Bone- Resection

advertisement
BONE RESECTION CHECKLIST
MNEMONIC – BONERES11
BONE RESECTION
SPECIMEN
Specify bone involved (if known):
Not specified
PROCEDURE
Intralesional resection
Marginal resection
Segmental/wide resection
Radical resection
Other (specify):
Not specified
TUMOR SITE
Epiphysis
Metaphysis
Diaphysis
Cortical
Medullary cavity
Surface
Tumor involves joint
Tumor extension into soft tissue
Cannot be determined
TUMOR SIZE
Greatest dimension: cm
Additional dimensions: x cm
Cannot be determined
HISTOLOGIC TYPE (WORLD HEALTH ORGANIZATION [WHO] CLASSIFICATION OF
BONE TUMORS)
Specify:
Cannot be determined
MITOTIC RATE
Specify: /10 high-power fields
(1 HPF x 400 = 0.1734 sq mm; x 40 objective; most proliferative area)
NECROSIS (MACROSCOPIC OR MICROSCOPIC)
Not identified
Present
Extent: %
HISTOLOGIC GRADE
Specify grade:
Not applicable
Cannot be determined
MARGINS
Cannot be assessed
Margins uninvolved by sarcoma
Distance of tumor from closest margin: cm
Specify margin (if known):
Margin(s) involved by sarcoma
Specify margin(s) (if known):
LYMPH-VASCULAR INVASION
Not identified
Present
Indeterminate
PATHOLOGIC STAGING (pTNM)
TMN Descriptors (required only if applicable)
m (multiple)
r (recurrent)
y (post-treatment)
PRIMARY TUMOR (pT)
pTX: Primary tumor cannot be assessed.
pT0: No evidence of primary tumor
pT1: Tumor 8 cm or less in greatest dimension
pT2: Tumor more than 8 cm in greatest dimension
pT3: Discontinuous tumors in the primary bone site (not including skip metastases)
REGIONAL LYMPH NODES (pN)
No nodes submitted or found
pNX: Regional lymph nodes cannot be assessed.
pN0: No regional lymph nodes metastasis.
pN1: Regional lymph node metastasis
Specify: Number examined:
Number involved:
Number cannot be determined (explain):
DISTANT METASTASIS (pM)
Not applicable
pM1a: Lung
pM1b: Metastasis involving distant sites other than lung (including skip metastases)
Specify site(s), if known:
ADDITIONAL PATHOLOGIC FINDINGS
Specify:
ANCILLARY STUDIES
Immunohistochemistry
Specify:
Not performed
Cytogenetics
Specify:
Not performed
Molecular Pathology
Specify:
Not performed
RADIOGRAPHIC FINDINGS
Specify:
Not available
PRERESECTION TREATMENT
No therapy
Chemotherapy performed
Radiation therapy performed
Therapy performed, type not specified
Unknown
TREATMENT EFFECT
Not identified
Present
Specify percentage of necrotic tumor:
Cannot be determined
Pathologic TNM (AJCC 7th Edition): pT N M
%
Download