Note: Applies to ovarian primary tumor. If bilateral tumors of 2 different histologic types are present, separate checklists should be used for each tumor.

Specimen:

Procedure:

Lymph Node Sampling:


Primary Tumor Site:

Ovarian Surface Involvement:

Tumor Size:

Histologic Type:

Histologic Grade:


Extent of Involvement of Other Tissues/Organs:



Pathologic Staging (pTNM FIGO):

Primary Tumor (pT):

Regional Lymph Nodes (pN):


Note: If pleural effusion is present, there must be a positive cytology for a stage IV designation. Parenchymal liver metastasis is classified as stage IV disease, whereas liver capsule metastasis is classified as stage III disease.