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Procedure
Wedge resection
Segmentectomy
Lobectomy
Completion lobectomy
Sleeve lobectomy
Bilobectomy
Pneumonectomy
Major airway resection
Other
Not specified
Specimen Laterality
Right
Left
Not specified
Tumor Site (select all that apply)
Upper lobe
Middle lobe
Lower lobe
Bronchus, main
Bronchus intermedius
Bronchus, lobar
Other
Not specified
Synchronous tumors?
Absent
Present
Histologic Type
Adenocarcinoma in situ (AIS), nonmucinous
Adenocarcinoma in situ (AIS), mucinous
Minimally invasive adenocarcinoma, nonmucinous
Minimally invasive adenocarcinoma, mucinous
Invasive adenocarcinoma, lepidic predominant
Invasive adenocarcinoma, acinar predominant
Invasive adenocarcinoma, papillary predominant
Invasive adenocarcinoma, micropapillary predominant
Invasive adenocarcinoma, solid predominant
Mixed invasive mucinous and nonmucinous adenocarcinoma
Colloid adenocarcinoma
Fetal adenocarcinoma
Enteric adenocarcinoma
Squamous cell carcinoma in situ (SCIS)
Invasive squamous cell carcinoma, keratinizing
Invasive squamous cell carcinoma, non-keratinizing
Invasive squamous cell carcinoma, basaloid
Small cell carcinoma
Combined small cell carcinoma
Large cell neuroendocrine carcinoma
Combined large cell neuroendocrine carcinoma
Typical carcinoid tumor
Atypical carcinoid tumor
Large cell carcinoma
Adenosquamous carcinoma
Pleomorphic carcinoma
Spindle cell carcinoma
Giant cell carcinoma
Carcinosarcoma
Pulmonary blastoma
Lymphoepithelioma-like carcinoma
NUT carcinoma
Mucoepidermoid carcinoma
Adenoid cystic carcinoma
Epithelial-myoepithelial carcinoma
Carcinoma, type cannot be determined
Non-small cell carcinoma, subtype cannot be determined
Other histologic type
Tumor Size (cm)
Total Tumor Size Inclusive of Invasive and Lepidic Components (cm)
Invasive Tumor Size (cm)
Tumor Focality
Single tumor
Separate tumor nodules of same histopathologic type (intrapulmonary metastases) in same lobe
Separate tumor nodules of same histopathologic type (intrapulmonary metastases) in different lobes
Synchronous primary tumors in same lobe
Synchronous primary tumors in different lobes
Multifocal lung adenocarcinoma with lepidic features
Diffuse pneumonic-type adenocarcinoma
Cannot be determined
+ Histologic Grade
G1: Well differentiated
G2: Moderately differentiated
G3: Poorly differentiated
G4: Undifferentiated
Other
GX: Cannot be assessed
Not applicable
+ Spread Through Air Spaces
Not identified
Present
Visceral Pleura Invasion
Not identified
Present
Cannot be determined
Lymphovascular Invasion
Not identified
Present, Lymphatic
Present, Arterial
Present, Venous
Cannot be determined
Direct Invasion of Adjacent Structures
No adjacent structures present
Adjacent structures present but not involved
Main bronchus
Hilar soft tissues
Carina
Parietal pleura
Chest wall
Phrenic nerve
Parietal pericardium
Diaphragm
Mediastinum
Heart
Great vessels
Trachea
Recurrent laryngeal nerve
Esophagus
Vertebral body
Other
Cannot be assessed
Margins
All margins uninvolved by carcinoma
One or more margins involved by carcinoma
Bronchial Margin
Not applicable
Cannot be assessed
Uninvolved by invasive carcinoma
Uninvolved by carcinoma in situ
Involved by invasive carcinoma
Involved by carcinoma in situ
Vascular Margin
Not applicable
Cannot be assessed
Uninvolved by carcinoma
Involved by carcinoma
Parenchymal Margin
Not applicable
Cannot be assessed
Uninvolved by invasive carcinoma
Uninvolved by lepidic component of invasive adenocarcinoma
Uninvolved by adenocarcinoma in situ
Involved by invasive carcinoma
Involved by lepidic component of invasive adenocarcinoma
Involved by adenocarcinoma in situ
Other Attached Tissue Margin
Cannot be assessed
Uninvolved by invasive carcinoma
Involved by invasive carcinoma
Not applicable
Treatment Effect
No known presurgical therapy
Greater than 10% residual viable tumor
Less than or equal to 10% residual viable tumor
Cannot be determined
Regional Lymph Nodes
Pathologic Staging (pTNM)
TNM Descriptors (select all that apply)
Not applicable
m
r
y
pT
pT definitions
pTX: Primary tumor cannot be assessed, or tumor proven by presence of malignant cells in sputum or bronchial washings but not visualized by imaging or bronchoscopy
pT0: No evidence of primary tumor
pTis (SCIS): Squamous cell carcinoma in situ (SCIS)
pTis (AIS): Adenocarcinoma in situ (AIS): adenocarcinoma with pure lepidic pattern, ≤3 cm in greatest dimension
pT1mi: Minimally invasive adenocarcinoma: adenocarcinoma (≤3 cm in greatest dimension) with a predominantly lepidic pattern and ≤5 mm invasion in greatest dimension (See note C)
pT1a: Tumor ≤1 cm or less in greatest dimension
pT1b: Tumor >1 cm, but ≤2 cm in greatest dimension
pT1c: Tumor >2 cm but ≤3 cm in greatest dimension
pT2: Tumor involves main bronchus branch (but not carina) OR associated with lobar obstructive changes to the hilum
pT2a: Tumor >3 cm, but ≤4 cm in greatest dimension
pT2b: Tumor >4 cm, but ≤5 cm in greatest dimension
pT3: Tumor >5 cm but ≤7 cm in greatest dimension; or with direct invasion
pT4: Tumor >7 cm in greatest dimension; or tumor of any with direct invasion
pN
pNX: Regional lymph nodes cannot be assessed
pN0: No regional lymph node metastasis
pN1: Metastasis in ipsilateral peribronchial and/or ipsilateral hilar lymph nodes, and intrapulmonary nodes, including involvement by direct extension
pN2: Metastasis in ipsilateral mediastinal and/or subcarinal lymph node(s)
pN3: Metastasis in contralateral mediastinal, contralateral hilar, ipsilateral or contralateral scalene, or supraclavicular lymph node(s)
pM
pMx: Not applicable
pM1a: Separate tumor nodule(s) in contralateral lobe; tumor with pleural or pericardial nodules or malignant pleural (or pericardial) effusion#
pM1b: Single extrathoracic metastasis in a single organ (including involvement of a single nonregional lymph node)
pM1c: Multiple extrathoracic metastases in single organ or in multiple organs
+ Additional Pathologic Findings (select all that apply)
None identified
Atypical adenomatous hyperplasia
Squamous dysplasia
Metaplasia, specify
Diffuse neuroendocrine hyperplasia
Chronic inflammation
Acute inflammation
Acute and chronic inflammation
Emphysema
Other
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