Head and Neck - Pathology

This is the site specific section for additional head and neck 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)

Maximum Depth of Invasion

The maximum depth of invasion in mm. Record as 00 to indicate 'not applicable', (This is not applicable for nasopharynx, hypopharynx, nasal cavity or sinuses).

Bone Invasion [Bone Invasion Indication Code]

Is there evidence of invasion into bone? This is not applicable to many sites as bone not resected.

Cartilage Invasion

Is there evidence of invasion into cartilage? This is not applicable to many sites as cartilage is not resected.

Neck Dissection Laterality

Identify laterality of neck dissection if performed.

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

Macroscopic Extraglandular Extension

Macroscopic extension of tumour outside the capsule of the salivary gland.

Note:

• ’1’ and ‘2’ national code definition has been updated meet the ‘RCPath Core’ data set

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

Positive Nodes Laterality

If nodes positive specify laterality.

Largest Metastasis Left Neck

If Neck dissected on Left side, the size in mm of the largest metastasis.

Largest Metastasis Right Neck

If Neck dissected on Right side, the size in mm of the largest metastasis.

Extracapsular Spread

Invasion of metastatic tumour outside the capsule of a lymph node.

This is a new section in v4 to accurately record HPV testing for head and neck cancers.

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

p16 Testing Indicator

This is a new data item in v4. Indicate the result of p16 immunohistochemistry.

HPV-ISH Testing

This is a new data item in v4. Indicate the result of HPV-ISH testing (Human Papillomavirus – In Situ Hybridisation).