Carcinoma of the penis

Carcinoma of the penis click to access explanations in the original CAP template

Gross core data elements:

- Procedure:
- Foreskin (presence and type):	None identified (circumscised) Present (uncircumcised) Present (uncircumcised), short Present (uncircumcised), medium Present (uncircumcised), long Present (uncircumcised), phimotic Cannot be assessed (explain):
- Tumor site:	Glans Foreskin mucosal surface Foreskin skin surface Coronal sulcus (balanopreputial sulcus) Skin of the shaft Shaft Penile urethra Penis, NOS
+ Tumor focality:
+ Tumor macroscopic features:	Flat Ulcerated Polypoid Verruciform Necrosis Hemorrhage Other (specify):
- Tumor size:

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type (HPV-independent SCC):
- Histologic type (HPV-associated SCC):
- Histologic type (others):
- Histologic grade:
- Tumor deep borders:	Pushing Infiltrative Other (specify):
+ Tumor thickness or Depth of invasion (mm) :
- Lymphatic and / or Vascular Invasion:
- Perineural invasion:

- Tumor extension : Carcinoma in situ Noninvasive localized squamous cell carcinoma Tumor invades lamina propria Tumor invades dermis Tumor invades dartos fascia Tumor invades corpus spongiosum Tumor invades corpus cavernosum Tumor invades tunica albuginea Tumor invades Buck’s fascia Tumor invades penile (distal) urethra Tumor invades regional skin (pubis, inguinal) Tumor invades adjacent organs (i.e., scrotum, prostate, pubic bone) Tumor invades other structures (specify): Cannot be assessed No evidence of primary tumor

Surgical margins of penectomy:

- Urethral margin:
- Periurethral tissue:
- Corpus cavernosum margin:
- Buck's fascia and penile shaft margin:
- Skin margin:
- Other margin(s) (specify):

Surgical margins of circumcision:

- Coronal sulcus mucosal margin:
- Cutaneous margin:

Regional lymph nodes:

- Number of regional lymph nodes examined:
- Number of lymph nodes involved:
- Extranodal spread ENE:
- Laterality of inguinal lymph nodes:
- Size of largest metastatic deposit (mm), specify site:
- Size of largest lymph node involved (mm), specify site:

Distant Metastasis: Not applicable Not identified Site(s) outside the true pelvis (specify): Lung (specify): Liver (specify): Cutaneous nodules distant from the primary site (specify): Bone (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:

HPV-associated penile intraepithelial neoplasia (PeIN), warty type HPV-associated penile intraepithelial neoplasia (PeIN), basaloid type HPV-associated penile intraepithelial neoplasia (PeIN), Pagetoid type HPV-associated penile intraepithelial neoplasia (PeIN), Clear cell HPV-associated penile intraepithelial neoplasia (PeIN), Mixed (specify): HPV-independent differentiated penile intraepithelial neoplasia (PeIN) Mixed HPV associated-HPV independent Lichen sclerosus Squamous hyperplasia Condyloma acuminatum

- Other (specify):

- Additional notes: