Oral Cancer 病理報告產生器
口腔癌 · AJCC 8th（口腔）／AJCC 9th（小唾液腺癌）／黏膜黑色素瘤專屬分期 — 依組織型自動切換
① 診斷欄
② Gross
③ Microscopic
④ 淋巴結 / 分期
⑤ 其他 / Comment
病理號 (Pathology No.)
部位 (Site)
tongue 舌
mucosal lip 唇黏膜
buccal mucosa 頰黏膜
upper alveolar ridge 上齒槽嵴
lower alveolar ridge 下齒槽嵴
retromolar gingiva 臼齒後區牙齦
mouth floor 口底
hard palate 硬顎
其他 (自行輸入)
側別 (Side)
right 右
left 左
midline 中線
不指明
Procedure (select all that apply)
診斷欄會使用第一個勾選的術式（Neck dissection 與 Not specified 除外）；都沒勾則用 resection。
頸部淋巴廓清 (Neck Dissection)
廓清術式
無 (not performed)
modified radical neck dissection
supraomohyoid neck dissection
selective neck dissection
選擇後請於「④ 淋巴結 / 分期」填寫各 level 結果，診斷欄會自動生成 Lymph node 條列。
附加診斷行 (Additional Diagnosis Lines)
加入唾液腺診斷行 (Salivary gland)
腺體
submandibular
sublingual
submandibular and sublingual
結果
no carcinoma involvement
carcinoma involvement
加入切緣診斷行 (Surgical margin)
切緣項目
結果
no carcinoma involvement
carcinoma involvement
診斷欄的腫瘤名稱與 grade，會依「③ Microscopic」勾選的 Histologic Type 與「④」的 Histologic Grade 自動帶入；pathologic stage 與 Stage Groupings 也會自動補上。
Specimen
標本型態
the right/left half of tongue
a subtotally resected tongue
a portion of tongue
a portion of mandible with overlying gingiva
a portion of buccal wall
其他 (自行輸入)
標本大小 (cm)
×
×
附帶周圍組織 (with ...)
附帶組織內容
合計大小 (cm)
×
×
固定狀態 (Fixation)
fixed in formalin
in fresh state
縫線標記 (Stitches labeling levels)
level I（one stitch）
level II（two stitches）
level III（three stitches）
level IV（four stitches）
level V（five stitches）
Also received
Tumor (Gross)
腫瘤外觀
an ulcerated 潰瘍型
an elevated and ulcerated 隆起併潰瘍
a fungating 蕈狀
a verruca-like 疣狀
不描述外觀
腫瘤大小 (cm)
最大徑同時供 pT 自動推算使用
×
×
腫瘤所在面 (at the ... )
surface of tongue
gingiva
buccal mucosa
floor of the mouth
hard palate
其他 (自行輸入)
切面所見 (On section, the tumor is ...)
gray white 灰白
firm 硬實
friable 易碎
variegated 雜色
侵入深度 DOI (Depth of Invasion)
以基底膜為準；供 pT 自動推算
mm
cm
Margin / Extension (Gross)
距最近黏膜切緣 (cm)
距最近軟組織切緣 (cm)
最接近的方向 (若可分辨)
肉眼侵犯構造 (invasion to ...)
