URETER_BIOPSY
Description:
Stores data for College of American Pathologists (CAP) form 76058-URETER, RENAL PELVIS: Biopsy.

Primary Key
Column Name Ordinal Position
RESULT_ID 1

Column Information
Name Type Discontinued?
1 RESULT_ID VARCHAR No
The unique identifier for the result record.
2 CAP_COMMENTS VARCHAR No
CAP synoptic form item: General comments.
3 HISTO_TYPE_SPECIFY VARCHAR No
CAP synoptic form item: Specify histologic type.
4 SPECIMEN_OTHER_SPFY VARCHAR No
CAP synoptic form item: Specify other specimen.
5 PRIMARY_TUMOR_C_NAME VARCHAR No
CAP synoptic form item: Primary Tumor (pT).
May contain organization-specific values: Yes
Category Entries:
pTX: Cannot be determined
pTX: Cannot be assessed, or tumor proven by presence of malignant cells in sputum or
pTX: Cannot be assessed
pT0: No evidence of primary tumor
pTis: Carcinoma in situ
pTis (DCIS): Ductal carcinoma in situ
pTis (LCIS): Lobular carcinoma in situ
pTis (Paget): Paget disease of the nipple NOT associated with invasive carcinoma and
pTis: Carcinoma in situ, intraepithelial (no invasion)
pTis: Carcinoma in situ, invasion of lamina propria
pTis: High-grade dysplasia / carcinoma in situ
pTis: Tubal intraepithelial carcinoma (limited to tubal mucosa)
pTis: Melanoma in situ (i.e., not an invasive tumor: anatomic level I)
Encapsulated
Extracapsular extension without adjacent organ involvement
Extension into adjacent organs
Extension into spinal canal
pTa: Papillary noninvasive carcinoma
pTa: Noninvasive papillary carcinoma
pTis: Intratubular germ cell neoplasia only (carcinoma in situ)
pTis: Flat carcinoma in situ
pTis: Carcinoma in situ: flat tumor
Iris
Ciliary Body and Choroid
pT1: Tumor 5 cm or less in greatest dimension, no extra-adrenal invasion
pT1: Tumor limited to ampulla of Vater or sphincter of Oddi
pT1: Tumor 2 cm or less in greatest dimension
pT1: Tumor invades submucosa
pT1: Tumor confined to the bile duct histologically
pT1: Solitary tumor without vascular invasion
pT1: Tmr confined to bile duct, w/ extension up to muscle layer or fibrous tissue
pT1: Tumor 8 cm or less in greatest dimension
pT1mi: Tumor <= 1 mm in greatest dimension (microinvasion)
pT1a: Tumor > 1 mm but <= 5 mm in greatest dimension
pT1b: Tumor > 5 mm but <= 10 mm in greatest dimension
pT1c: Tumor > 10 mm but <= 20 mm in greatest dimension
pT1a (IA): Tumor limited to endometrium or invades less than one-half of myometrium
pT1b (IB): Tumor invades greater than or equal to one-half of the myometrium
pT1: Tumor invades lamina propria, muscularis mucosae, or submucosa
pT1a: Tumor invades lamina propria or muscularis mucosae
pT1a: Tumor invades lamina propria
pT1 (I): Tumor limited to fallopian tube(s)
pT1a (IA): Tumor limited to 1 tube without penetrating serosal surface; no ascites
pT1b (IB): Tumor limited to both tubes w/o penetrating serosal surface; no ascites
pT1c (IC): Tmr limited to 1 or both tube(s) w/ extension into or through tubal serosa
pT1b: Tumor invades submucosa
pT1b: Tumor invades muscle layer
pT1: Tumor 7 cm or less in greatest dimension, limited to the kidney
pT1a: Tumor 4 cm or less in greatest dimension, limited to the kidney
pT1b: Tumor > 4cm but not more than 7cm in greatest dimension, limited to kidney
pT1a: Tumor 2 cm or less in greatest dimension, surrounded by lung or visceral pleura
pT1b: Tumor greater than 2 cm, but 3 cm or less in greatest dimension, surrounded by
pT1: Tumor <=2cm in greatest dimension (without extraparenchymal extension) (Note I)
pT1a: Tumor limited to ipsilateral parietal pleura with or without mediastinal or
pT1b: Tumor involves ipsilateral parietal pleura with or without mediastinal or
pT1a: Melanoma 1.0 mm or less in thickness, no ulceration, <1 mitoses / mm*mm
pT1b: Melanoma 1.0 mm or less in thickness with ulceration and/or 1+ mitoses/mm*mm
pT1a (IA): Tumor limited to one ovary; capsule intact, no tumor on ovarian surface. N
pT1b (IB): Tumor limited to both ovaries; capsule intact, no tumor on ovarian surface
pT1c (IC): Tumor limited to one or both ovaries with any of the following: capsule
