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Procedure (select all that apply)

Specimen Integrity
Integrity of Right Ovary
Integrity of Left Ovary
Integrity of Right Fallopian Tube
Integrity of Left Fallopian Tube

Tumor Site

Ovarian Surface Involvement (required only if applicable)

Fallopian Tube Surface Involvement (required only if applicable)

Tumor Size (cm)

Histologic Type (select all that apply)

Histologic Grade
Required for serous, endometrioid, mucinous, and seromucinous carcinomas, immature teratomas, and Sertoli-Leydig cell tumors only Note: Serous carcinomas are graded via a 2-tier system. Immature teratomas can be graded using a 2-tier or 3-tier system. Endometrioid and mucinous carcinomas are graded via a 3-tier system. Sertoli-Leydig cell tumors are graded via a modified 3-tier grading system with grade 2 tumors being termed “intermediate differentiated.” Clear cell carcinomas, borderline epithelial neoplasms, all other malignant sex-cord stromal and germ cell tumors are not graded.
WHO Grading System
Two-Tier Grading System (required for immature teratomas and serous carcinomas only)

Implants

Other Tissue/ Organ Involvement

Largest Extrapelvic Peritoneal Focus (required only if applicable)

Peritoneal/Ascitic Fluid

Treatment Effect
CRS: Chemotherapy response score
Pathologic Staging (pTNM)
TNM Descriptors (select all that apply)
pT
pN
pM

+ FIGO Stage (2015)