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. 2023 Jun 30;35(3):197–232. doi: 10.21147/j.issn.1000-9604.2023.03.01

Table 8. Structural report of surgical resection specimens of colorectum.

Name         Sex        Age       Pathology number
Medical record number           Inspection site
American Joint Committee on Cancer (AJCC)/International Union Against Cancer (UICC) Colorectal Cancer TNM Staging System (8th Edition, 2017)
Primary tumor (T)
 Tx Primary tumor cannot be evaluated
 T0 No evidence of primary tumor
 Tis Carcinoma in situ: intramucosal carcinoma (invades lamina propria, but without penetrating the muscularis mucosae)
 T1 Tumor invades submucosa
 T2 Tumor invades muscularis propria
 T3 Tumor invades through muscularis propria into pericolorectal tissues
 T4 Tumor invades the visceral peritoneum or invades/adheres to adjacent organs or structures
  T4a Tumor penetrates the visceral peritoneum (including tumor perforation of the gross intestine and continuous infiltration of
  the tumor through the inflammatory region)
  T4b Tumor directly invades or adheres to adjacent organs or structures
Regional lymph nodes (N)
 Nx Regional lymph node invaluable
 N0 No regional lymph node metastasis
 N1 Metastasis in 1−3 regional lymph nodes (intra-node tumors ≥0.2 mm) or any number of tumor deposits and no metastasis of
 all identifiable lymph nodes
  N1a Metastasis in 1 regional lymph node
  N1b Metastasis in 2−3 regional lymph node
  N1c There is no regional lymph node metastasis, but there are tumor deposits in the following areas: Subserous, mesenteric
  or pericolic/rectal mesenteric tissue without peritoneum coverage
 N2 Metastasis in 4 or more regional lymph nodes
  N2a Metastasis in 4−6 regional lymph nodes
  N2b Metastasis in 7 or more regional lymph nodes
Metastasis (M)
 M0 No distant metastasis
 M1 Metastasis confined to one or more distant sites or organs, or peritoneal metastasis confirmed
  M1a Metastasis in one site or organ without peritoneal metastasis
  M1b Metastasis in two or more sites or organs without peritoneal metastasis
  M1c Metastasis only in the peritoneal surface or along with other sites or organs
Specimen size Length: _____ cm Circumference: _____ cm
Tumor location To the proximal end _____ cm, to the distal end _____ cm
General type □ Bulge type
□ Ulcer type
□ Invasive type
Tumor size Maximum diameter: _____ cm
Other two diameters: _____ cm × _____ cm
Perforation of tumor □ Visible
□ Invisible
□ Uncertain
Histological classification □ Adenocarcinoma, non-special type
□ Serrated adenocarcinoma
□ Adenoma-like adenocarcinoma
□ Micropapillary carcinoma
□ Mucinous adenocarcinoma
□ Poorly cohesive carcinoma
□ Signet ring cell carcinoma
□ Medullary carcinoma
□ Adenosquamous carcinoma
□ Undifferentiated carcinoma, non-special type
□ Carcinoma with sarcomatoid component
Histological grade □ Uncertain
□ Low level (well/moderately differentiated)
□ High level (poorly differentiated, undifferentiated)
Tumor invasion (deepest point) □ Cannot be assessed
□ No evidence of primary tumor
□ No membrane propria infiltration
□ Intramucosal carcinoma, invasion of the membrane propria/muscularis mucosae
□ Tumor invades submucosal layer
□ Tumor invades the muscularis propria
□ Tumor penetrates the muscularis propria to subserosal adipose tissue or pericolic/perirectal soft tissue
□ Tumor penetrates the visceral peritoneum (serous membrane) (including tumor perforation of the gross intestine and continuous infiltration of the tumor through the inflammatory region)
□ Adhesion of tumor to other organs or structures:
□ Tumors directly invade nearby structures:
Proximal resection margin □ Cannot be assessed
□ No intradermal tumor and dysplasia
□ Adenoma (low-grade intraepithelial neoplasia/dysplasia)
□ High-grade intraepithelial neoplasia/dysplasia or intramucosal carcinoma
□ Invasive cancer involvement
Distal resection margin □ Cannot be assessed
□ No intradermal tumor and dysplasia
□ Adenoma (low-grade intraepithelial neoplasia/dysplasia)
□ High-grade intraepithelial neoplasia/dysplasia or intramucosal carcinoma
□ Invasive cancer involvement
Circumferential (radial) or mesangial margin □ Inapplicable
□ Cannot be assessed
□ Non-invasive cancer
□ Invasive carcinoma (distance between tumor and resection margin less than 1 mm)
Therapeutic effects (for cancer after neoadjuvant treatment) □ No pre-treatment
□ Therapeutic effect
□ No residual tumor (grade 0, complete response)
□ Moderate response (grade 1, minor residual tumor)
□ Minimal response (grade 2)
□ No certain response (grade 3, poor response)
□ Uncertain
Tumor budding □ Low (visual field of 0−4/20 times)
□ Medium (visual field of 5−9/20 times)
□ High (visual field of 10 or more/20 times)
□ Cannot be assessed
Vascular invasion □ Invisible
□ Microvascular invasion
□ Lymphatic invasion
□ Venous invasion
□ Uncertain
Nerve invasion □ Invisible
□ Visible
□ Uncertain
Lymph node □ No lymph nodes submitted or no lymph nodes found
□ No. of lymph nodes examined _____
□ No. of lymph nodes involved _____
Extranodal tumor deposits □ Invisible
□ Visible (Number: _____)
□ Uncertain
Immunohistochemistry of mismatch repair protein MLH1 ( ) PMS2 ( )
MSH2 ( ) MSH6 ( )
Pathological stage □ m (multiple primary tumors)
□ r (relapse)
□ y (after neoadjuvant treatment)
T ___ N ___ M ___