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.

Important notice:

To improve the data quality and accuracy of data submitted, a new choice has been added to this section to some tumour groups where applicable. This will allow for only the specific disease data items to be submitted alongside the Core Pathology data items and prevent any accidental addition of other disease specific items in each pathology report submitted.

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

Notes:

• the following data items have been moved to another part of the data set:
  • Fallopian Tube Involvement
    • moved to Gynaecological - Pathology - Fallopian Tube, Ovarian Epithelial and Primary Peritoneal
  • Ovarian Involvement
    • moved to Gynaecological - Pathology - Fallopian Tube, Ovarian Epithelial and Primary Peritoneal
  • Serosal Involvement
    • moved to Gynaecological - Pathology - Endometrial
• the following data items moved within this section:
  • Invasive Thickness
    • moved from Gynaecological - Pathology - Fallopian Tube, Ovarian Epithelial and Primary Peritoneal
• the following data item has been retired from v5
  • Omental Involvement

Omentum Involvement

This is a new data item for v5. Is there involvement of the omentum?

Invasive Thickness

Record the thickness or depth of the invasive lesion in mm for Cervix and Vulva.

Note:

• this data item has moved in v5 on the advice of the RCPath SMEs

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

Notes:

• the following data item has been moved to another part of the data set:
  • Invasive Thickness
    • moved to Gynaecological - Pathology
• the following data items moved within this section:
  • Fallopian Tube Involvement
    • moved from Gynaecological – Pathology
  • Ovarian Involvement
    • moved from Gynaecological – Pathology

Omental Deposit Size

This is a new data item for v5. Record the maximum dimension of largest omental deposit in mm.

Fallopian Tube Involvement

For ovarian/fallopian tube and Primary Peritoneum cancers, is there microscopic involvement of fallopian tubes

Ovarian Involvement

For ovarian/fallopian tube and Primary Peritoneum cancers, is there microscopic involvement of ovaries

Capsule Status

Capsule status of ovaries (record the most severe).

Note:

• Both ‘3’ and ‘X’ have updated national code definitions

Ovarian Surface Involvement

Is there involvement of the surface of either ovary?

Peritoneal Cytology

Result of peritoneal cytology.

Notes:

• ‘1’, ‘2’ and ‘3’ have updated national code definitions
• 4 – Not received is a new attribute in v5
• ‘X’ has been retired from v5

Peritoneal Involvement

Is there peritoneal involvement?

Notes:

• ‘1’, ‘2’, ‘3’ and ‘8’ are new attributes for v5
• ‘N’, ‘X’, ‘I’ and ‘B’ have been retired in v5

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

Notes:

• the following data item moved within this section:
  • Serosal Involvement
    • moved from Gynaecological - Pathology
• the following data item has been retired from v5
  • Peritoneal Washings

Serosal Involvement

For endometrial cancers, is there microscopic involvement of uterine serosa

Involvement of Cervical Stroma

Is there microscopic involvement of cervical stroma?

Note:

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

Myometrial Invasion

Is there microscopic evidence of myometrial invasion?

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 Involvement (Endometrial)

Is there involvement of peritoneum?

Note:

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

Site Of Peritoneal Involvement

If there is peritoneal involvement, which site(s) is involved?

ER Allred Score

This is a new data item for v5. Endometrial ER status recorded as Allred score 0-2 negative: 3-8 positive

Extent of Lymphovascular Invasion

This is a new data item for v5. Record the extent of the Lymphovascular Invasion is only applicable if Lymphovascular Invasion is present

P53 IHC Status

This is a new data item for v5. P53 Immunohistochemical status. Record the P53 IHC Status result

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

Start of Repeating Item - Excision Margin (Pre Invasive)

End of Repeating Item - Excision Margin (Pre Invasive)

Notes:

• the following data item has been moved to another part of the data set:
  • Invasive Thickness
    • moved to Gynaecological - Pathology
• the following data item has been retired from v5
  • CGIN Grade

CGIN

This is a new data item for v5. Specify if CGIN (cervical glandular intraepithelial neoplasia) is present or absent

CIN Grade

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

Notes:

• ‘4’ has a new national code definition, aligning with the RCPath Core data set
• ‘X’ has been retired for v5

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)?

Notes:

• ‘Y’ and ‘N’ have been retired in v5
• ‘1’, ‘2’, ‘3’ and ‘4’ are new attributes for v5, aligning with the RCPath Core data set
• this is now a repeating data item, so multiple attributes can be selected

Parametrial Involvement

Is there evidence of parametrial involvement?

Notes:

• the data item name has been updated, previously ‘Paracervical 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?

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

Note the following data items have been retired from v5

• Nodes Examined Number (Pelvic)
• Nodes Positive Number (Pelvic)

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 (Left Pelvic)

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

Nodes Positive Number (Left Pelvic)

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

Nodes Examined Number (Right Pelvic)

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

Nodes Positive Number (Right Pelvic)

The number of right 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? (Only applicable to vulval and cervix cancers)