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Skin-Melanoma.html
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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html>
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Melanoma</title>
<link rel="stylesheet" type="text/css" href="view.css" media="all">
<script type="text/javascript" src="view.js"></script>
<script>
function updateDescription (frm)
{
var Template = "";
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if (document.getElementById("A06").checked){
Template += frm.A06.value + "\n";
}
if (frm.A07.value !== ""){
Template += "- Tumor laterality: " + "\n" + frm.A07.value + "\n";
}
if (frm.A08.value !== ""){
Template += "- Tumor site: " + "\n" + " - " + frm.A08.value + "\n";
}
if (frm.A09.value !== ""){
Template += "- Tumor size: " + "\n" + frm.A09.value + "\n";
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Template += "- Macroscopic satellite nodule(s): " + "\n" + frm.A10.value + "\n";
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*/
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}
if (frm.A16.value !== ""){
Template += "- Ulceration: " + frm.A16.value + "\n";
}
if (frm.A17.value !== ""){
Template += "- Microsatellite(s): " + frm.A17.value + "\n";
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if (frm.A18.value !== ""){
Template += "- Mitotic count (per mm2): " + frm.A18.value + "\n";
}
if (frm.A19.value !== ""){
Template += "- Lymphatic and / or Vascular Invasion: " + frm.A19.value + "\n";
}
if (frm.A20.value !== ""){
Template += "- Neurotropism: " + frm.A20.value + "\n";
}
if (frm.A21.value !== ""){
Template += "- Tumor-infiltrating lymphocytes: " + frm.A21.value + "\n";
}
if (frm.A22.value !== ""){
Template += "- Tumor regression: " + frm.A22.value + "\n" ;
}
if (frm.A23.value + frm.A24.value !== ""){
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}
if (frm.A23.value !== ""){
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Template += "\n" + "- Lymph nodes examination: " + "\n";
}
if (frm.A25.value !== ""){
Template += " - Number of sentinel lymph nodes examined: " + frm.A25.value + "\n";
}
if (frm.A26.value !== ""){
Template += " - Number of sentinel lymph nodes involved: " + frm.A26.value + "\n";
}
if (frm.A27.value !== ""){
Template += " - Number of regional lymph nodes examined: " + frm.A27.value + "\n";
}
if (frm.A28.value !== ""){
Template += " - Number of lymph nodes involved (specify location): " + frm.A28.value + "\n";
}
if (frm.A52.value !== ""){
Template += " - Nodal site(s) with tumor : " + frm.A52.value + "\n";
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if (frm.A29.value !== ""){
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if (frm.A30.value !== ""){
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document.getElementById("A51").checked){
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!== ""){
Template += "\n" + "- Pathologic stage classification (pTNM, AJCC 8th edition):" + "\n";
}
if (frm.A53.value !== ""){
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if (document.getElementById("A33").checked || document.getElementById("A34").checked ||
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}
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}
</script>
<style>
table, th, td {
border: 1px solid silver;
border-collapse: collapse;
padding: 4px;
}
</style>
</head>
<body>
<img id="top" src="top.png" alt="">
<div id="form_container">
<div class="form_description">
<h2>
<a href=".\cap\Cancer-Protocols-2024-12-Update\Skin Protocol Folder\Skin.Inv_Melanoma_1.1.0.0.REL_CAPCP.pdf" target="_blank">
<div class="tooltip">
Malignant melanoma of the skin
<span class="tooltiptext">click to access explanations in the original CAP template</span>
</div>
<a>
</h2>
</div>
<form>
<p> This is additional protocols for <a href=".\cap\Cancer-Protocols-2023-12-Update\Skin Protocol Folder\Skin.Inv_Melanoma.Bx_1.0.0.0.REL_CAPCP.pdf" target="_blank">biopsy specimen</a> and <a href=".\cap\cp-skin-melanoma-15biomarker-1002.pdf" target="_blank">biomarkers</a>.</p>
<!--
<p>
<fieldset style="border-color:#e6e6ff;">
<legend><label class="description">Gross descriptions:</label></legend>
<p>
<table border="1">
<col width="40%">
<tr>
<td valign="top">
<label class="description">- Procedure:</label>
</td>
<td>
<input class="element checkbox" type="checkbox" id="A01" value=" - Excision"><label class="choice">Excision</label>
<input class="element checkbox" type="checkbox" id="A02" value=" - Re-excision"><label class="choice">Re-excision</label>
<input class="element checkbox" type="checkbox" id="A03" value=" - Sentinel node(s) biopsy"><label class="choice">Sentinel node(s) biopsy</label>
<input class="element checkbox" type="checkbox" id="A04" value=" - Lymphadenectomy, regional nodes (specify):"><label class="choice">Lymphadenectomy, regional nodes (specify):</label>
<input class="element checkbox" type="checkbox" id="A05" value=" - Other (specify):"><label class="choice">Other (specify):</label>
<input class="element checkbox" type="checkbox" id="A06" value=" - Not specified"><label class="choice">Not specified</label>
</td>
</tr>
<tr>
<td>
<label class="description">- Tumor Laterality:</label>
</td>
<td>
<select class="element select medium" ID="A07">
<option value=""></option>
<option value=" - Right">Right</option>
<option value=" - Left">Left</option>
<option value=" - Midline">Midline</option>
<option value=" - Other (specify):">Other (specify):</option>
<option value=" - Not specified">Not specified</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Tumor site:</label>
</td>
<td>
<input type="text" class="element text small" ID="A08" size="5">
</td>
</tr>
<tr>
<td>
<label class="description">- Tumor size:</label>
</td>
<td>
<select class="element select medium" ID="A09">
<option value=""></option>
<option value=" - Greatest dimension (mm): ">Greatest dimension (mm): </option>
<option value=" - All dimensions (mm x mm x mm): ">All dimensions (mm x mm x mm):</option>
<option value=" - Cannot be determined (explain): ">Cannot be determined (explain):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Macroscopic satellite nodule(s):</label>
</td>
<td>
<select class="element select medium" ID="A10">
<option value=""></option>
<option value=" - Not idenfied">Not idenfied</option>
<option value=" - Present, extent (%):">Present, extent (%):</option>
<option value=" - Cannot be assessed">Cannot be assessed</option>
</select>
</td>
</tr>
</table>
</p>
</fieldset>
</p>
-->
<p>
<fieldset style="border-color:#e6e6ff;">
<legend><label class="description">Microscopic descriptions:</label></legend>
<p><label class="description">- Tumor histology and immunohistochemical studies: </label>
<textarea ID="A11" class="element textarea medium"></textarea>
</p>
<p>
<table border="1">
<col width="70%">
<tr>
<td>
<label class="description">- Histologic type (Melanoma in situ, anatomic level I):</label>
</td>
<td>
<select class="element select large" ID="A12">
<option value=""></option>
<option value="Melanoma in situ, superficial spreading type (low-cumulative sun damage (CSD) melanoma in situ)">Melanoma in situ, superficial spreading type (low-cumulative sun damage (CSD) melanoma in situ)</option>
<option value="Melanoma in situ, lentigo maligna type">Melanoma in situ, lentigo maligna type</option>
<option value="Acral-lentiginous melanoma in situ">Acral-lentiginous melanoma in situ</option>
<option value="Melanoma in situ arising in a giant congenital nevus">Melanoma in situ arising in a giant congenital nevus</option>
<option value="Persistent melanoma in situ">Persistent melanoma in situ</option>
<option value="Melanoma in situ, not otherwise classified">Melanoma in situ, not otherwise classified</option>
<option value="Other (specify):">Other histologic type not listed (specify):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Histologic type:</label>
</td>
<td>
<select class="element select large" ID="A13">
<option value=""></option>
<option value="Not applicable">Not applicable</option>
<option value="Low-cumulative sun damage (CSD) melanoma (including superficial spreading melanoma)">Low-cumulative sun damage (CSD) melanoma (including superficial spreading melanoma)</option>
<option value="Lentigo maligna melanoma (high-CSD melanoma)">Lentigo maligna melanoma (high-CSD melanoma)</option>
<option value="Desmoplastic melanoma, pure (greater than or equal to 90% desmoplastic melanoma)">Desmoplastic melanoma, pure (greater than or equal to 90% desmoplastic melanoma)</option>
<option value="Mixed desmoplastic / non-desmoplastic melanoma (less than 90% desmoplastic melanoma)">Mixed desmoplastic / non-desmoplastic melanoma (less than 90% desmoplastic melanoma)</option>
<option value="Spitz melanoma (malignant Spitz tumor)">Spitz melanoma (malignant Spitz tumor)</option>
<option value="Acral melanoma">Acral melanoma</option>
<option value="Melanoma arising in a giant congenital nevus">Melanoma arising in a giant congenital nevus</option>
<option value="Melanoma arising in a blue nevus">Melanoma arising in a blue nevus</option>
<option value="Nodular melanoma">Nodular melanoma</option>
<option value="Nevoid melanoma">Nevoid melanoma</option>
<option value="Dermal melanoma">Dermal melanoma</option>
<option value="Melanoma, NOS">Melanoma, NOS</option>
<option value="Other (specify):">Other histologic type not listed (specify):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Maximum tumor (Breslow) thickness (to the nearest 0.1 mm):</label>
</td>
<td>
<select class="element select large" ID="A14">
<option value=""></option>
<option value="Specify (mm): ">Specify (mm):</option>
<option value="At least (mm):">At least (mm):</option>
<option value="Cannot be determined (explain):">Cannot be determined (explain):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="">+ Anatomic (Clark) level: </label>
</td>
<td>
<select class="element select large" ID="A15">
<option value=""></option>
<option value="II: Melanoma present in but does not fill and expand papillary dermis">II: Melanoma present in but does not fill and expand papillary dermis</option>
<option value="III: Melanoma fills and expands papillary dermis">III: Melanoma fills and expands papillary dermis</option>
<option value="IV: Melanoma invades reticular dermis">IV: Melanoma invades reticular dermis</option>
<option value="V: Melanoma invades subcutis">V: Melanoma invades subcutis</option>
<option value="at least level II (explain): ">at least level II (explain): </option>
<option value="at least level III (explain): ">at least level III (explain): </option>
<option value="at least level IV (explain): ">at least level IV (explain): </option>
<option value="Cannot be determined ">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Ulceration: </label>
</td>
<td>
<select class="element select large" ID="A16">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present, extent (mm): ">Present, extent (mm): </option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Microsatellite(s): </label>
</td>
<td>
<select class="element select large" ID="A17">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present">Present</option>
<option value="Present">Present, involved at margin (specify):</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Mitotic rate:</label>
</td>
<td>
<select class="element select large" ID="A18">
<option value=""></option>
<option value="None identified">None identified</option>
<option value="Specify (number /mm2):">Specify (number /mm2):</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Lymphatic and / or Vascular Invasion: </label>
</td>
<td>
<select class="element select large" ID="A19">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present">Present</option>
<option value="Present, by IHC">Present, by IHC</option>
<option value="Present, by H&E">Present, by H&E</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Neurotropism: </label>
</td>
<td>
<select class="element select large" ID="A20">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present">Present</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="">+ Tumor-infiltrating lymphocytes: </label>
</td>
<td>
<select class="element select large" ID="A21">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present, non-brisk">Present, non-brisk</option>
<option value="Present, brisk">Present, brisk</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Tumor regression: </label>
</td>
<td>
<select class="element select large" ID="A22">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present, involving < 75% of lesion">Present, involving < 75% of lesion</option>
<option value="Present, involving > or = 75%">Present, involving > or = 75%</option>
<option value="Present, involving peripheral margin:">Present, involving peripheral margin:</option>
<option value="Present, involving deep margin:">Present, involving deep margin</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
</table>
</p>
<p>
- Use 22 mm eyepiece at 40x objective, counting 42 active proliferative fields, approximating 10 mm<sup>2</sup>, and reporting as number of mitosis per mm<sup>2</sup>.
</p>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend><label class="description">Surgical margins of excision specimen:</label></legend>
<p>
<table border="1">
<col width="40%">
<tr>
<td>
<label class="description">- Peripheral margins:</label>
</td>
<td>
<select class="element select large" ID="A23">
<option value=""></option>
<option value="Involved by invasive melanoma, specify:">Involved by invasive melanoma, specify:</option>
<option value="Uninvolved by invasive melanoma, specify location and distance (mm):">Uninvolved by invasive melanoma, specify location and distance (mm):</option>
<option value="Involved by melanoma in situ, specify:">Involved by melanoma in situ, specify:</option>
<option value="Uninvolved by melanoma in situ, specify location and distance (mm):">Uninvolved by melanoma in situ, specify location and distance (mm):</option>
<option value="Cannot be assessed">Cannot be assessed</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Deep margin:</label>
</td>
<td>
<select class="element select large" ID="A24">
<option value=""></option>
<option value="Involved by invasive melanoma, specify:">Involved by invasive melanoma, specify:</option>
<option value="Uninvolved by invasive melanoma, specify location and distance (mm):">Uninvolved by invasive melanoma, specify location and distance (mm):</option>
<option value="Involved by melanoma in situ, specify:">Involved by melanoma in situ, specify:</option>
<option value="Uninvolved by melanoma in situ, specify location and distance (mm):">Uninvolved by melanoma in situ, specify location and distance (mm):</option>
<option value="Cannot be assessed">Cannot be assessed</option>
</select>
</td>
</tr>
</table>
</p>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend> <label class="description"> <a href=".\cap\Cancer-Protocols-2024-06-Update\Skin Protocol Folder\Skin.Inv_Melanoma_1.1.0.0.REL_CAPCP.pdf#page=21" target="_blank">Regional ymph nodes</a>: </label></legend>
<p>
<table border="1">
<col width="80%">
<tr>
<td>
<label class="description">- Number of sentinel lymph nodes examined:</label>
</td>
<td>
<input type="text" class="element text large" ID="A25" size="5">
</td>
</tr>
<tr>
<td>
<label class="description">- Number of sentinel lymph nodes involved:</label>
</td>
<td>
<input type="text" class="element text large" ID="A26" size="5">
</td>
</tr>
<tr>
<td>
<label class="description">- Number of regional lymph nodes examined:</label>
</td>
<td>
<input type="text" class="element text large" ID="A27" size="5">
</td>
</tr>
<tr>
<td>
<label class="description">- Number of lymph nodes involved (specify locations):</label>
</td>
<td>
<input type="text" class="element text large" ID="A28" size="5">
</td>
</tr>
<tr>
<td>
<label class="">+ Nodal site(s) with tumor:</label>
</td>
<td>
<select class="element select large" ID="A52">
<option value=""></option>
<option value="Subcapsular">Subcapsular</option>
<option value="Intraparenchymal">Intraparenchymal</option>
<option value="Subcapsular & intraparenchymal">Subcapsular & intraparenchymal</option>
<option value="Other (specify):">Other (specify):</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Extranodal extension:</label>
</td>
<td>
<select class="element select large" ID="A29">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present">Present</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Matted nodes:</label>
</td>
<td>
<select class="element select large" ID="A30">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present">Present</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
<tr>
<td>
<label class="description">- Size of largest metastatic deposit (mm), specify site:</label>
</td>
<td>
<input type="text" class="element text large" ID="A31" size="5">
</td>
</tr>
<tr>
<td>
<label class="description">- Size of largest lymph node involved (mm), specify site:</label>
</td>
<td>
<input type="text" class="element text large" ID="A32" size="5">
</td>
</tr>
</table>
</p>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend> <label class="description"> Distant Metastasis: </label></legend>
<input class="element checkbox" type="checkbox" id="A43" value=" - Not applicable"><label class="choice" >Not applicable</label>
<input class="element checkbox" type="checkbox" id="A44" value=" - Not identified"><label class="choice" >Not identified</label>
<input class="element checkbox" type="checkbox" id="A45" value=" - Non-regional lymph node(s) (specify):"><label class="choice" >Non-regional lymph node(s) (specify):</label>
<input class="element checkbox" type="checkbox" id="A46" value=" - Skin, subcutaneous tissues, soft tissues including muscle (specify):"><label class="choice" >Skin, subcutaneous tissues, soft tissues including muscle (specify):</label>
<input class="element checkbox" type="checkbox" id="A47" value=" - Lung (specify):"><label class="choice" >Lung (specify):</label>
<input class="element checkbox" type="checkbox" id="A48" value=" - Liver (specify):"><label class="choice" >Liver (specify):</label>
<input class="element checkbox" type="checkbox" id="A49" value=" - Other non-CNS sites (specify):"><label class="choice" >Other non-CNS sites (specify):</label>
<input class="element checkbox" type="checkbox" id="A50" value=" - CNS sites (specify):"><label class="choice" >CNS sites (specify):</label>
<input class="element checkbox" type="checkbox" id="A51" value=" - Cannot be determined: "><label class="choice" >Cannot be determined: </label>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend> <label class="description"> <a href=".\cap\Cancer-Protocols-2024-06-Update\Skin Protocol Folder\Skin.Inv_Melanoma_1.1.0.0.REL_CAPCP.pdf#page=23" target="_blank">Pathologic Stage Classification (AJCC 8e)</a>:</label></legend>
<p>
<table border="1">
<col width="40%">
<tr>
<td>
<label class="description"> - Prior Procedure Classification:</label>
</td>
<td>
<select class="element select large" ID="A53">
<option value=""></option>
<option value=" - No information from a prior procedure is included in the classification assigned in this report">No information from a prior procedure is included in the classification assigned in this report</option>
<option value=" - Classification assigned in this report includes information from a prior procedure (explain):">Classification assigned in this report includes information from a prior procedure (explain):</option>
</select>
</td>
</tr>
<tr>
<td valign="top">
<label class="description"> - TNM Descriptors:</label>
</td>
<td>
<input class="element checkbox" type="checkbox" id="A33" value=" m (multiple primary tumors) "><label class="choice">m (multiple primary tumors)</label>
<input class="element checkbox" type="checkbox" id="A34" value=" r (recurrent) "><label class="choice">r (recurrent)</label>
<input class="element checkbox" type="checkbox" id="A35" value=" y (post treatment) "><label class="choice">y (post treatment)</label>
</td>
</tr>
<tr>
<td>
<label class="description"> - Primary tumor (pT):</label>
</td>
<td>
<select class="element select large" ID="A36">
<option value=""></option>
<option value=" - pT not assigned (cannot be determined based on available pathological information)">pT not assigned (cannot be determined based on available pathological information)</option>
<option value=" - pT0: No evidence of primary tumor">pT0: No evidence of primary tumor</option>
<option value=" - pTis: Melanoma in situ (ie, not an invasive tumor: anatomic level I)">pTis: Melanoma in situ (ie, not an invasive tumor: anatomic level I)</option>
<option value=" - pT1: 1.0 mm or less in thickness, ulceration status unknown or unspecified">T1: 1.0 mm or less in thickness, ulceration status unknown or unspecified</option>
<option value=" - pT1a: < 0.8 mm in thickness, no ulceration">pT1a: < 0.8 mm in thickness, no ulceration</option>
<option value=" - pT1b: < 0.8 mm in thickness with ulceration">pT1b: < 0.8 mm in thickness with ulceration</option>
<option value=" - pT1b: 0.8 to 1.0 mm in thickness with or without ulceration">pT1b: 0.8 to 1.0 mm in thickness with or without ulceration</option>
<option value=" - pT1 (subcategory cannot be determined)">pT1 (subcategory cannot be determined)
<option value=" - pT2: > 1.0 to 2.0 mm in thickness, ulceration status unknown or unspecified">pT2: > 1.0 to 2.0 mm in thickness, ulceration status unknown or unspecified</option>
<option value=" - pT2a: > 1.0 to 2.0 mm in thickness, no ulceration">pT2a: > 1.0 to 2.0 mm in thickness, no ulceration</option>
<option value=" - pT2b: > 1.0 to 2.0 mm in thickness, with ulceration">pT2b: > 1.0 to 2.0 mm in thickness, with ulceration</option>
<option value=" - pT2 (subcategory cannot be determined)">pT2 (subcategory cannot be determined)
<option value=" - pT3: > 2.0 to 4.0 mm in thickness, ulceration status unknown or unspecified">pT3: > 2.0 to 4.0 mm in thickness, ulceration status unknown or unspecified</option>
<option value=" - pT3a: > 2.0 to 4.0 mm in thickness, no ulceration">pT3a: > 2.0 to 4.0 mm in thickness, no ulceration</option>
<option value=" - pT3b: > 2.0 to 4.0 mm in thickness, with ulceration">pT3b: > 2.0 to 4.0 mm in thickness, with ulceration</option>
<option value=" - pT3 (subcategory cannot be determined)">pT3 (subcategory cannot be determined)
<option value=" - pT4: > 4.0 mm in thickness, ulceration status unknown or unspecified">pT4: > 4.0 mm in thickness, ulceration status unknown or unspecified</option>
<option value=" - pT4a: > 4.0 mm in thickness, no ulceration">pT4a: > 4.0 mm in thickness, no ulceration</option>
<option value=" - pT4b: > 4.0 mm in thickness, with ulceration">pT4b: > 4.0 mm in thickness, with ulceration</option>
<option value=" - pT4 (subcategory cannot be determined)">pT4 (subcategory cannot be determined)
</select>
</td>
</tr>
<tr>
<td>
<label class="description"> - Regional lymph nodes (pN): </label>
</td>
<td>
<select class="element select large" ID="A37">
<option value=""></option>
<option value=" - pN not assigned (no nodes submitted or found)">pN not assigned (no nodes submitted or found) </option>
<option value=" - pN not assigned (cannot be determined based on available pathological information)">pN not assigned (cannot be determined based on available pathological information)</option>
<option value=" - pN0: No regional lymph node metastasis">pN0: No regional lymph node metastasis</option>
<option value=" - pN1: One tumor-involved node or in-transit, satellite, and/or microsatellite metastases with no tumor-involved nodes">pN1: One tumor-involved node or in-transit, satellite, and/or microsatellite metastases with no tumor-involved nodes</option>
<option value=" - pN1a: One clinically occult tumor-involved node (ie, detected by sentinel node biopsy) with no in-transit, satellite and/or microsatellite metastases">pN1a: One clinically occult tumor-involved node (ie, detected by sentinel node biopsy) with no in-transit, satellite and/or microsatellite metastases</option>
<option value=" - pN1b: One clinically detected tumor-involved node with no in-transit, satellite and/or microsatellite metastases">pN1b: One clinically detected tumor-involved node with no in-transit, satellite and/or microsatellite metastases</option>
<option value=" - pN1c: No regional lymph node disease with presence of in-transit, satellite and / or microsatellite metastases">pN1c: No regional lymph node disease with presence of in-transit, satellite and / or microsatellite metastases</option>
<option value=" - pN1 (subcategory cannot be determined)">pN1 (subcategory cannot be determined)
<option value=" - pN2: Metastasis in two to three regional nodes or in-transit, satellite, and/or microsatellite with one tumor-involved node">pN2: Metastasis in two to three regional nodes or in-transit, satellite, and/or microsatellite with one tumor-involved node</option>
<option value=" - pN2a: 2-3 clinically occult tumor-involved node (ie, detected by sentinel node biopsy) with no in-transit, satellite and/or microsatellite metastases">pN2a: 2-3 clinically occult tumor-involved node (ie, detected by sentinel node biopsy) with no in-transit, satellite and/or microsatellite metastases</option>
<option value=" - pN2b: 2-3 tumor-involved nodes at least one of which was clinically detected with no in-transit, satellite and/or microsatellite metastases">pN2b: 2-3 tumor-involved nodes at least one of which was clinically detected with no in-transit, satellite and/or microsatellite metastases</option>
<option value=" - pN2c: One clinically occult or clinically apparent tumor-involved node with presence of in-transit, satellite and/or microsatellite metastases">pN2c: One clinically occult or clinically apparent tumor-involved node with presence of in-transit, satellite and/or microsatellite metastases</option>
<option value=" - pN2 (subcategory cannot be determined)">pN2 (subcategory cannot be determined)
<option value=" - pN3: Metastasis in four or more regional lymph nodes, or in-transit, satellite or microsatellite metastases with two or more tumor-involved nodes or any number of matted nodes without or with in-transit, satellite or microsatellite metastases">pN3: Metastasis in four or more regional lymph nodes, or in-transit, satellite or microsatellite metastases with two or more tumor-involved nodes or any number of matted nodes without or with in-transit, satellite or microsatellite metastases</option>
<option value=" - pN3a: > or = 4 clinically occult tumor-involved nodes (ie, detected by sentinel node biopsy) with no in-transit, satellite and/or microsatellite metastases">pN3a: > or = 4 clinically occult tumor-involved nodes (ie, detected by sentinel node biopsy) with no in-transit, satellite and/or microsatellite metastases</option>
<option value=" - pN3b: > or = 4 tumor-involved nodes, at least 1 of which was clinically detected, with no in-transit, satellite and/or microsatellite metastases">pN3b: > or = 4 tumor-involved nodes, at least 1 of which was clinically detected, with no in-transit, satellite and/or microsatellite metastases</option>
<option value=" - pN3c: > or = 2 clinically occult or clinically detected tumor-involved nodes with in-transit, satellite and/or microsatellite metastases and/or any number of matted nodes with in-transit, satellite and/or microsatellite metastases">pN3c: > or = 2 clinically occult or clinically detected tumor-involved nodes with in-transit, satellite and/or microsatellite metastases and/or any number of matted nodes with in-transit, satellite and/or microsatellite metastases</option>
<option value=" - pN3 (subcategory cannot be determined)">pN3 (subcategory cannot be determined)
</select>
</td>
</tr>
<tr>
<td valign="top" rowspan="2">
<label class="description"> - Distant metastasis (pM):</label>
</td>
<td>
<select class="element select large" ID="A38">
<option value=""></option>
<option value=" - Not applicable - pM cannot be determined from the submitted specimen(s)">Not applicable - pM cannot be determined from the submitted specimen(s)</option>
<option value=" - pM1: Distant metastasis">pM1: Distant metastasis</option>
<option value=" - pM1a: Distant metastasis in skin, subcutaneous tissues, soft tissues including muscle and/or nonregional lymph nodes">pM1a: Distant metastasis in skin, subcutaneous tissues, soft tissues including muscle and/or nonregional lymph nodes</option>
<option value=" - pM1b: Distant metastasis to lung with or without M1a sites of disease">pM1b: Distant metastasis to lung with or without M1a sites of disease</option>
<option value=" - pM1c: Distant metastasis to non-CNS visceral sites with or without M1a or M1b sites of disease">pM1c: Distant metastasis to non-CNS visceral sites with or without M1a or M1b sites of disease</option>
<option value=" - pM1d: Distant metastasis to CNS with or without M1a, M1b or M1c sites of disease">pM1d: Distant metastasis to CNS with or without M1a, M1b or M1c sites of disease</option>
<option value=" - pM1 (subcategory cannot be determined)">pM1 (subcategory cannot be determined)
</select>
</td>
</tr>
<!--
<tr>
<td>
- Specify site(s), if known:
<input type="text" class="element text small" ID="A39" size="35">
</td>
</tr>
-->
</table>
</p>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend> <label class=""> + Additional pathologic findings: </label></legend>
<p>
<input class="element checkbox" type="checkbox" id="A40" value=" - Associated nevus (specify type):"><label class="choice">Associated nevus (specify type):</label>
</p>
<p>
- Other (specify):
<input type="text" class = "element text medium" ID="A41" size="35">
</p>
<br>
</fieldset>
</p>
<p>
<label class="description">- Additional notes:</label>
<textarea ID="A42" class = "element textarea medium" style="border-color:Grey;"></textarea>
</p>
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<input type="button" name="copyform" value="Check your Report" onclick="updateDescription(this.form)"/>
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Last upated on 28-Dec-2024,<br>
based on <a href="https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocol-templates" target="_blank">US CAP cancer protocol templates</a>.<br>
Invasive Melanoma of the Skin 1.1.0.0 (Jun 2024), <br>
html form was created on <a href="https://www.phpform.org">pForm</a>, <a href="https://www.w3schools.com/">W3 School</a>, <a href="https://stackoverflow.com/">StackOverflow</a>, and <a href="https://icons8.com">Icons8</a>.<br><br>
Anatomical Pathology Division, Queen Mary Hospital, Hong Kong.
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