Make specific note of the relationship to EGJ for staging purposes:
The relationship of the tumor (or ulcer in treated cases) to the esophagogastric junction (EGJ) MUST be explicitly stated for staging purposes as follows:
- Tumor/ulcer is located entirely within the tubular esophagus without involvement of the EGJ
- Tumor/ulcer midpoint lies in the distal esophagus and tumor involves the EGJ
- Tumor/ulcer midpoint is located at the EGJ
- Tumor/ulcer midpoint is 2 cm or less into the proximal stomach and involves the EGJ
Size of tumor to submit entirely decreased from 2 cm to 1 cm, and number of sections to submit:
If greatest dimension is less than or equal to 1 cm, submit the whole tumor. If greatest dimension is larger than 1 cm, submit representative sections, at least 3 and no more than 6 sections (including frozen section, if performed). Submit sections demonstrating relationships with adjacent uninvolved parenchyma, staple line, and pleural surface. (NOTE: Tumor may have been banked prior to grossing – these measurements are of the fresh size before removal of tumor for tissue bank).
Documentation of gross extrathyroidal extension for staging purposes:
Document in your gross description whether extrathyroidal extension into fat, skeletal muscle, or other anatomic landmarks is visible.