Mucosal Melanoma Of The Head And Neck Staging Form - 2010 Page 2
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1
2M
M
H
N
S
F
U C O S A L
E L A N O M A O F T H E
E A D A N D
E C K
T A G I N G
O R M
Histologic Grade (G)
General Notes (continued):
(also known as overall grade)
y prefix indicates those cases in
Grading system
Grade
which classification is performed
2 grade system
Grade I or 1
during or following initial
multimodality therapy. The cTNM
3 grade system
Grade II or 2
or pTNM category is identified by a
4 grade system
Grade III or 3
"y" prefix. The ycTNM or ypTNM
categorizes the extent of tumor
No 2, 3, or 4 grade system is available
Grade IV or 4
actually present at the time of that
examination. The "y"
A
D
categorization is not an estimate of
DDITIONAL
ESCRIPTORS
tumor prior to multimodality
Lymphatic Vessel Invasion (L) and Venous Invasion (V) have been combined into Lymph-Vascular
therapy.
Invasion (LVI) for collection by cancer registrars. The College of American Pathologists’ (CAP) Checklist
should be used as the primary source. Other sources may be used in the absence of a Checklist. Priority is
r prefix indicates a recurrent tumor
given to positive results.
when staged after a disease-free
interval, and is identified by the "r"
Lymph-Vascular Invasion Not Present (absent)/Not Identified
prefix: rTNM.
Lymph-Vascular Invasion Present/Identified
a prefix designates the stage
Not Applicable
determined at autopsy: aTNM.
Unknown/Indeterminate
surgical margins is data field
Residual Tumor (R)
recorded by registrars describing
The absence or presence of residual tumor after treatment. In some cases treated with surgery and/or with
the surgical margins of the
neoadjuvant therapy there will be residual tumor at the primary site after treatment because of incomplete
resected primary site specimen as
resection or local and regional disease that extends beyond the limit of ability of resection.
determined only by the pathology
report.
RX Presence of residual tumor cannot be assessed
neoadjuvant treatment is
R0 No residual tumor
radiation therapy or systemic
R1 Microscopic residual tumor
therapy (consisting of
R2 Macroscopic residual tumor
chemotherapy, hormone therapy,
or immunotherapy) administered
prior to a definitive surgical
procedure. If the surgical
procedure is not performed, the
administered therapy no longer
meets the definition of neoadjuvant
therapy.
Clinical stage was used in treatment planning (describe):
National guidelines were used in treatment planning
NCCN
Other (describe):
Physician signature
Date/Time
H
N
/A
P
N
/ I
OSPITAL
AME
DDRESS
ATIENT
AME
NFORMATION
(continued from previous page)
9-2
American Joint Committee on Cancer • 2010
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