STANDARDS AND DATASETS FOR REPORTING CANCERS



Appendix D2Reporting proforma for regional lymph nodes associated with cutaneous invasive squamous cell carcinoma (including skin carcinoma of head and neck and carcinoma of skin, essentially trunk and limbs but excluding eyelid and genitals)D2.1 Invasive squamous cell carcinoma of head and neckSurname………………………Forenames………………….… Date of birth……………..Sex…....Hospital………….……….……Hospital no……………….…….NHS/CHI no……………..Date of procedure…………..Date of receipt………..……..Date of reporting………………...Pathologist……….……………Surgeon………………….…….Report no ……………………….Clinical dataAnatomical site:Neck □Axillary □Other □ (specify):...................................Laterality:Right □Left □Macroscopic descriptionDimension of specimen ........mm x .......mm x ........mmLocalising indicator present? Not identified□Yes□If yes: details...................................Macroscopic abnormality? Not identified□Yes□ If yes: maximum dimension ......mm Uncertain □Macroscopic extranodal extension Not identified□Yes□Uncertain□Histological data for nodes with invasive squamous cell carcinoma of head and neckLYMPHADENECTOMY Number of nodes identified?...............................Nodes involvedNo □Yes □Highest/apical node involvedNo □Yes □ If yes:ipsilateral □ and/or contralateral □ Not identified clinically □If nodes are involvedIPSILATERALNumber involved?.......................................…Maximum size of metastasis≤30 mm □>30 mm – ≤60 mm □>60 mm □Extranodal extension No □Yes □ Uncertain □Cannot be assessed □Margin involvedNo □Yes □ Uncertain □Cannot be assessed □CONTRALATERALNumber involved................Maximum size of metastasis≤30 mm □>30 mm – ≤60 mm □>60 mm □Extranodal extension No □Yes □ Uncertain □Cannot be assessed □Margin involvedNo □Yes □ Uncertain □Cannot be assessed □pTNM? pN… (UICC TNM 8)SNOMED codes……………......................…COMMENTSPathologist……………………….. Date……………………………..?Data items that are part of the Cancer Outcomes and Services Dataset (COSD) version 8OR D2.2 Invasive squamous cell carcinoma of trunk and limbs (excluding eyelid and genitals)Surname………………………Forenames………………….… Date of birth……………..Sex…....Hospital………….……….……Hospital no……………….…….NHS/CHI no……………..Date of procedure…………..Date of receipt………..……..Date of reporting………………...Pathologist……….……………Surgeon………………….…….Report no ……………………….Clinical dataAnatomical site:Axillary □Inguinal □Other □ (specify):...................................Laterality:Right □Left □Macroscopic descriptionDimension of specimen ........mm x .......mm ........mmLocalising indicator present?Not identified□ Yes□If yes: details........................Macroscopic abnormality?Not identified□ Yes□If yes: maximum dimension ......mmUncertain□ Macroscopic extranodal extension Not identified□Yes□Uncertain□Histological data for nodes with invasive squamous cell carcinoma of trunk and limbLYMPHADENECTOMY Number of ipsilateral nodes identified?...............................Nodes involvedNo □Yes □Highest/apical node involvedNo □Yes □Not identified clinically □Number involved?.......................................…Maximum size of metastasis≤30 mm □>30 mm – ≤60 mm □>60 mm □Extranodal extension No □Yes □ Uncertain □Cannot be assessed □Margin involvedNo □Yes □ Uncertain □Cannot be assessed □pTNM? pN… (UICC TNM 8)SNOMED codes……………......................…COMMENTSPathologist……………………….. Date……………………………..?Data items that are part of the Cancer Outcomes and Services Dataset (COSD) version 8 ................
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