pT1: Tumor limited to the pancreas, 2 cm or less in greatest dimension
pN1: Metastasis in a single ipsilateral lymph node, 3 cm or less in greatest dimen
pT1: Tumor confined to nasopharynx, or tumor extends to oropharynx and / or nasal
pT1: Tmr limited to one subsite of hypopharynx and/or 2 cm or less in greatest dimen
pT1: Tumor invades subepithelial connective tissue (lamina propria)
pT1: Tumor confined to the eye with no optic nerve or choroidal invasion
pT1a: Tumor 5 cm or less in greatest dimension, superficial tumor
pT1b: Tumor 5 cm or less in greatest dimension, deep tumor
pT1: Tumor 2 cm or less in greatest dimension with less than two high risk features
pT1: Tumor limited to the testis and epididymis without vascular / lymphatic invasion
pT1: Tumor size 2 cm or less, limited to thyroid
pT1a: Tumor 1 cm or less in greatest dimension limited to the thyroid
pT1b: Tmr more than 1 cm but not more than 2cm in greatest dimen., limited to thyroid
pT1 (I): Tumor confined to uterus
pT1a (IA): Invasive carcinoma diagnosed by microscopy only. All macroscopically
pT1a1 (IA1): Stromal invasion 3.0mm or less in depth, horizontal spread 7.0mm or less
pT1a2 (IA2): Stromal invasion more than 3.0 mm but not more than 5.0 mm in depth
pT1b (IB): Clinically visible lesion confined to cervix/microscopic lesion > T1a2/IA2
pT1b1 (IB1): Clinically visible lesion 4.0 cm or less in greatest dimension
pT1b2 (IB2): Clinically visible lesion more than 4.0 cm in greatest dimension
pT1 (I): Tumor confined to vaginal wall
pT1a (FIGO IA): Lesions 2 cm or less in size, confined to the vulva or perineum
pT1b (FIGO IB): Lesions more than 2 cm in size or any size with stromal invasion more
pT2: Tumor greater than 5 cm, no extra-adrenal invasion
pT2: Tumor invades duodenal wall
pT2: Tumor more than 2 cm but not more than 5 cm in greatest dimension
pT2: Tumor invades muscularis propria
pT2: Tumor invades beyond the wall of the bile duct
pT2a: Solitary tumor with vascular invasion
pT2b: Multiple tumors, with or without vascular invasion
pT2a: Tumor invades beyond the wall of the bile duct to surrounding adipose tissue
pT2b: Tumor invades adjacent hepatic parenchyma
pT2: Tumor more than 8 cm in greatest dimension
pT2: Tumor > 20 mm but <= 50 mm in greatest dimension
pT2 (II): Tumor invades stromal connective tissue of the cervix, but does not extend
pT2 (II): Tumor involves 1 or both tube(s) with pelvic extension
pT2a (IIA): Extension and / or metastasis to the uterus and / or ovaries
pT2b (IIB): Extension to other pelvic structures
pT2c (IIC): Pelvic extension (T2a,T2b/IIA or IIB) w/ malignant cells in ascites
pT2: Tmr invades perimuscular connective tissue; no extension beyond serosa/in liver
pT2: Solitary tumor with vascular invasion or multiple tumors none more than 5 cm
pT2: Tumor more than 7 cm in greatest dimension, limited to the kidney
pT2a: Tumor more than 7 cm but >= 10 cm in greatest dimension, limited to kidney
pT2b: Tumor more than 10 cm, limited to the kidney
pT2: Tumor more than 2 cm but not more than 4 cm in greatest dimension
pT2a: Tumor greater than 3 cm, but 5 cm or less in greatest dimension surrounded by l
pT2b: Tumor greater than 5 cm, but 7 cm or less in greatest dimension
pT2: Tumor >2cm but <=4cm in greatest dimension (without extraparenchymal extension)
pT2: Tumor involves each of the ipsilateral pleural surfaces (parietal, mediastinal,
pT2a: Melanoma 1.01 to 2.0 mm in thickness, no ulceration
pT2b: Melanoma 1.01 to 2.0 mm in thickness, with ulceration
pT2a (IIA): Extension and / or implants on uterus and / or tube(s). No malignant cell
pT2b (IIB): Extension to other pelvic tissues. No malignant cells in ascites or
pT2c (IIC): Pelvic extension and/or implants (T2a or T2b / IIa or IIb) with malignant
pT2: Tumor limited to the pancreas, more than 2 cm in greatest dimension
pN2: Metastasis in a single ipsilateral lymph node, more than 3 cm but not more than
pT2: Tumor with parapharyngeal extension
