STANDARDS AND DATASETS FOR REPORTING CANCERS

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					Dataset for the histological reporting of primary cutaneous squamous cell
carcinoma and regional lymph nodes (2nd edition)

Appendix D1             Histopathology reporting proforma for cutaneous squamous cell
                        carcinoma
Surname………………………                     Forenames………………….…                              Date of birth……………..        Sex…....
Hospital………….……….……                  Hospital no……………….…….                           NHS/CHI no……………..
Date of receipt………….…….              Date of reporting………..……..                      Report no………………...
Pathologist……….……………                 Surgeon………………….…….


Clinical data
Clinical site ………………………………………..................................................................
Specimen type:
Excisional biopsy  Incisional (diagnostic) biopsy                            Punch biopsy    Shave 
Curettings:         Therapeutic                                               Diagnostic      Not specified 
Other  Please specify ….................................................................……

Macroscopic description
Size of specimen                  Length ……mm                                Breadth….mm                Depth …….mm
Maximum diameter of lesion        ....…………mm                                 Uncertain …………

Histological data
Histopathological subtype
No special type        Keratoacanthoma-type               SCC with adjacent Bowen’s 
Verrucous              Acantholytic (pseudoglandular/adenoid/pseudovascular) 
Desmoplastic           Spindle/sarcomatoid/metaplastic 
Adenosquamous (SCC with divergent differentiation)         Other (specify)........................................…

Grade
Well-differentiated         Moderately differentiated                       Poorly differentiated 
Thickness                    ≤2 mm             >2–4 mm                      > 4 mm 
Level of invasion: ≥ reticular dermis (Clark level 4)                         No         Yes 
If yes, specify tissue:      Fat        Muscle                    Fascia               Perichondrium 
Cartilage                   Paratendon/tendon                     Periosteum           Bone 

Lymphovascular invasion No                  Yes 
Perineural invasion           No            Yes 
Margins
Peripheral:               Involved          Clear but <1 mm                 Clear 1–5 mm             Clear > 5 mm 
Deep:                  Involved       Clear but <1 mm  Clear 1–5 mm  Clear > 5 mm 
______________________________________________________________________________________
Maximum diameter >20 mm                 No         Yes
___________________________________________________________________________________
Pathological risk status for skin cancer MDT             Low risk      High risk 
TNM pathological (p) stage         (AJCC7)................................
SNOMED code…………..

COMMENTS



Pathologist…………………...........................           Date……………………

PSU           101212                                            1                                           V6       Final

				
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posted:3/2/2013
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