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)

Note the following data items have been retired in v5:

• Bone Invasion
• Cartilage Invasion

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).

Note:

• this has a new format to improve data quality, previously ‘max n3’

Pattern Of Invasive Front

This is a new data item for v5. Record the pattern of the leading edge of invasion of tumour (resection specimens and excisional biopsies only, not applicable to incisional biopsies).

Bone/Cartilage Invasion

This is a new data item for v5. Is there evidence of invasion into the bone or cartilage.

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’ have been retired from v5
• ‘Y’ and ‘N’ are new attributes in v5

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

Notes:

• The following data item has been retired from v5:
  • Positive Nodes Laterality
• The following are new data items in v5:
  • Nodes Positive Number (Left)
  • Nodes Positive Number (Right)

Nodes Positive Number (Left)

This is a new data item in v5. Record the number of regional nodes reported as being positive on the left side

Largest Metastasis Left Neck

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

Note:

• this has a new format to improve data quality, previously ‘max n3’

Nodes Positive Number (Right)

This is a new data item in v5. Record the number of regional nodes reported as being positive on the right side

Largest Metastasis Right Neck

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

Note:

• this has a new format to improve data quality, previously ‘max n3’

Extracapsular Spread/Extranodal Extension

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

Notes:

• this data item has a new name, previously ‘Extracapsular Spread’
• ‘1’ has a new national code definition
• ‘4’ and ‘5’ are new attributed in v5

This section name has been updated in v5, previously ‘Head & Neck - Pathology - Human Papillomavirus (HPV)’.

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

p16 Testing Indicator

Indicate the result of p16 immunohistochemistry.

HPV-ISH Testing

Indicate the result of HPV-ISH testing (Human Papillomavirus – In Situ Hybridisation).

EBV-ISH Testing

This is a new data item in v5. Indicate the result of EBV-ISH testing (Epstein Barr Virus - In Situ Hybridisation)