pT2: Tumor invades more than one subsite of hypopharynx or an adjacent site, or
pT2: Organ confined
pT2a: Unilateral, involving one-half of 1 side or less
pT2b: Unilateral, involving more than one-half of 1 side but not both sides
pT2c: Bilateral disease
pT2a: Tmr invades optic nerve head no extend past lamina or focal choroidal invasion
pT2b: Tmr invades optic nerve head no extend past lamina and focal choroidal invasion
pT2a: Tumor more than 5 cm in greatest dimension, superficial tumor
pT2b: Tumor more than 5 cm in greatest dimension, deep tumor
pT2: Tumor greater than 2 cm in greatest dimension with or without one additional
pT2: Tumor limited to the testis and epididymis with vascular / lymphatic invasion
pT2: Tumor more than 2 cm, but not more than 4 cm, limited to thyroid
pT2 (II): Tumor extends outside of the uterus but is limited to genital structures
pT2a: Tumor invades superficial muscularis propria (inner half)
pT2b: Tumor invades deep muscularis propria (outer half)
pT2a (IIA): Tumor without parametrial invasion
pT2a1 (IIA1): Clinically visible lesion less than or equal to 4.0cm in greatest dimen
pT2a2 (IIA2): Clinically visible lesion greater than 4.0 cm in greatest dimension
pT2b (IIB): Tumor with parametrial invasion
pT2 (II): Tumor invades paravaginal tissues but not the pelvic wall
pT2 (FIGO II): Tumor of any size with extension to adjacent perineal structures
pT3: Tumor of any size with local invasion, but not invading adjacent organs
pT3: Tumor invades pancreas
pT3: Tumor more than 5 cm in greatest dimension
pT3: Tumor invades through the muscularis propria into the subserosa or mesoappendix
pT3: Tmr invades gallbladder,pancreas,duodenum,other adj. organs w/o involvement of
pT3: Tmr perforates visc. peritoneum/invol local extrahepatic struct. by direct invas
pT3: Tumor invades unilateral branches of the portal vein or hepatic artery
pT3: Discontinuous tumors in primary bone site (not including skip metastases)
pT3: Tumor > 50 mm in greatest dimension
pT3: Tumor invades through the muscularis propria into pericolorectal tissues
pT3a (IIIA): Tumor involves serosa and / or adnexa (direct extension or metastasis)
pT3b (IIIB): Vaginal involvement (direct extension/metastasis) or parametrial involve
pT3: Tumor invades adventitia
pT3/N1 (III): Tmr involves 1 or both tube(s) with peritoneal implants outside pelvis
pT3a (IIIA): Microscopic peritoneal metastasis beyond pelvis
pT3b (IIIB): Macroscopic peritoneal metastasis beyond pelvis <=2cm in greatest dimen
pT3c / NI (IIIC): Peritoneal metastasis beyond pelvis >2cm in greatest dimen
pT3: Tumor perforates serosa (visceral peritoneum) and/or directly invades the liver
pT3a: Multiple tumors more than 5 cm
pT3b: Single/multiple tmrs any size involving major branch of portal/hepatic veins
pT3: Tmr extends into major veins/perinephric tissues, not into ipsilateral adrenal
pT3a: Tumor grossly extends into the renal vein or its segmental (muscle containing)
pT3b: Tumor grossly extends into the vena cava below the diaphragm
pT3c: Tmr grossly extends into vena cava above diaphragm or invades wall of vena cava
pT3: Mucosal disease
pT3: Tumor more than 4 cm in greatest dimension
pT3: Tumor greater than 7 cm in greatest dimension; or Tumor of any size that
pT3: Tumor more than 4 cm and / or tumor (having extraparenchymal extension) (Note I)
pT3: Locally advanced but potentially resectable tumor that involves all of the
pT3a: Melanoma 2.01 to 4.0 mm in thickness, no ulceration
pT3b: Melanoma 2.01 to 4.0 mm in thickness, with ulceration
pT3a (IIIA): Microscopic peritoneal metastasis beyond pelvis (no macroscopic tumor)
pT3b (IIIB): Macroscopic peritoneal metastasis beyond pelvis <=2 cm in greatest dimen
pT3c and / or N1 (IIIC): Peritoneal metastasis beyond pelvis >2 cm in greatest dimen
pT3: Tumor extends beyond the pancreas but without involvement of the celiac axis or
pT3: Tmr >4 cm in greatest dimension/extension to lingual surface of epiglottis
pT3: Tumor invades bony structures of skull base and / or paranasal sinuses
