Vulva
SPR*/
ICCR¡
S2.01
S2.02
G2.01
G2.01
Macroscopic reporting dictation template
Data element
Response
Fresh tissue received
No
Procedure
Specimen orientation markers
Specimen dimensions
Anatomical structures
Type of surface
Text
As stated by the clinician
Text
__x__x__mm
Clitoris
Urethral orifice
Vaginal orifice
Other, describe
Hair-bearing skin
Both hair-bearing & hairless skin/mucosa
Hairless skin/mucosa
Cannot determine
__
S2.06
S2.06
S2.07
S2.08
Number of macroscopically visible tumour(s)
For each tumour: (if >1 designate accordingly)
Tumour site
Tumour dimensions
Type of growth
Other features
Margins
If margins are clear, record:
Distance of tumour to closest peripheral margin
Distance of tumour to closest deep margin
Adjacent skin abnormality
Macroscopic depth of invasion
S2.09
Lymph nodes for each of these lymph node groups, record:
S2.05
S2.04
S2.04
S2.06
S2.10
Yes
If yes, describe any additional tests/ frozen sections/biobanking performed
Text
__x__x__mm
Fungating
Shape, describe
Not assessable
Clear
__mm
__mm
No
Yes, describe
Not assessable
Ulcerative
Colour, describe
Involved, specify site
Other, describe
Demarcation, describe
Text
e.g. white/thickened/elevated
__mm
Received
Description
Total number of nodes (per site)
Size range
Number of lymph nodes with visible metastases
Diameter of greatest metastasis
Other relevant macroscopic information
Right inguinal
Right femoral
Right pelvic
Right sentinel inguinofemoral
Left inguinal
Left femoral
Left pelvic
Left sentinel inguinofemoral
Not received
Received
Text
__
__mm to __mm Smallest node max. dimension to largest node max. dimension
__ If >0, record the max. diam. of greatest metastasis for each involved lymph node __ to __mm
__mm
Text
E.g. any additional orientation; specimen integrity (if disrupted) etc.
Block identification key
Text
Describe nature and site of blocks
SPR*Structured Reporting of Cancer and ICCR¡ International Collaboration On Cancer Reporting Standards (S) & Guidelines (G)
Vulva dictation template
Date: 22 October 2015
Version: 1.1