Procedure
Total hysterectomy and bilateral salpingo-oophorectomy
Radical hysterectomy
Simple hysterectomy
Supracervical hysterectomy
Bilateral salpingo-oophorectomy
Right salpingo-oophorectomy
Left salpingo-oophorectomy
Salpingo-oophorectomy, side not specified
Right oophorectomy
Left oophorectomy
Oophorectomy, side not specified
Bilateral salpingectomy
Right salpingectomy
Left salpingectomy
Salpingectomy, side not specified
Omentectomy
Peritoneal biopsies
Peritoneal washing
Other
Specimen Integrity
Intact
Opened
Morcellated
Other
Tumor Size (cm)
Histologic Type (select all that apply)
Explanatory notes on tumor types
Leiomyosarcoma
Leiomyosarcoma, epithelioid type
Leiomyosarcoma, myxoid type
Endometrial stromal sarcoma, low grade
Endometrial stromal sarcoma with smooth muscle differentiation, low grade
Endometrial stromal sarcoma with sex cord elements, low grade
Endometrial stromal sarcoma with glandular elements, low grade
Endometrial stromal sarcoma, high grade
Undifferentiated uterine/endometrial sarcoma
Adenosarcoma
Adenosarcoma with rhabdomyoblastic differentiation
Adenosarcoma with cartilaginous differentiation
Adenosarcoma with osseous differentiation
Adenosarcoma with other heterologous element
Adenosarcoma with sarcomatous overgrowth
Rhabdomyosarcoma
Malignant perivascular epithelioid cell tumor
Other histologic type not listed
Histologic Grade (required only for adenosarcoma)
Not applicable
Low grade
High grade
With sarcomatous overgrowth
Cannot be assessed
Myometrial Invasion (required only for adenosarcoma)
Not applicable
Not identified
Present
Cannot be determined
Other Tissue/ Organ Involvement
Not applicable
Not identified
Right ovary
Left ovary
Ovary (side not specified)
Right fallopian tube
Left fallopian tube
Fallopian tube (side not specified)
Vagina
Right parametrium
Left parametrium
Parametrium (side not specified)
Pelvic wall
Omentum
Other organs/tissue
Margins
Cannot be assessed
Uninvolved by sarcoma
Involved by sarcoma
Lymphovascular Invasion
Not identified
Present
Cannot be determined
+ Peritoneal/Ascitic Fluid
Not submitted/ unknown
Negative for malignancy (normal/benign)
Atypical and/or suspicious
Malignant (positive for malignancy)
Unsatisfactory/nondiagnostic
Results pending
+ Ancillary Studies
Regional Lymph Nodes
Pathologic Staging (pTNM)
TNM Descriptors (select all that apply)
Not applicable
r
y
pT
pTX: Primary tumor cannot be assessed
pT0: No evidence of primary tumor
pT1a: Tumor 5 cm or less in greatest dimension
pT1b: Tumor more than 5 cm
pT2a: Tumor involves adnexa
pT2b: Tumor involves other pelvic tissues
pT3a: Tumor infiltrates abdominal tissues in one site
pT3b: Tumor infiltrates abdominal tissues in more than one site
pT4: Tumor invades bladder or rectum
pTX: Primary tumor cannot be assessed
pT0: No evidence of primary tumor
pT1a: Tumor limited to the endometrium/endocervix
pT1b: Tumor invades to less than half of the myometrium
pT1c: Tumor invades one half or more of the myometrium
pT2a: Tumor involves adnexa
pT2b: Tumor involves other pelvic tissues
pT3a: Tumor infiltrates abdominal tissues in one site
pT3b: Tumor infiltrates abdominal tissues in more than one site
pT4: Tumor invades bladder and/or rectum
pN
pNX: Regional lymph nodes cannot be assessed
pN0: No regional lymph node metastasis
pN0(i+): Isolated tumor cells in regional lymph node(s) no greater than 0.2 mm
pN1: Regional lymph node metastasis
pM
pMx: Not applicable
pM1: Distant metastasis (excluding adnexa, pelvic and abdominal
tissues)
+ FIGO Stage - For All Sarcomas Excluding Adenosarcoma
I: Tumor limited to uterus
IA: Less than or equal to 5 cm
IB: More than 5 cm
II: Tumor extends beyond the uterus, within the pelvis
IIA: Adnexal involvement
IIB: Involvement of other pelvic tissues
III: Tumor invades abdominal tissues (not just protruding into the abdomen)
IIIA: 1 site
IIIB: More than 1 site
IIIC: Metastasis to pelvic and/or para-aortic lymph nodes
IV: Tumor invades bladder and/or rectum and/or distant metastasis
IVA: Tumor invades bladder and/or rectal mucosa
IVB: Distant metastasis
+ FIGO Stage - For Adenosarcoma
I: Tumor limited to uterus
IA: Tumor limited to endometrium/endocervix with no myometrial invasion
IB: Less than or equal to half myometrial invasion
IC: More than half myometrial invasion
II: Tumor extends beyond the uterus, within the pelvis
IIA: Adnexal involvement
IIB: Tumor extends to extrauterine pelvic tissue
III: Tumor invades abdominal tissues (not just protruding into the abdomen).
IIIA: 1 site
IIIB: More than 1 site
IIIC: Metastasis to pelvic and/or para-aortic lymph nodes
IV: Tumor invades bladder and/or rectum and/or distant metastasis
IVA: Tumor invades bladder and/or rectal mucosa
IVB: Distant metastasis
