Carcinoma of the ureter and renal pelvis

Carcinoma of the ureter and renal pelvis click to access explanations in the original CAP template

There is different protocol for biopsy specimen for biopsy specimens.

Gross core data elements:

- Procedure:
- Specimen laterality:
- Tumor site:
- Tumor size:

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type (WHO 5e):
- Histologic grade for urothelial carcinoima:
- Histologic grade for SCC or adenoCA:
+ Tumor configuration:	Papillary Solid/nodule Flat Ulcerated Cannot be determined Other (specify):
+ Lymphatic and / or Vascular Invasion:
+ Perineural invasion:

- Tumor extension : Noninvasive papillary carcinoma Carcinoma in situ Tumor invades subepithelial connective tissue Tumor invades muscularis Tumor invades beyond muscularis into periureteral fat or peripelvic fat or the renal parenchyma Tumor invades adjacent organs, or through the kidney into the perinephric fat Cannot be assessed No evidence of primary tumor

Surgical margins of excision specimen:

- Proximal ureteral margin:
- Distal ureteral margin:
- Deep soft tissue margin:
- Other margin(s) (specify):

Regional lymph nodes:

- Number of regional lymph nodes examined:
- Number of lymph nodes involved:
- Extranodal spread:
- 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:

Keratinizing squamous metaplasia Inflammation/regenerative changes Cystitis cystica et glandularis Intestinal metaplasia Therapy-related changes, specify: Cautery artifact

- Other (specify):

+ Associated epithelial lesions:

None identified Urothelial papilloma Urothelial papilloma, inverted type Papillary urothelial neoplasm, low malignant potential (PUNLMP) Urothelial proliferation of uncertain malignant potential Urothelial dysplasia Cannot be assessed (explain):

Pathologic Findings in ipsilateral nonneoplastic renal tissue:

No or insufficient renal parenchyma None identified Glomerular disease (specify type): Tubulointerstitial disease (specify type): Vascular disease (specify type): Inflammation (specify type):

- Other (specify):

- Additional notes: