Testicular Tumor

Specimen:
Right orchiectomy
Left orchiectomy
Bilateral orchiectomy

Focality of tumor:
Unifocal
Multifocal

Tumor greatest dimension (cm):

Greatest dimensions of additional tumor nodules (cm):

Histologic Type:
Intratubular germ cell neoplasm, only
Seminoma, classic type
Seminoma with syncytiotrophoblastic cells
Mixed germ cell tumor(specify components and percentages):
Embryonal carcinoma
Yolk sac tumor
Choriocarcinoma, biphasic
Choriocarcinoma, monophasic
Placental site trophoblastic tumor
Mature teratoma
Immature teratoma
Teratoma with a secondary malignant component:
Monodermal teratoma, carcinoid
Monodermal teratoma, primitive neuroectodermal tumor
Monodermal teratomaother:
Polyembryoma
Diffuse embryoma
Spermatocytic seminoma
Spermatocytic seminoma with a sarcomatous component
Testicular scar
Mixed germ cell-sex cord-stromal tumor, gonadoblastoma
Mixed germ cell-sex cord-stromal tumorother:

Pathologic Staging (pTNM) 7th edition AJCC
Primary Tumor (pT):
pTX: Cannot be assessed
pT0: No evidence of primary tumor
pTis: Intratubular germ cell neoplasia only (carcinoma in situ)
pT1: Tumor limited to the testis and epididymis without vascular/lymphatic invasion (tumor may invade tunica albuginea but not tunica vaginalis)
pT2: Tumor limited to the testis and epididymis with vascular/lymphatic invasion or tumor extending through tunica albuginea with involvement of tunica vaginalis
pT3: Tumor invades spermatic cord with or without vascular/lymphatic invasion
pT4: Tumor invades scrotum with or without vascular/lymphatic invasion

Regional Lymph Nodes (pN):
pNX: Cannot be assessed
pN0: No regional lymph node metastasis (0 / )
pN1: Metastasis with a lymph node mass less than 2 cm in greatest dimension and 5 or fewer positive nodes, none more than 2 cm in greatest dimension ( / )
pN2: Metastasis with a lymph node mass greater than 2 cm but not more than 5 cm in greatest dimension, or more than 5 nodes positive, none greater than 5 cm; or evidence of extranodal extension of tumor ( / )
pN3: Metastasis with a lymph node mass greater than 5 cm in greatest dimension ( / )


Only if pathologically documented metastases:
pM1: Distant metastasis present
pM1a: Nonregional nodal or pulmonary metastasis
pM1b: Distant metastasis other than to nonregional lymph nodes and lung:

Margins:
Spermatic Cord Margin:
Cannot be assessed
Uninvolved by tumor
Involved by tumor

Other Margin(s):
    Cannot be assessed
    Uninvolved by tumor(specify):
    Involved by tumor(specify):

Macroscopic extent of tumor:
   Confined to testis
   Invades spermatic cord
   Invades hilar soft tissue
   Invades tunica vaginalis (perforates mesothelium)
   Invades epididymis

Microscopic tumor extension:
   Rete testis
   Epididymis
   Hilar fat
   Spermatic cord
   Tunica vaginalis (perforates mesothelium)
   Scrotal wall
   None

Venous/Lymphatic (Large/Small Vessel) Invasion (V/L):
Absent
Present
Indeterminate

Additional Pathologic Findings:
   None identified
   Intratubular germ cell neoplasia
   Other:

Serum Tumor Markers (S):
LDH U/L HCG mIU/mL AFP ng/mL
SX: Serum marker studies not available or performed

S Stage will be determined automatically, but FYI:
LDH: Reference range (135-225) U/L
HCG: Reference range (<2) mIU/mL
AFP: Reference range (0.0-8.7) ng/mL
Serum tumor marker stage:
LDH HCG (mIU/mL) AFP (ng/mL)
S1: <1.5 x nl and <5,000 and <1,000
S2: 1.5-10 x nl or 5,000-50,000 or 1,000-10,000
S3: >10 x nl or >50,000 or >10,000