Tumor Extension (other structures involved) — specify
下顎骨 / 上顎骨 (Mandible / Maxilla)
不適用 (不描述)
mandible — is free of involvement grossly
mandible — is involved by tumor grossly
maxilla — is free of involvement grossly
maxilla — is involved by tumor grossly
Salivary Gland / Lymph Nodes (Gross)
描述唾液腺
唾液腺大小 (cm)
×
×
所見
廓清淋巴結總數
最大淋巴結 (cm)
Representative Sections
A1-: tumor B1-: other mucosal areas C1-5: surgical margins (anterior, posterior, upper, lower, and basal) D1: level I lymph nodes D2: level II lymph nodes D3: level III lymph nodes D4: level IV lymph nodes D5: level V lymph nodes E: submandibular/sublingual gland F: sternocleidomastoid muscle G: jugular vein H: bone (under the tumor)
Laterality / Focality
Tumor Laterality
Tumor Focality
Size / Depth of Invasion (Microscopic)
留空則採用「② Gross」的數值。
Size of Carcinoma (cm)
×
×
Depth of Invasion (DOI)
mm
cm
Histologic Type
select all that apply — 決定使用哪一套分期系統
Other histologic type not listed (specify)
Combined (or composite) neuroendocrine carcinoma — specify types
Preexisting Pleomorphic Adenoma Component
Specimen Margins
Invasive tumor
Distance from closest margin (mm)
Specify location of closest margin, per orientation
Location and distance of other close margins
Specify margin(s), per orientation
High-grade dysplasia / in situ disease
Distance from closest margin (mm)
Specify location of closest margin, per orientation
Specify margin(s), per orientation
High-grade dysplasia / in situ 項目僅適用於鱗狀細胞癌及其變異型，且僅在 invasive carcinoma 切緣未受侵犯時需填。
Tumor Bed (Separately Submitted) Margins
僅 SCC 需要
Distance to true margin surface (mm)（若有垂直切片定向）
Specify margin(s), per part labeling
Treatment Effect / LVI / PNI / WPOI
Treatment Effect
(neoadjuvant therapy 者適用)
Lymph-Vascular Invasion
Perineural Invasion
Worst Pattern of Invasion (WPOI)
WPOI 1: Broad pushing invasion front｜WPOI 2: Broad pushing figures, separate tumor islands｜WPOI 3: Invasive islands (>15 cells/island)｜WPOI 4: Invasive islands (<15 cells/island, including single cell invasion)｜WPOI 5: tumor satellites >1 mm from tumor。臨床上主要區分 WPOI-5 與其他。
Histologic Grade
required for squamous cell carcinoma only
SCC 變異型（verrucous、basaloid 等）具內在生物行為，目前不需分級。Adenoid cystic carcinoma 之 solid pattern ≥30% 視為 high-grade。
Lymph Node Examination
No lymph nodes submitted or found
Level
Side
Positive
Examined
Total
0
0
Number Involved (覆寫)
Number Examined (覆寫)
Involved number cannot be determined
Examined number cannot be determined
Laterality of Lymph Nodes Involved
供 AJCC 8th pN 推算
Size of Largest Metastatic Deposit (cm)
供 AJCC 8th pN 推算
Extranodal Extension (ENE)
Distance from lymph node capsule (mm)
中線淋巴結視為同側 (ipsilateral)。Pathological ENE 應記錄為 ENE (−) 或 ENE (+)；轉移灶大小以最大轉移沉積為準（可含融合淋巴結）。
pT — Primary Tumor
Carcinoma in situ (pTis)
侵犯鄰近構造 only（下顎/上顎皮質骨、上頜竇、顏面皮膚；唇：穿透皮質骨、下齒槽神經、口底、顏面皮膚）→ T4a
侵犯 masticator space、pterygoid plates、skull base，和/或包覆 internal carotid artery → T4b
侵犯 deep soft tissue、cartilage、bone 或表面皮膚 → T4a
侵犯 brain、dura、skull base、lower cranial nerves (IX–XII)、masticator space、carotid artery、prevertebral space 或 mediastinal structures → T4b
Extraparenchymal extension (gross / clinical) present → T3
侵犯鄰近構造（skin, bone, cartilage, solid organ parenchyma, esophagus, trachea, named nerve）→ T4a
侵犯超出鄰近構造（carotid encasement, skull base, spinal column, intracranial, orbital apex, prevertebral space, mediastinal, masticator space）→ T4b
pT
自動
pN / pM / Descriptors
pN
自動
pM
（不報告 / not applicable）
pM1: Distant metastasis
TNM Descriptors (required only if applicable)
m (multiple primary tumors)
r (recurrent)
y (posttreatment)
Residual Tumor (R)
（不報告）
RX: Cannot be assessed
R0: No residual tumor
R1: Microscopic residual tumor
R2: Macroscopic residual tumor
Stage Group
自動
Additional Pathologic Findings (select all that apply)
Ancillary Studies
分子與生物標記報告請使用 CAP Head and Neck Biomarker Template；尚未完成者列於 Comment(s)。
Comment(s)
輸出選項
省略未填寫的項目
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