Prostate cancers

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

There are additional notes for TURP protocol.

There are protocols for biopsy of case level and specimen level .

Gross core data elements:

- Procedure:
- Prostate size:	- Weight (g):
- Prostate size:	- Size (cm x cm x cm):

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type (WHO 5e):

Histologic grade:

- Primary Gleason pattern:
- Secondary Gleason pattern:
- Tertiary Gleason pattern:
- Composite Gleason Score:
+ Percentage of pattern 4 (for Gleason score > or = 7):
+ Percentage of pattern 5 (for Gleason score > or = 7):

- Intraductal carcinoma (IDC):

- Cribriform glands (for Gleason score 7 or 8 only):

- Tumor quantitation: Estimated percentage of prostate involved by tumor: Tumor size (dominant nodule, if present), greatest dimensions (mm), additional dimension (mm x mm) and location: For TURP, number of positive chips out of total:

Extraprostatic extension (EPE) or periprostatic fat invasion:

+ Locations of EPE:
Right apical Right bladder neck Right anterior Right lateral Right posterolateral (neurovascular bundle) Right posterior Left apical Left bladder neck Left anterior Left lateral Left posterolateral (neurovascular bundle) Left posterior - Other(s), specify:

- Urinary bladder neck invasion:
- Seminal vesicle invasion:
+ Lymphatic and / or Vascular Invasion:
+ Perineural invasion:
- Treatment effect:

Status of surgical margins:

- Surgical margins:

+ Focality:

- Locations of positive margins: Right apical Right bladder neck Right anterior Right lateral Right posterolateral (neurovascular bundle) Right posterior Left apical Left bladder neck Left anterior Left lateral Left posterolateral (neurovascular bundle) Left posterior - Other(s), specify:

+ Margin positivity in area of extraprostatic extension (EPE):

+ Gleason pattern at positive margin(s):

Regional lymph nodes:

- Number of regional lymph nodes examined:
- Number of lymph nodes involved:
- 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 Non-regional lymph node(s) (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:

Atypical intraductal proliferation (AIP) High-grade prostatic intraepithelial neoplasia (PIN) Inflammation (specify type): Atypical adenomatous hyperplasia (adenosis) Nodular prostatic hyperplasia

- Other (specify):

- Additional notes: