Gynaecological – Pathology

GYNAECOLOGICAL – Pathology
This is the site specific section for additional gynaecological cancer specific data items to be recorded. These will be aligned within the schema to form a single report.

May be one occurrence per Pathology Report (0..1)

Fallopian Tube Involvement:

For endometrial and epithelial/ovarian cancers, is there microscopic involvement of fallopian tubes?

Ovarian Involvement:

For endometrial and fallopian cancers, is there microscopic involvement of ovaries?

Serosal Involvement:

For endometrial, epithelial/ovarian and fallopian cancers, is there microscopic involvement of uterine serosa?

Notes:
•    ‘Y’ and ‘N’ have been removed from the data set from v4
•    ‘I’, ‘B’ and ‘N’ are new attributes for v4

Omental Involvement:

For endometrium, ovary, fallopian tube and primary peritoneum cancers, is there involvement of the omentum?

May be one occurrence per pathology report (0..1)

Note the following data item has been moved to the cervical table in v4.0:

• Invasive Thickness

Capsule Status

Capsule status of ovaries (record the most severe).

Ovarian Surface Involvement

Is there involvement of the surface of either ovary?

Peritoneal Cytology

Result of peritoneal cytology.

Peritoneal Involvement

Is there peritoneal involvement?

Notes:

• ‘Y’ has been removed from the data set from v4
• ‘N’, ‘I’ and ‘B’ national code definition have been updated meet the ‘RCPath Core’ data set

May be one occurrence per pathology report (0..1)

Involvement of Cervical Stroma

Is there microscopic involvement of cervical stroma?

Note:

• ‘Y’ and ‘N’ national code definition have been updated meet the ‘RCPath Core’ data set

Myometrial Invasion

Is there microscopic evidence of myometrial invasion?

Note:

• ‘1’ and ‘2’ have been removed from the data set from v4
• ‘3’ and ‘4’ are new attributes from v4

Parametrium Involvement

Is there microscopic involvement of parametrium?

Note:

• ‘Y’ and ‘N’ national code definition have been updated meet the ‘RCPath Core’ data set

Peritoneal Washings

Were peritoneal washings submitted and if so were malignant cells seen? These attributes have been changed after discussions with HSCIC (Data Dictionary Team).

Peritoneal Involvement (Endometrial)

This is a new data item in v4. Is there involvement of peritoneum?

Site Of Peritoneal Involvement

This is a new data item in v4. If there is peritoneal involvement, which site(s) is involved?

May be one occurrence per pathology report (0..1)

CGIN Grade

Specify presence and grade of CGIN (cervical glandular intraepithelial neoplasia).

CIN Grade

Specify presence and grade of CIN (cervical intra-epithelial neoplasia).

SMILE

Specify presence of SMILE (Stratified Mucin-Producing Intra-Epithelial Lesion).

Excision Margin (Pre Invasive)

Is there evidence of resection margin involvement by in situ/pre invasive disease (CIN, CGIN, and SMILE)?

Paracervical or Parametrial Involvement

Is there evidence of paracervical and/or parametrial involvement?

Thickness Uninvolved Stroma

Minimum thickness of uninvolved cervical stroma in millimetres (mm) (minimum tumour-free rim).

Vaginal Involvement

Is there evidence of microscopic vaginal involvement?

Invasive Thickness

This data item has moved in v4 to its correct section. Record the thickness or depth of the invasive lesion in mm.

May be one occurrence per pathology report (0..1)

Note: the following data item has been retired from v4.0

• Nodal Status Cervical Cancer

Nodes Examined Number (Para-Aortic)

The number of para-aortic nodes examined. (Not applicable for vulval cancers) Use 0 if nodes not sent.

Nodes Positive Number (Para-Aortic)

The number of para-aortic nodes reported as being positive for the presence of tumour metastases. (Not applicable for vulval cancers).

Nodes Examined Number (Pelvic)

The number of pelvic nodes examined (Not applicable for vulval cancers). Use 0 if nodes not sent.

Nodes Positive Number (Pelvic)

The number of pelvic nodes reported as being positive for the presence of tumour metastases. (Not applicable for vulval cancers).

Nodes Examined Number (Inguino-Femoral)

The number of inguino-femoral nodes examined. (Only applicable to vulval cancers). Use 0 if nodes not sent.

Nodes Positive Number (Inguino-Femoral)

The number of inguino-femoral nodes reported as being positive for the presence of tumour metastases. (Only applicable to vulval cancers).

Extranodal Spread

Is there evidence of extranodal spread/extension?