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Procedure

Tumor Site

Tumor Size (cm)

Histologic Type

Histologic Grade

Other Tissue/ Organ Involvement

Margins - Peripheral

Margins - Deep

Lymphovascular Invasion

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

+ FIGO Stage (2015)

+ Additional Pathologic Findings