pT3: Tumor measures more than 4 cm in greatest dimension or with fixation of hemilary
pT3a: Extraprostatic extension or microscopic invasion of bladder neck
pT3b: Seminal vesicle invasion
pT3: Tumor invades beyond muscularis into peripelvic fat or the renal parenchyma
pT3a: Tumor invades optic nerve past lamina cribrosa OR focal choroidal invasion
pT3b: Tumor invades optic nerve past lamina cribrosa AND focal choroidal invasion
pT3: Tumor invades through the muscularis propria into the subserosa or into the
pT3: Tumor with invasion of maxilla, mandible, orbit, or temporal bone
pT3: Tumor invades subserosal connective tissue, without involvement of
pT3: Tumor invades spermatic cord with or without vascular / lymphatic invasion
pT3: Tumor >4 cm limited to thyroid or any tumor with minimal extrathyroid extension
pT3: Tumor invades beyond muscularis propria into periureteric fat
pT3a: Microscopically
pT3b: Macroscopically (extravesicular mass)
pT3a (IIIA): Tumor involves lower third of vagina, but not pelvic wall
pT3b (IIIB): Tmr extend to pelvic wall and/or causes hydronephrosis/non-funct. kidney
pT3 (III): Tumor extends to pelvic wall
pT3 (FIGO IVA): Tumor of any size with extension to any of the following
pT4: Tumor of any size with invasion of adjacent organs
pT4: Tumor invades peripancreatic soft tissues or other adjacent organs or structures
pT4: Tmr of any size w/ invasion of adjacent organ(s) e.g. vagina, urethra, bladder
pT4: Tumor penetrates visceral peritoneum, including mucinous peritoneal tumor within
pT4: Tumor involves the celiac axis or the superior mesenteric artery
pT4: Tumor with periductal invasion
pT4: Tumor invades main portal vein or its branches bilaterally; or the common hepati
pT4 (IVA): Tumor invades bladder mucosa and/or bowel mucosa
pT4: Tumor invades adjacent structures
pT4: Tumor invades main portal vein or hepatic artery or invades 2+ extrahepatic
pT4: Tmr w/ direct invasion of adj. organs other than gallbladder
pT4: Tmr invades beyond Gerota’s fascia
pT4: Tumor of any size that invades any of the following: mediastinum, heart, great
pT4: Locally advanced technically unresectable tumor involving all of the ipsilateral
pT4: Tumor with intracranial extension and / or involvement of cranial nerves,
pT4: Invasion of rectum, levator muscles, and / or pelvic wall (Note J)
pT4: Tumor invades adjacent organs, or through the kidney into the perinephric fat
pT4a: Tmr invades optic nerve to resection line, no extra-ocular extension identified
pT4b: Tumor invades optic nerve to resection line, extra-ocular extension identified
pT4: Tumor with direct or perineural invasion of skull base or axial skeleton
pT4: Tmr involves visc. peritoneum (serosal surf.) or directly invades adj. structure
pT4: Tumor invades scrotum with or without vascular / lymphatic invasion
pT4: Tumor invades adjacent organs
pT4 (IVA): Tmr invades the mucosa of bladder/rectum and/or extends beyond true pelvis
pT4 (IVA): Tmr invades mucosa of bladder or rectum and/or extends beyond true pelvis
pT4a: Tumor penetrates visceral peritoneum, including mucinous peritoneal tumor withi
pT4a: Tumor penetrates the visceral peritoneum
pT4a: Extension to chest wall, not including only pectoralis muscle adherence / invas
pT4b: Ulceration/ipsilateral satellite nodules/edema of skin which dont meet criteria
pT4c: Both T4a and T4b
pT4d: Inflammatory carcinoma
pT4b: Tumor directly invades other organs or structures
pT4b: Tumor directly invades or is adherent to other organs or structures
pT4a: Resectable tumor invading pleura, pericardium, or diaphragm
pT4b: Unresectable tmr invading other adj. structures, such as aorta, vertebral body
Any T / Any N and M1 (IV): Distant metastasis including presence of malignant cells
Primary Tumor (pT): Supraglottis
Primary Tumor (pT): Glottis
Primary Tumor (pT): Subglottis
pT4a: Moderately advanced disease. Tumor involving deep soft tissue, cartilage, bone,
pT4b: Very advanced disease. Tumor involving brain, dura, skull base,
pT4a: Moderately advanced local disease.
pT4b: Very advanced local disease.
pT4a: Moderately advanced local disease. Tumor invades skin, mandible, ear canal,
pT4b: Very advanced local disease. Tumor invades skull base and / or pterygoid plates
pT4a: Melanoma greater than 4.0 mm in thickness, no ulceration
pT4b: Melanoma greater than 4.0 mm in thickness, with ulceration
Primary Tumor (pT): Maxillary Sinus
Primary Tumor (pT): Nasal Cavity and Ethmoid Sinus
pT4a: Moderately advanced local disease. Tumor invades larynx, deep / extrinsic
pT4b: Very advanced local disease. Tumor invades lateral pterygoid muscle, pterygoid
pT4a: Moderately advanced local disease. Tumor invades thyroid / cricoid cartilage,
pT4b: Very advanced local disease. Tumor invades prevertebral fascia, encases
pT4a: Tumor involves visceral peritoneum (serosal surface)
pT4b: Tumor directly invades adjacent structures
pT4a: Moderately advanced disease. Tumor of any size extending beyond the thyroid
pT4b: Very advanced disease. Tumor invades prevertebral fascia or encases carotid
pT4a: Intrathyroidal anaplastic carcinoma-surgically resectable
pT4b: Extrathyroidal anaplastic carcinoma-surgically unresectable
pT4a: Tumor invades prostatic stroma or uterus or vagina
pT4b: Tumor invades pelvic wall or abdominal wall
Not identified
6 ADDL_PATH_FIND_SPFY VARCHAR No
CAP synoptic form item: Specify additional pathologic findings.
7 OTHER_TM_CONFIG_S VARCHAR No
CAP synoptic form item: Specify other tumor configuration.
8 ADQCY_DETER_T_CAT_C_NAME VARCHAR No
CAP synoptic form item: Adequacy of Material for Determining T Category.
May contain organization-specific values: Yes
Category Entries:
Muscularis propria not identified
Muscularis propria present
Indeterminate
9 HG_URTL_CCNM_C_NAME VARCHAR No
CAP synoptic form item: Histologic Grade Urothelial Carcinoma.
May contain organization-specific values: Yes
Category Entries:
Low-grade
High-grade
Not applicable
Cannot be determined
Other
10 HG_URTL_CCNM_S VARCHAR No
CAP synoptic form item: Specify the details of Histologic Grade Urothelial carcinoma.
11 HG_ADEN_SQUA_CC_C_NAME VARCHAR No
CAP synoptic form item: Histologic Grade Adenocarcinoma and Squamous Cell Carcinoma.
May contain organization-specific values: Yes
Category Entries:
Not applicable
Cannot be determined
GX: Cannot be assessed
G1: Well differentiated
G2: Moderately differentiated
G3: Poorly differentiated
Other
12 ADEN_SQUA_CCS VARCHAR No
CAP synoptic form item: Specify Histologic Grade Adenocarcinoma and Squamous Cell Carcinoma.
13 UROT_CCM_W_VAR_HIST VARCHAR No
CAP synoptic form item: Specify the details of Urothelial carcinoma with variant histology.
14 SQM_C_CCNM_VAR_HIST VARCHAR No
CAP synoptic form item: Specify the details of Squamous cell carcinoma, variant histology.
15 ADNCCNM_VAR_HIST VARCHAR No
CAP synoptic form item: Specify the details of Adenocarcinoma, variant histology.
16 UNDIFF_CCNM VARCHAR No
CAP synoptic form item: Specify the details of undifferentiated carcinoma.
17 HIST_TP_MIX_CT VARCHAR No
CAP synoptic form item: Specify the details of mixed cell type.
18 HIST_GRADE_CBD_YN VARCHAR No
CAP synoptic form item: Histologic Grade Cannot Be Determined.
May contain organization-specific values: No
Category Entries:
No
Yes