Skin
Macroscopic reporting dictation template
SPR*/ ICCR¡
Data element
Response
Fresh tissue received
No
Yes
G2.01¡
Specimen description
Text
Record a description of the specimen (e.g. procedure or specimen type such as ellipse,
excision etc. and the site and laterality as stated by the clinician)
G2.04¡
Specimen orientation
Not provided
G2.03¡
Specimen dimensions
__ x __ x __mm
Number of lesions
__
(melanoma)
If yes, describe any additional tests/ frozen sections/biobanking performed
If present, describe method of orientation used by the clinician &
feature denoted (e.g. suture at 12 o’clock)
Text
Length x width x thickness (thickness is optional)
Record the dimensions and a description of each lesion. For melanomas, SRP guidelines distinguish “primary” from “other lesions”.
G2.06¡
Macroscopic primary lesion dimensions
Indeterminate
OR
Distance of lesion to closest margin
__
Specify margin
G2.05¡
Macroscopic primary lesion description
Text
G2.07¡
Other lesion(s)
Not identified
Present
Description of other lesion(s)
Text
E.g. shape, colour, border, pigmentation, ulceration & surface crusting
Distance between lesions
__mm
G2.09¡
G2.08
¡
__x__x__mm
Length x width x depth (depth is optional)
E.g. shape, colour, border, pigmentation, ulceration & surface crusting
Other comments
Text
E.g. any additional information; specimen integrity (if disrupted); additional
anatomical components
Colour key for surgical margins
Text
List the margins and colours painted. A diagram is recommended
Block identification key
Text
SPR*Structured Reporting of Cancer and ICCR¡ International Collaboration On Cancer Reporting Standards (S) & Guidelines (G)
Skin dictation template
Date: 22 October 2015
Version: 2.2