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Tumor Site

Tumor Size (cm)

Tumor Focality

Histologic Type and Grade

Mitotic Rate

Ki-67 Labeling Index

+ Tumor Necrosis

Tumor Extension (select all that apply)

Specify margins examined

Lymphovascular Invasion

Perineural Invasion

Regional Lymph Nodes

Pathologic Staging (pTNM)
TNM Descriptors (select all that apply)

+ Additional Pathologic Findings

+ Clinical History