VAGINA: EXCISIONAL BIOPSY, RESECTION (VAGINECTOMY, RADICAL
VAGINECTOMY) CASE SUMMARY
MNEMONIC – VAGINAEX12
VAGINA: EXCISIONAL BIOPSY, RESECTION (VAGINECTOMY, RADICAL
VAGINECTOMY) CASE SUMMARY
PROCEDURE
Excisional biopsy
Partial vaginectomy
Radical vaginectomy
Other (specify):
Not specified
TUMOR SITE
Upper third
Circumferential
Anterior
Posterior
Left lateral
Right lateral
Middle third
Circumferential
Anterior
Posterior
Left lateral
Right lateral
Lower third
Circumferential
Anterior
Posterior
Left lateral
Right lateral
Not specified
TUMOR SIZE
Greatest dimension: cm
Additional dimensions: x cm
Cannot be determined (see Comment)
HISTOLOGIC TYPE
Squamous cell carcinoma
Keratinizing
Non-keratinizing
Basaloid
Verrucous
Warty
Not otherwise specified
Adenocarcinoma
Clear cell
Mucinous
Endometrioid
Mesonephric
Intestinal type
Not otherwise specified
Adenosquamous carcinoma
Undifferentiated
Other (specify):
HISTOLOGIC GRADE
Not applicable
GX: Cannot be assessed
G1: Well differentiated
G2: Moderately differentiated
G3: Poorly differentiated
G4: Undifferentiated
Other (specify):
MARGINS
Cannot be assessed
Margins uninvolved by invasive carcinoma
Distance of invasive carcinoma from closest margin: mm
Specify margin, if possible:
Dysplasia/carcinoma in situ not identified at margin
Dysplasia present at margin (specify grade):
Margins involved by invasive carcinoma
Specify margin(s), if possible:
LYMPH-VASCULAR INVASION
Not identified
Present
Indeterminate
PATHOLOGY STAGING (pTNM [FIGO])
TNM Descriptors (required only if applicable)
m (multiple primary tumors
r (recurrent)
y (post-treatment)
PRIMARY TUMOR (pT)
pTX[--]:
Cannot be assessed
pT0 [--]:
No evidence of primary tumor
pTis [0]:
Carcinoma in situ
pT1 [I]:
Tumor confined to vaginal wall
pT2 [II]:
Tumor invades paravaginal tissues but not the pelvic wall
pT3 [III]: Tumor extends to pelvic wall
pT4 [IVA]: Tumor invades mucosa of bladder or rectum and/or extends beyond true
pelvis
REGIONAL LYMPH NODES (pN)
No nodes submitted or found
pNX:
Cannot be assessed
pN0:
No regional lymph node metastasis
pN1[III]:
Pelvic or inguinal lymph node metastasis
Specify: Number examined:
Number involved:
Number cannot be determined (explain):
DISTANT METASTASIS (pM)
Not applicable
pM1 [IVB]: Distant metastasis
Specify site(s), if known:
ADDITIONAL PATHOLOGIC FINDINGS
None identified
Condyloma acuminatum
Squamous dysplasia
Carcinoma in situ
Adenocarcinoma in situ
Atypical adenosis
Other (specify):
Pathologic TNM (AJCC 7th Edition): pT N M