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| CAP synoptic form item: Microscopic Tumor Extension. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Cannot be assessed |
| No evidence of primary tumor |
| Carcinoma in situ |
| Tumor limited to ampulla of Vater or sphincter of Oddi |
| Tumor invades duodenal wall |
| Tumor invades pancreas |
| Tumor invades peripancreatic soft tissues |
| Tumor invades extrapancreatic common bile duct |
| Tumor invades lamina propria |
| Tumor invades muscularis mucosae |
| Tumor invades submucosa |
| Tumor invades into but not through sphincter muscle |
| Tumor invades into but not through muscularis propria of rectum |
| Tumor invades through sphincter muscle into perianal or perirectal soft tissue withou |
| Tumor invades perianal skin |
| Tumor invades sphincter muscle |
| Intraepithelial carcinoma (no invasion) |
| Intramucosal carcinoma (invasion of lamina propria) |
| Tmr invades muscularis propria into subserosa/mesoappendix, doesnt reach serosal surf |
| Tumor penetrates serosa (visceral peritoneum) |
| Tumor confined to the bile duct histologically |
| Tumor invades beyond the wall of the bile duct |
| Tumor invades the duodenum |
| Tumor invades the pancreas |
| Tumor invades the gallbladder |
| Tumor confined to the intrahepatic bile ducts histologically (carcinoma in situ) |
| Tumor confined to hepatic parenchyma |
| Tumor involves visceral peritoneal surface |
| Tumor directly invades gallbladder |
| Tumor invades beyond the wall of the bile duct into surrounding connective tissue |
| Tumor invades the adjacent liver parenchyma |
| Tumor invades the unilateral branches of the portal vein (right or left) |
| Tumor invades the unilateral branches of the hepatic artery (right or left) |
| Tumor invades main portal vein or its branches bilaterally |
| Tumor invades common hepatic artery |
| Tumor invades second-order biliary radicals |
| Lamina propria |
| Muscularis mucosae |
| Muscularis propria |
| Tmr invades muscularis propria into subserosal adipose tissue but not serosal surface |
| Tumor penetrates to the surface of the visceral peritoneum (serosa) |
| Tumor invades muscularis propria |
| Tumor invades through the muscularis propria into the periesophageal soft tissue (adv |
| Fallopian tube |
| Tumor invades muscle layer |
| Tmr invades perimuscular connective tissue; no extension beyond serosa or into liver |
| Tumor perforates serosa (visceral peritoneum) |
| Tumor directly invades the liver |
| Tumor directly invades extrahepatic bile ducts |
| Tumor confined to liver |
| Tumor involves a major branch of the portal vein |
| Tumor involves 1 or more hepatic vein (s) |
| Tumor involves visceral peritoneum |
| Tumor limited to kidney |
| Tumor extension into perinephric tissue (beyond renal capsule) |
| Tumor extension into renal sinus |
| Tumor extension beyond Gerota’s fascia |
| Tmr extension into major vein (renal vein/major segmental branch, inferior vena cava) |
| Tumor extension into pelivcalyceal system |
| Tumor extension into adrenal gland |
| Tumor is confined to pancreas |
| Tumor invades ampulla of Vater |
| Tumor invades common bile duct |
| Tumor microscopically involves the serosal surface (visceral peritoneum) |
| High-grade dysplasia / carcinoma in situ |
| Tumor invades subserosal connective tissue |
| Rete testis |
| Epididymis |
| Hilar fat |
| Spermatic cord |
| Tunica vaginalis (perforates mesothelium) |
| Scrotal wall |
| Tumor confined to uterus |
| Tumor extends outside of the uterus but is limited to genital structures |
| Noninvasive papillary carcinoma |
| Flat carcinoma in situ |
| Tumor invades subepithelial connective tissue (lamina propria) |
| Urothelial carcinoma in situ w/ prostatic urethra in prostatic chips sampled by TURBT |
| Urothelial carcinoma in situ w/ prostatic duct/acini in prostatic chips samp by TURBT |
| Urothelial carcinoma invasive into prostatic stroma in prostatic chips samp by TURBT |
| Perivesical fat |
| Rectum |
| Prostatic stroma |
| Seminal vesicle |
| Vagina |
| Uterus and adnexae |
| Pelvic sidewall |
| Ureter |
| Stromal invasion |
| Muscle invasion |
| Depth of Invasion (mm) |
| None identified |
| None of the above |
| Not applicable |
| Other |
| Tumor invades other adjacent structures |
| Cannot be determined |
| Tumor extends to other nongenital organs or structures |
| Specify organ(s) with separate metastasis |
| Tumor is adherent to other organs or structures |
| Tumor directly invades adjacent organs other than the gallbladder |
| Tmr penetrates to surface of visceral peritoneum AND directly invades adj. structures |
| Tumor directly invades adjacent structures |
| Tumor invades other adjacent organs or structures other than pancreas |
