Specimen:
Esophagus
Proximal stomach
Other (specify):
Not specified

Procedure:
Endoscopic resection
Esophagectomy
Esophagogastrectomy
Other (specify):
Not specified

Tumor Site:
   Cervical (proximal) esophagus
   Midesophagus:
       Upper thoracic esophagus
       Midthoracic esophagus
   Distal esophagus (lower thoracic esophagus)
   Esophagogastric junction (EGJ)
   Proximal stomach and esophagogastric junction
   Other (specify):
   Not specified

Relationship of Tumor to Esophagogastric Junction:
Tumor is entirely located within the tubular esophagus and does not involve the esophagogastric junction
Tumor midpoint lies in the distal esophagus and tumor involves the esophagogastric junction
Tumor midpoint is located at the esophagogastric junction
Tumor midpoint lies in the proximal stomach or cardia and tumor involves the esophagogastric junction
Not specified
Cannot be assessed

Distance of tumor center from esophagogastric junction (specify, if applicable): cm

Tumor Size:
Greatest dimension (cm):
Additional dimensions (cm):
Cannot be determined (see Comment)

Histologic Type:
Squamous cell carcinoma
Adenocarcinoma
Adenosquamous carcinoma
Small cell carcinoma
Undifferentiated carcinoma
Other (specify):
Carcinoma, type cannot be determined

Histologic Grade:
Not applicable
GX: Cannot be assessed
G1: Well differentiated
G2: Moderately differentiated
G3: Poorly differentiated
G4: Undifferentiated

Microscopic Tumor Extension:
   Cannot be assessed
   No evidence of primary tumor
   High-grade dysplasia (carcinoma in situ)
   Tumor invades lamina propria
   Tumor invades muscularis mucosae
   Tumor invades submucosa
   Tumor invades muscularis propria
   Tumor invades through the muscularis propria into the periesophageal soft tissue (adventitia)
   Tumor directly invades adjacent structures:

Margins:
Proximal Margin:
       Cannot be assessed
       Uninvolved by invasive carcinoma
       Involved by invasive carcinoma
       Uninvolved by dysplasia
       Involved by dysplasia:
           Squamous dysplasia
           Intestinal metaplasia (Barrett’s esophagus) with dysplasia
       Involved by intestinal metaplasia (Barrett’s esophagus) without dysplasia
Distal Margin:
       Cannot be assessed
       Uninvolved by invasive carcinoma or dysplasia
       Involved by invasive carcinoma
       Involved by dysplasia:
           Squamous dysplasia
           Intestinal metaplasia (Barrett’s esophagus) with dysplasia
       Involved by intestinal metaplasia (Barrett’s esophagus) without dysplasia
Circumferential (Adventitial) Margin (esophagectomy or esophagogastrectomy specimens) or Deep Margin (endoscopic resection specimens):
       Cannot be assessed
       Uninvolved by invasive carcinoma
       Involved by invasive carcinoma

Distance of invasive carcinoma from closest margin: cm at

Treatment Effect:
    No prior treatment
    Present:
        No residual tumor (complete response, grade 0)
        Marked response (grade 1, minimal residual cancer)
        Moderate response (grade 2)
    No definite response identified (grade 3, poor or no response)
    Treatment history not known

Lymph-Vascular Invasion:
Not identified
Present
Indeterminate

Perineural Invasion:
    Not identified
    Present
    Indeterminate

Pathologic Staging (pTNM)

m (multiple primary tumors)
r (recurrent)
y (posttreatment)

Primary Tumor (pT):
pTX: Cannot be assessed
pT0: No evidence of primary tumor
pTis: High-grade dysplasia
pT1: Tumor invades lamina propria, muscularis mucosae, or submucosa
pT1a: Tumor invades lamina propria or muscularis mucosae
pT1b: Tumor invades submucosa
pT2: Tumor invades muscularis propria
pT3: Tumor invades adventitia
pT4: Tumor invades adjacent structures (specify):
pT4a: Resectable tumor invading pleura, pericardium, or diaphragm
pT4b: Unresectable tumor invading other adjacent structures, such as aorta, vertebral body, trachea, etc

Regional Lymph Nodes (pN):
pNX: Cannot be assessed
pN0: No regional lymph node metastasis ( 0 / )
pN1: Regional lymph node metastasis involving 1 to 2 nodes ( / )
pN2: 3 to 6 nodes involved ( / )
pN3: 7 or more nodes involved ( / )
No nodes submitted or found

Distant Metastasis (pM):
    Not applicable
    pM1: Distant metastasis at

Additional Pathologic Findings:
       None identified
       Intestinal metaplasia (Barrett’s esophagus)
       Dysplasia:
        Low grade
        High grade
       Esophagitis (type):
       Gastritis (type):
       Other (specify):

Ancillary Studies:

Clinical History:
       Barrett’s esophagus
       Other (specify):
       Not known

Comment(s):