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Procedure

Tumor Site

Tumor Size (cm)

Histologic Type

Histologic Grade

Tumor Extension

Proximal Margin

Distal Margin

Radial Margin

Other Margin

Lymphovascular Invasion

Perineural Invasion

Regional Lymph Nodes

Pathologic Staging (pTNM)
TNM Descriptors (select all that apply)
pT
pN
pM

+ Additional Pathologic Findings