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Procedure
Tumor Site (select all that apply)
Tumor Size (cm)
Tumor Focality
Histologic Type
Histologic Grade
Depth of Invasion (mm)
+ Tumor Border
Margins - Peripheral (select all that apply)
Margins - Deep (select all that apply)
Lymphovascular Invasion
Regional Lymph Nodes
Total lymph nodes (sentinel and non-sentinel) examined:
Number of Sentinel Nodes Examined:
Number of lymph nodes involved:
Number of Nodes with Metastasis 5 mm or Greater
Number of Nodes with Metastasis Less than 5 mm (excludes ITCs)
Number of Nodes with Isolated Tumor Cells (ITCs) (0.2 mm or less)
Specify Lymph Node(s) involved by Tumor:
Additional Lymph Node Findings: