---

Procedure

Excision Glossectomy, specify Buccal mucosal resection, specify Mandibulectomy, specify Maxillectomy, specify Palatectomy Neck (lymph node) dissection, specify Other, specify Not specified

---

Tumor Site

External upper lip (exclude vermilion border) External lower lip (exclude vermilion border) Mucosa of upper lip Mucosa of lower lip Commissure of lip Lateral border of tongue Ventral surface of tongue Dorsal surface of tongue Anterior two-thirds of tongue Upper gingiva Lower gingiva Anterior floor of mouth Floor of mouth Hard palate Buccal mucosa Vestibule of mouth, maxillary Vestibule of mouth, mandibular Alveolar process, maxillary Alveolar process, mandibular Retromolar area Other Not specified

---

Tumor Laterality (select all that apply)

Right Left Midline Not specified

---

Tumor Focality

Unifocal Multifocal Cannot be determined

---

Tumor Size/ Thickness (cm)

---

Tumor Depth of Invasion (mm) A word about measuring depth of invasion

×

A word about measuring depth of invasion

The microscopic measurement of tumor thickness or depth of invasion (DOI) has long been considered a valuable parameter for predicting regional nodal involvement and survival in oral cavity squamous cell carcinoma.

Thickness is usually measured from the mucosal surface of the tumor to the deepest point of tissue invasion in a perpendicular fashion with an optical micrometer or transparent ruler overlaid on the slide, while DOI is measured from the basement membrane of adjacent normal to the deepest point of invasion of the tumor.

---

Histologic Type

Squamous cell carcinoma, conventional Acantholytic squamous cell carcinoma Adenosquamous carcinoma Basaloid squamous cell carcinoma Carcinoma cuniculatum Papillary squamous cell carcinoma Spindle cell squamous cell carcinoma Verrucous squamous cell carcinoma Lymphoepithelial carcinoma Mucoepidermoid carcinoma, low grade Mucoepidermoid carcinoma, intermediate grade Mucoepidermoid carcinoma, high grade Adenoid cystic carcinoma, tubular pattern Adenoid cystic carcinoma, cribriform pattern Adenoid cystic carcinoma, solid pattern Acinic cell carcinoma Polymorphous adenocarcinoma, classic, low grade Polymorphous adenocarcinoma, classic, intermediate grade Polymorphous adenocarcinoma, classic, high grade Polymorphous adenocarcinoma, cribriform, low grade Polymorphous adenocarcinoma, cribriform, intermediate grade Polymorphous adenocarcinoma, cribriform, high grade (Mammary analogue) Secretory carcinoma Salivary duct carcinoma Epithelial-myoepithelial carcinoma (Hyalinizing) clear cell carcinoma Adenocarcinoma, not otherwise specified, low grade Adenocarcinoma, not otherwise specified, intermediate grade Adenocarcinoma, not otherwise specified, high grade Basal cell adenocarcinoma Carcinosarcoma (true malignant mixed tumor) Intraductal carcinoma, low grade Intraductal carcinoma, high grade Myoepithelial carcinoma Oncocytic carcinoma Carcinoma ex pleomorphic adenoma, minimally invasive Carcinoma ex pleomorphic adenoma, invasive Carcinoma ex pleomorphic adenoma, intracapsular (noninvasive) Well differentiated neuroendocrine carcinoma (typical carcinoid tumor) Moderately differentiated neuroendocrine carcinoma (atypical carcinoid tumor) Poorly differentiated neuroendocrine carcinoma, small cell type Poorly differentiated neuroendocrine carcinoma, large cell type Combined neuroendocrine carcinoma Mucosal melanoma Carcinoma, type cannot be determined Other histologic type

---

+ Tumor Extension

Specify any other structures involved

---

Margins - Invasive tumor

Cannot be assessed Uninvolved by invasive tumor Involved by invasive tumor

---

Margins - In-situ tumor

Cannot be assessed No in-situ disease/high-grade dysplasia present Uninvolved by high-grade dysplasia/in situ disease Involved by high-grade dysplasia/in situ disease

---

Separately Submitted Tumor Bed Margin Orientation A word about speartae tumor bed margins

×

A word about speartae tumor bed margins

Oriented to true margin surface Unoriented to true margin surface Not applicable

---

Lymphovascular Invasion

Not identified Present Cannot be determined

---

Perineural Invasion

Not identified Present Cannot be determined

---

Regional Lymph Nodes

Check here if any lymph nodes submitted?

---

Pathologic Staging (pTNM)

TNM Descriptors (select all that apply)

Not applicable m r y

pT

pN A word about nodes

pM

pMx: Not applicable pM1: Distant metastasis

---

+ Additional Pathologic Findings (select all that apply)

None identified Keratinizing dysplasia, mild Keratinizing dysplasia, moderate Keratinizing dysplasia, severe (carcinoma in situ) Nonkeratinizing dysplasia, mild Nonkeratinizing dysplasia, moderate Nonkeratinizing dysplasia, severe (carcinoma in situ) Inflammation, type Epithelial hyperplasia Colonization, fungal Colonization, bacterial Other