Specimen:
Cervix
Other (specify):
Not specified

Procedure:
Cold knife cone excision
Loop electrical excision procedure (LEEP) / large loop excision of the transformation zone (LLETZ)
Other (specify):
Not specified

Tumor Site:
   Right superior quadrant (12 to 3 o’clock)
   Right inferior quadrant (3 to 6 o’clock)
   Left inferior quadrant (6 to 9 o’clock)
   Left superior quadrant (9 to 12 o’clock)
   Other (specify):
   Not specified

Tumor Size: cm Note: all dimensions are important; see definition for “microinvasive carcinoma” under T1a1/IA1

Histologic Type:
   Squamous cell carcinoma:
    Keratinizing
    Nonkeratinizing
    Other (specify):
   Adenocarcinoma:
    Mucinous:
        Endocervical type
        Intestinal type
        Other
    Endometrioid
    Clear cell
    Other (specify):
   Other (specify):
   Carcinoma, type cannot be determined

Histologic Grade:
Not applicable
GX: Cannot be assessed
G1: Well differentiated
G2: Moderately differentiated
G3: Poorly differentiated

Stromal Invasion:
   Depth: mm
   Horizontal extent: mm
   Extent cannot be assessed

Margins:
   Margins cannot be assessed (eg, obscuring electrocautery artifact)
   Endocervical Margin:
       Not involved by invasive carcinoma, closest:
       Involved by invasive carcinoma:
           Location:
           Focal
           Diffuse
       Not involved by intraepithelial squamous neoplasia
       Involved by intraepithelial squamous neoplasia, grade
       Not involved by adenocarcinoma in situ
       Involved by adenocarcinoma in situ
   Exocervical Margin:
       Not involved by invasive carcinoma, closest:
       Involved by invasive carcinoma,
           Location:
           Focal
           Diffuse
       Not involved by intraepithelial squamous neoplasia
       Involved by intraepithelial squamous neoplasia, grade
       Not involved by adenocarcinoma in situ
       Involved by adenocarcinoma in situ
   Deep Margin:
       Not involved by invasive carcinoma, closest
       Involved by invasive carcinoma at
       Not involved by intraepithelial squamous neoplasia
       Involved by intraepithelial squamous neoplasia, grade
       Not involved by adenocarcinoma in situ
       Involved by adenocarcinoma in situ

Lymph-Vascular Invasion:
Not identified
Present
Indeterminate

Additional Pathologic Findings:
       None identified
       Koilocytosis
       Inflammation
       Other (specify):

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