Gastric Carcinoma Worksheet 4.0.0.0

Note: Tumors involving the EGJ with epicenter ≤ 2cm into the proximal stomach are classified for purposes of staging as esophageal carcinomas.

THIS PAGE IS READY TO USE, BUT PLEASE CHECK STAGING AND LET ME KNOW IF PROBLEMS. THX. -BEP

Staging

Lymph Node Status Note: Metastatic tumor deposits in the subserosal fat adjacent to a gastric carcinoma, without evidence of residual lymph node tissue, are considered regional lymph node metastases for purposes of gastric cancer staging. Distant Metastasis

No lymph nodes sampled
Lymph nodes sampled:

Regional lymph nodes

Sampled

Positive

Regional nodes include Greater Curvature Nodes (greater curvature, greater omental,
gastroduodenal, gastroepiploic, pyloric, and pancreaticoduodenal), Lesser Curvature Nodes
(lesser curvature, lesser omental, left gastric, cardioesophageal, common hepatic,
celiac) and Pancreatic and Splenic Area Nodes (pancreaticolienal, peripancreatic, splenic)

Distant (M1) Nodes:

hepatoduodenal, retropancreatic, para-aortic, portal, retroperitoneal and mesenteric nodes.

Note:

Although pN staging can be performed on ≥1, a minimum of 16 nodes is recommended.

LN count includes:
Part A
Part B
Part C
Part D
Part E

Metastasis Status No tissue submitted for metastatic examination
Tissue submitted and NEGATIVE for metastatic disease
Tissue submitted and POSITIVE for metastatic disease

Metastasis to non-regional lymph node(s)

Site:

Metastatic to other site(s)

Site:

Final Report

Other Findings Tattoo ink is identified Esophageal intestinal metaplasia (Barrett’s esophagus) Gastric intestinal metaplasia is present Low-grade dysplasia High-grade dysplasia Chronic gastritis Chronic helicobacter pylori gastritis Chronic active gastritis Chronic active helicobacter pylori gastritis Chronic atrophic gastritis	Modifiers Multiple Primary Tumors (m) Recurrent Tumor (r) Post-treatment Staging (y)
Comments Original H&Es and deeper sections are examined. Case reviewed in departmental conference. Warthin-Starry stain used in evaluation. Pankeratin immunostain used in evaluation. Appropriate control staining is present.
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