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Procedure

Partial nephrectomy Radical nephrectomy Total nephrectomy Other Not specified

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Specimen Laterality

Right Left Not specified

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+ Tumor Site

Upper pole Middle Lower pole Other Not specified

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Tumor Size (cm)

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Tumor Focality

Unifocal Multifocal

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Histologic Type

Clear cell renal cell carcinoma Multilocular clear cell renal cell neoplasm of low malignant potential Papillary renal cell carcinoma, Type 1 Papillary renal cell carcinoma, Type 2 Chromophobe renal cell carcinoma Collecting duct carcinoma Renal medullary carcinoma MiT family translocation renal cell carcinoma Xp11 translocation renal cell carcinoma t(6;11) renal cell carcinoma Mucinous tubular and spindle renal cell carcinoma Tubulocystic renal cell carcinoma Acquired cystic disease associated renal cell carcinoma Clear cell papillary renal cell carcinoma Hereditary leiomyomatosis and renal cell carcinoma-associated renal cell carcinoma Succinate dehydrogenase (SDH) deficient renal cell carcinoma Renal cell carcinoma, unclassified Other histologic type

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Histologic Grade (WHO / ISUP Grade)

G1: Nucleoli absent or inconspicuous and basophilic at 400x magnification G2: Nucleoli conspicuous and eosinophilic at 400x magnification, visible but not prominent at 100x magnification G3: Nucleoli conspicuous and eosinophilic at 100x magnification G4: Extreme nuclear pleomorphism and/or multi-nuclear giant cells and/or rhabdoid and/or sarcomatoid differentiation GX: Cannot be assessed Not applicable

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Tumor Extent

No evidence of primary tumor Tumor limited to kidney Tumor extension into perinephric tissue (beyond renal capsule) Tumor extension into renal sinus Tumor extension beyond Gerota’s fascia Tumor extension into major vein (renal vein or its segmental branches, inferior vena cava) Tumor extension into pelvicalyceal system Tumor directly invades adrenal gland Tumor involves adrenal gland non-contiguously Tumor extension into other organ(s)/structures Cannot be assessed

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Sarcomatoid Features

Not identified Present

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Rhabdoid Features

Not identified Present

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Tumor Necrosis

Not identified Present

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+ Lymphovascular Invasion

Not reported Not identified Present Cannot be determined

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Margins

Cannot be assessed Uninvolved by invasive carcinoma Involved by invasive carcinoma

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Regional Lymph Nodes

Check here if any lymph nodes submitted?

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Distant Site(s) Involved, if applicable

Not applicable Present Cannot be determined

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Pathologic Staging (pTNM)

TNM Descriptors (select all that apply)

Not applicable m r y

pT

pTX: Primary tumor cannot be assessed pT0: No evidence of primary tumor pT1a: Tumor ≤4 cm in greatest dimension, limited to the kidney pT1b: Tumor >4 cm but ≤7 cm in greatest dimension limited to the kidney pT2a: Tumor >7 cm but ≤10 cm in greatest dimension, limited to the kidney pT2b: Tumor >10 cm, limited to the kidney pT3a: Tumor extends into the renal vein or its segmental branches pT3a: Tumor invades the pelvicalyceal system pT3a: Tumor invades perirenal and/or renal sinus fat but not beyond Gerota’s fascia pT3b: Tumor extends into the vena cava below the diaphragm pT3c: Tumor extends into vena cava above the diaphragm or invades the wall of the vena cava pT4: Tumor invades beyond Gerota’s fascia

pN

pNX: Regional lymph nodes not submitted or cannot be assessed pN0: No regional lymph node metastasis pN1: Metastasis in regional lymph node(s)

pM

pMx: Not applicable pM1: Distant metastasis

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Pathologic Findings in Nonneoplastic Kidney (select all that apply)

Insufficient tissue None identified Glomerular disease Tubulointerstitial disease Vascular disease Other