s fascia Tumor extension into major vein (renal vein or its segmental branches, inferior vena cava) Tumor extension into pelvicalyceal system Tumor extension into adrenal gland (direct invasion, T4) Tumor extension into adrenal gland (non-contiguous) Tumor extension into other organ(s)/structure(s) (specify): Cannot be assessed No evidence of primary tumor

Surgical margins of excision specimen:

Cannot be assessed Uninvolved by invasive carcinoma Involved by invasive carcinoma, renal parenchymal margin (for partial nephrectomy) Involved by invasive carcinoma, renal capsular margin (for partial nephrectomy) Involved by invasive carcinoma, perinephric fat margin Involved by invasive carcinoma, renal sinus soft tissue margin Involved by invasive carcinoma, gerota’s fascial margin Involved by invasive carcinoma, renal vein margin Involved by invasive carcinoma, ureter margin Involved by invasive carcinoma, other (specify):

Regional ymph 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 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:

Insufficient normal kidney tissue for assessment Glomerular disease (specify type): Tubulointerstitial disease (specify type): Vascular disease (specify type): Cyst(s) (specify type): Tubular (papillary) adenoma(s)

- Other (specify):

- Additional notes: