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Endocrine-Thyroid.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>Thyroid cancers</title>
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<img id="top" src="top.png" alt="">
<div id="form_container">
<div class="form_description">
<h2><a href=".\cap\Cancer-Protocols-2023-03-Update\Endocrine Protocol Folder\Thyroid_4.4.0.0.REL_CAPCP.pdf" target="_blank">
<div class="tooltip">Carcinoma of the thyroid
<span class="tooltiptext">click to access explanations in the original CAP template</span>
</div>
</a></h2>
</div>
<form>
<!--
<p>
<fieldset style="border-color:#e6e6ff;">
<legend><label class="description">Gross descriptions:</label></legend>
<p>
<table border="1">
<col width="40%">
<tr>
<td>
<label class="description">- Procedure:</label>
</td>
<td>
<select class="element select large" ID="A01">
<option value=""></option>
<option value=" - Completion thyroidectomy (reoperative)">Completion thyroidectomy (reoperative)</option>
<option value=" - Right partial excision">Right partial excision</option>
<option value=" - Left partial excision">Left partial excision</option>
<option value=" - Partial excision# (specify type):">Partial excision (specify type):</option>
<option value=" - Right lobectomy">Right lobectomy</option>
<option value=" - Left lobectomy">Left lobectomy</option>
<option value=" - Right lobectomy with isthmusectomy (hemithyroidectomy)">Right lobectomy with isthmusectomy (hemithyroidectomy)</option>
<option value=" - Left lobectomy with isthmusectomy (hemithyroidectomy)">Left lobectomy with isthmusectomy (hemithyroidectomy)</option>
<option value=" - Right lobe with partial left lobectomy (subtotal or near total thyroidectomy)">Right lobe with partial left lobectomy (subtotal or near total thyroidectomy)</option>
<option value=" - Left lobe with partial right lobectomy (subtotal or near total thyroidectomy)">Left lobe with partial right lobectomy (subtotal or near total thyroidectomy)</option>
<option value=" - Total thyroidectomy">Total thyroidectomy</option>
<option value=" - Other (specify):">Other (specify):</option>
<option value=" - Not specified">Not specified</option>
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</td>
</tr>
<tr>
<td>
<label class="description">- Tumor focality:</label>
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<td>
<select class="element select large" ID="A02">
<option value=""></option>
<option value=" - Unifocal">Unifocal</option>
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</tr>
<tr>
<td valign="top">
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<td>
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<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>
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</td>
</tr>
</table>
</p>
</fieldset>
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-->
<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="A09" class="element textarea medium"></textarea>
</p>
<p>
<table border="1">
<col width="60%">
<tr>
<td>
<label class="description">- Low-risk follicular cell-derived thyroid neoplasms:</label>
</td>
<td>
<select class="element select large" ID="A53">
<option value=""></option>
<option value="Thyroid follicular tumor of uncertain malignant potential">Thyroid follicular tumor of uncertain malignant potential</option>
<option value="Thyroid well-differentiated tumor of uncertain malignant potential">Thyroid well-differentiated tumor of uncertain malignant potential</option>
<option value="Hyalinizing trabecular tumor">Hyalinizing trabecular tumor</option>
<option value="Non-invasive follicular thyroid neoplasm with papillary like nuclear features (NIFTP)">Non-invasive follicular thyroid neoplasm with papillary like nuclear features (NIFTP)</option>
<option value="Other low-risk follicular cell-derived thyroid neoplasm (specify):">Other low-risk follicular cell-derived thyroid neoplasm (specify):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Follicular carcinoma:</label>
</td>
<td>
<select class="element select large" ID="A11">
<option value=""></option>
<option value="Minimally invasive follicular carcinoma">Minimally invasive follicular carcinoma</option>
<option value="Encapsulated angioinvasive follicular carcinoma">Encapsulated angioinvasive follicular carcinoma</option>
<option value="Widely invasive follicular carcinoma">Widely invasive follicular carcinoma</option>
<option value="Other follicular carcinoma (specify):">Other follicular carcinoma (specify):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Invasive encapsulated follicular variant papillary thyroid carcinoma:</label>
</td>
<td>
<select class="element select large" ID="A54">
<option value=""></option>
<option value="Minimally invasive follicular variant papillary carcinoma">Minimally invasive follicular variant papillary carcinoma</option>
<option value="Minimally invasive oncocytic follicular variant papillary carcinoma">Minimally invasive oncocytic follicular variant papillary carcinoma</option>
<option value="Encapsulated angioinvasive follicular variant papillary carcinoma">Encapsulated angioinvasive follicular variant papillary carcinoma</option>
<option value="Encapsulated angioinvasive oncocytic follicular variant papillary carcinoma">Encapsulated angioinvasive oncocytic follicular variant papillary carcinoma</option>
<option value="Minimally invasive follicular variant papillary carcinoma">Minimally invasive follicular variant papillary carcinoma</option>
<option value="Widely invasive follicular variant papillary carcinoma">Widely invasive follicular variant papillary carcinoma</option>
<option value="Other invasive encapsulated follicular variant papillary thyroid carcinoma (specify):">Other invasive encapsulated follicular variant papillary thyroid carcinoma (specify):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Papillary carcinoma:</label>
</td>
<td>
<select class="element select large" ID="A10">
<option value=""></option>
<option value="Papillary carcinoma, classic subtype">Papillary carcinoma, classic subtype</option>
<option value="Papillary carcinoma, encapsulated classic subtype">Papillary carcinoma, encapsulated classic subtype</option>
<option value="Papillary carcinoma, oncocytic classic subtype">Papillary carcinoma, oncocytic classic subtype</option>
<option value="Papillary carcinoma, infiltrative follicular subtype">Papillary carcinoma, infiltrative follicular subtype</option>
<option value="Papillary carcinoma, tall cell variant">Papillary carcinoma, tall cell variant</option>
<option value="Papillary carcinoma, hobnail subtype">Papillary carcinoma, hobnail subtype</option>
<option value="Papillary carcinoma, columnar cell subtype">Papillary carcinoma, columnar cell subtype</option>
<option value="Papillary carcinoma, clear cell subtype">Papillary carcinoma, clear cell subtype</option>
<option value="Papillary carcinoma, spindle cell subtype">Papillary carcinoma, spindle cell subtype</option>
<option value="Papillary carcinoma, solid subtype">Papillary carcinoma, solid subtype</option>
<option value="Papillary carcinoma, diffuse sclerosing subtype">Papillary carcinoma, diffuse sclerosing subtype</option>
<option value="Papillary carcinoma with fibromatosis / fasciitis-like / desmoid type stroma">Papillary carcinoma with fibromatosis / fasciitis-like / desmoid type stroma</option>
<option value="Papillary carcinoma, Warthin-like subtype">Papillary carcinoma, Warthin-like subtype</option>
<option value="Papillary carcinoma, other subtype (specify):">Papillary carcinoma, other subtype (specify):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Oncocytic carcinoma of the thyroid:</label>
</td>
<td>
<select class="element select large" ID="A12">
<option value=""></option>
<option value="Minimally invasive oncocytic carcinoma">Minimally invasive oncocytic carcinoma</option>
<option value="Encapsulated angioinvasive oncocytic carcinoma">Encapsulated angioinvasive oncocytic carcinoma</option>
<option value="Widely invasive oncocytic carcinoma">Widely invasive oncocytic carcinoma</option>
<option value="Oncocytic carcinoma, other (specify):">Oncocytic carcinoma, other (specify):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- High-grade follicular cell-derived differentiated thyroid carcinoma:</label>
</td>
<td>
<select class="element select large" ID="A55">
<option value=""></option>
<option value="High-grade follicular thyroid carcinoma (specify subtype):">High-grade follicular thyroid carcinoma (specify subtype):</option>
<option value="High-grade invasive encapsulated follicular variant papillary thyroid carcinoma (specify
subtype):">High-grade invasive encapsulated follicular variant papillary thyroid carcinoma (specify subtype):</option>
<option value="High-grade papillary thyroid carcinoma (specify subtype):">High-grade papillary thyroid carcinoma (specify subtype):</option>
<option value="High-grade oncocytic carcinoma of the thyroid (specify subtype):">High-grade oncocytic carcinoma of the thyroid (specify subtype):</option>
<option value="High-grade differentiated thyroid carcinoma, NOS">High-grade differentiated thyroid carcinoma, NOS</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Poorly differentiated thyroid carcinoma:</label>
</td>
<td>
<select class="element select large" ID="A56">
<option value=""></option>
<option value="Poorly differentiated thyroid carcinoma, NOS">Poorly differentiated thyroid carcinoma, NOS</option>
<option value="Oncocytic poorly differentiated thyroid carcinoma">Oncocytic poorly differentiated thyroid carcinoma</option>
<option value="Poorly differentiated thyroid carcinoma, other (specify):">Poorly differentiated thyroid carcinoma, other (specify):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Anaplastic follicular cell-derived thyroid carcinoma:</label>
</td>
<td>
<select class="element select large" ID="A57">
<option value=""></option>
<option value="Anaplastic thyroid carcinoma, NOS">Anaplastic thyroid carcinoma, NOS</option>
<option value="Anaplastic thyroid carcinoma, focal or minor component without extrathyroidal extension">Anaplastic thyroid carcinoma, focal or minor component without extrathyroidal extension</option>
<option value="Anaplastic thyroid carcinoma, major component">Anaplastic thyroid carcinoma, major component</option>
<option value="Other anaplastic follicular cell-derived thyroid carcinoma (specify):">Other anaplastic follicular cell-derived thyroid carcinoma (specify):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Other carcinomas:</label>
</td>
<td>
<select class="element select large" ID="A58">
<option value=""></option>
<option value="Medullary thyroid carcinoma">Medullary thyroid carcinoma</option>
<option value="Other medullary thyroid carcinoma (specify):">Other medullary thyroid carcinoma (specify):</option>
<option value="Mixed medullary carcinoma and follicular thyroid carcinoma (specify):">Mixed medullary carcinoma and follicular thyroid carcinoma (specify):</option>
<option value="Mixed medullary carcinoma and follicular variant papillary carcinoma (specify):">Mixed medullary carcinoma and follicular variant papillary carcinoma (specify):</option>
<option value="Mixed medullary carcinoma and papillary thyroid carcinoma (specify):">Mixed medullary carcinoma and papillary thyroid carcinoma (specify):</option>
<option value="Other mixed medullary and follicular cell-derived thyroid carcinoma (specify):">Other mixed medullary and follicular cell-derived thyroid carcinoma (specify):</option>
<option value="Mucoepidermoid carcinoma of the thyroid gland">Mucoepidermoid carcinoma of the thyroid gland</option>
<option value="Secretory carcinoma of salivary gland type">Secretory carcinoma of salivary gland type</option>
<option value="Other salivary gland-type carcinoma of the thyroid (specify):">Other salivary gland-type carcinoma of the thyroid (specify):</option>
<option value="Thymoma family (specify, if possible):">Thymoma family (specify, if possible):</option>
<option value="Thymic carcinoma family (specify, if possible):">Thymic carcinoma family (specify, if possible):</option>
<option value="Spindle epithelial tumor with thymus-like elements (SETTLE)">Spindle epithelial tumor with thymus-like elements (SETTLE)</option>
<option value="Other thymic neoplasm within the thyroid (specify):">Other thymic neoplasm within the thyroid (specify):</option>
<option value="Cribriform-morular thyroid carcinoma">Cribriform-morular thyroid carcinoma</option>
<option value="Sclerosing mucoepidermoid carcinoma with eosinophilia (SMECE)">Sclerosing mucoepidermoid carcinoma with eosinophilia (SMECE)</option>
<option value="Other thyroid neoplasm of uncertain cytogenesis (specify):">Other thyroid neoplasm of uncertain cytogenesis (specify):</option>
<option value="Embryonal thyroid neoplasm, thyroblastoma">Embryonal thyroid neoplasm, thyroblastoma</option>
<option value="Other histologic type not listed (specify):">Other histologic type not listed (specify):</option>
<option value="Malignant thyroid neoplasm, type cannot be determined:">Malignant thyroid neoplasm, type cannot be determined:</option>
</select>
</td>
</tr>
<tr>
<td>
</td>
<td>
</td>
</tr>
<tr>
<td>
<label class="description">- Mitotic count (per 2 mm<sup>2</sup>):</label>
</td>
<td>
<select class="element select large" ID="A13">
<option value=""></option>
<option value=" - Less than 3 mitoses per 2mm2, specify:">Less than 3 mitoses per 2mm2</option>
<option value=" - Greater than or equal to 3 but less than 5 mitoses per 2 mm2, specify:">Greater than or equal to 3 but less than 5 mitoses per 2 mm2</option>
<option value=" - Greater than or equal to 5 mitoses per 2 mm2, specify:">Greater than or equal to 5 mitoses per 2 mm2</option>
<option value=" - Cannot be determined (explain):">Cannot be determined (explain):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Ki67 Labeing index:</label>
</td>
<td>
<input type="text" ID="A59" class = "element text large" size="20">
</td>
</tr>
<tr>
<td>
<label class="description">- Tumor focality:</label>
</td>
<td>
<select class="element select large" ID="A02">
<option value=""></option>
<option value=" - Unifocal">Unifocal</option>
<option value=" - Multifocal ">Multifocal </option>
<option value=" - Cannot be determined (explain):">Cannot be determined (explain):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Tumor size:</label>
</td>
<td>
<select class="element select large" ID="A08">
<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">- Tumor necrosis:</label>
</td>
<td>
<select class="element select large" ID="A60">
<option value=""></option>
<option value=" - Not identified">Not identified</option>
<option value=" - Present, specify:">Present, specify:</option>
<option value=" - Cannot be determined (explain):">Cannot be determined (explain):</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- <a href=".\cap\Cancer-Protocols-2021-06-Update\Endocrine-Protocol-Folder\Thyroid_4.3.0.0.REL_CAPCP.pdf#page=18" target="_blank">Angionvasion</a>: </label>
</td>
<td>
<select class="element select large" ID="A14">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Focal (< 4 vessels)">Focal (< 4 vessels)</option>
<option value="Extensive (= or > 4 vessels)">Extensive (= or > 4 vessels)</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Lymphatic invasion: </label>
</td>
<td>
<select class="element select large" ID="A15">
<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 > + Perineural invasion: </label>
</td>
<td>
<select class="element select large" ID="A16">
<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">- <a href=".\cap\Cancer-Protocols-2021-06-Update\Endocrine-Protocol-Folder\Thyroid_4.3.0.0.REL_CAPCP.pdf#page=17" target="_blank">Extrathyroidal extension</a>:</label>
</td>
<td>
<select class="element select large" ID="A17">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Invading only strap muscles">Invading only strap muscles</option>
<option value="Invading subcutaneous soft tissues, larynx, trachea, esophagus or recurrent laryngeal nerve">Invading subcutaneous soft tissues, larynx, trachea, esophagus or recurrent laryngeal nerve</option>
<option value="Invading prevertebral fascia or encasing the carotid artery or mediastinal vessels">Invading prevertebral fascia or encasing the carotid artery or mediastinal vessels</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
</table>
</p>
<p>
Using 22 mm eyepiece at x40 objective, counting 42 fields = 10 mm<sup>2</sup><br>
Divide by 5 to get hot spot mitotic count of 2 mm<sup>2</sup><br>
</p>
<p>
The Ki-67 proliferation index reporting is required in all medullary thyroid carcinomas as well as in the medullary thyroid carcinoma component of mixed medullary and follicular cell-derived thyroid carcinomas. The Ki-67 proliferation assessment should follow the IARC / WHO guidelines. Visual estimation based on routine microscopic examination (also known as eyeballing) is not allowed.
</p>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend><label class="description">Surgical margins of excision specimen:</label></legend>
<p>
- Surgical margin:<br>
<select class="element select medium" ID="A18">
<option value=""></option>
<option value="Cannot be assessed">Cannot be assessed</option>
<option value="Involved by carcinoma, specify:">Involved by carcinoma, specify:</option>
<option value="Uninvolved by carcinoma, specify location and distance (mm):">Uninvolved by carcinoma, specify location and distance (mm):</option>
</select>
</p>
<br>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend> <label class="description"> <a href=".\cap\Cancer-Protocols-2021-06-Update\Endocrine-Protocol-Folder\Thyroid_4.3.0.0.REL_CAPCP.pdf#page=18" target="_blank">Lymph nodes examination</a>: </label></legend>
<p>
<table border="1">
<col width="60%">
<tr>
<td>
- Number of regional lymph nodes involved at level VI
(pretracheal, paratracheal and prelaryngeal/Delphian,
perithyroidal (central compartment dissection):
</td>
<td valign="top">
<input type="text" ID="A19" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Number of regional lymph nodes involved at level VII
(superior mediastinal lymph nodes):
</td>
<td valign="top">
<input type="text" ID="A20" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Number of regional lymph nodes involved at Right level I:
</td>
<td>
<input type="text" ID="A21" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Number of regional lymph nodes involved at Right level II:
</td>
<td>
<input type="text" ID="A22" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Number of regional lymph nodes involved at Right level III:
</td>
<td>
<input type="text" ID="A23" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Number of regional lymph nodes involved at Right level IV:
</td>
<td>
<input type="text" ID="A24" class = "element text large" size="10" value="0 out of total of ...">
</td>
<tr>
<tr>
<td>
- Number of regional lymph nodes involved at Right level V:
</td>
<td>
<input type="text" ID="A25" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Number of regional lymph nodes involved at Left level I:
</td>
<td>
<input type="text" ID="A21A" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Number of regional lymph nodes involved at Left level II:
</td>
<td>
<input type="text" ID="A22A" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Number of regional lymph nodes involved at Left level III:
</td>
<td>
<input type="text" ID="A23A" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Number of regional lymph nodes involved at Left level IV:
</td>
<td>
<input type="text" ID="A24A" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Number of regional lymph nodes involved at Left level V:
</td>
<td>
<input type="text" ID="A25A" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Number of regional lymph nodes involved, specify group:
</td>
<td>
<input type="text" ID="A26" class = "element text large" size="10" value="0 out of total of ...">
</td>
</tr>
<tr>
<td>
- Extranodal extension:
</td>
<td>
<select class="element select large" ID="A27">
<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>
- Size of largest metastatic deposit (mm), specify site:
</td>
<td>
<input type="text" ID="A28" class = "element text large" size="20">
</td>
</tr>
<tr>
<td>
- Size of largest lymph node involved (mm), specify site:
</td>
<td>
<input type="text" ID="A29" class = "element text large" size="20">
</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="A46" value=" - Not applicable"><label class="choice" >Not applicable</label>
<input class="element checkbox" type="checkbox" id="A47" value=" - Not identified"><label class="choice" >Not identified</label>
<input class="element checkbox" type="checkbox" id="A48" value=" - Non-regional lymph node(s) (specify):"><label class="choice" >Non-regional lymph node(s) (specify):</label>
<input class="element checkbox" type="checkbox" id="A49" value=" - Lung (specify):"><label class="choice" >Lung (specify):</label>
<input class="element checkbox" type="checkbox" id="A50" value=" - Bone (specify):"><label class="choice" >Bone (specify):</label>
<input class="element checkbox" type="checkbox" id="A51" value=" - Other (specify):"><label class="choice" >Other (specify):</label>
<input class="element checkbox" type="checkbox" id="A52" 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-2021-06-Update\Endocrine-Protocol-Folder\Thyroid_4.3.0.0.REL_CAPCP.pdf#page=24" target="_blank">Pathologic Stage Classification (AJCC 8e)</a>:</label></legend>
<p>
<table border="1">
<col width="60%">
<tr>
<td valign="top">
<label class="description">- TNM Descriptors:</label>
</td>
<td>
<input class="element checkbox" type="checkbox" id="A30" value=" m (multiple primary tumors) "><label class="choice">m (multiple primary tumors)</label>
<input class="element checkbox" type="checkbox" id="A31" value=" r (recurrent) "><label class="choice">r (recurrent)</label>
<input class="element checkbox" type="checkbox" id="A32" value=" y (post treatment) "><label class="choice">y (post treatment)</label>
</td>
</tr>
<tr>
<td>
<label class="description">- Primary tumor (pT) for all carcinoma, except MTC:</label>
</td>
<td>
<select class="element select large" ID="A33">
<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=" - pT1 (subcategory cannot be determined)">pT1 (subcategory cannot be determined)</option>
<option value=" - pT1a: Tumor < or = 1 cm, limited to the thyroid">pT1a: Tumor < or = 1 cm, limited to the thyroid</option>
<option value=" - pT1b: Tumor > 1 cm but < or = 2 cm, limited to the thyroid">pT1b: Tumor > 1 cm but < or = 2 cm, limited to the thyroid</option>
<option value=" - pT2: Tumor > 2 cm, but < or = 4 cm, limited to thyroid">pT2: Tumor > 2 cm, but < or = 4 cm, limited to thyroid</option>
<option value=" - pT3 (subcategory cannot be determined)">pT3 (subcategory cannot be determined)</option>
<option value=" - pT3a: Tumor > 4 cm limited to the thyroid">pT3a: Tumor > 4 cm limited to the thyroid</option>
<option value=" - pT3b: Gross extrathyroidal extension invading only strap muscles (sternohyoid, sternothyroid, thyrohyoid, or omohyoid muscles) from a tumor of any size">pT3b: Gross extrathyroidal extension invading only strap muscles (sternohyoid, sternothyroid, thyrohyoid, or omohyoid muscles) from a tumor of any size</option>
<option value=" - pT4 (subcategory cannot be determined)">pT4 (subcategory cannot be determined)</option>
<option value=" - pT4a: Gross extrathyroidal extension invading subcutaneous soft tissues, larynx, trachea, esophagus, or recurrent laryngeal nerve from a tumor of any size">pT4a: Gross extrathyroidal extension invading subcutaneous soft tissues, larynx, trachea, esophagus, or recurrent laryngeal nerve from a tumor of any size</option>
<option value=" - pT4b: Gross extrathyroidal extension invading prevertebral fascia or encasing the carotid artery or mediastinal vessels from a tumor of any size">pT4b: Gross extrathyroidal extension invading prevertebral fascia or encasing the carotid artery or mediastinal vessels from a tumor of any size</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Primary tumor (pT) for medullary thyroid carcinoma:</label>
</td>
<td>
<select class="element select large" ID="A34">
<option value=""></option>