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Needle Biopsy Prostate Pathology Annotation

This annotation captures pathological details about a group of specimen collected from the Prostate gland by a particular procedure called Needle Biopsy.

Table 48: Needle Biopsy Prostate Pathology Annotation

Attribute and Sub Form Name Action
Specimen Procedure Select the appropriate Specimen Procedure from the drop-down list.
Other Specimen Procedure Do not enter data in this field.
Histologic Type To enter information about the Histologic Type, click the Add More button.
Type Select the appropriate Histologic Type from the drop-down list.
Histologic Variant Type To enter information about the Histologic Variant Type, click the Details link. Click the Add More button to add a row.
Other Histologic Type Enter the variant or Other Histologic Type. Click Submit to save data entered and to navigate back to the main form.
Additional Finding To enter information about the Additional Finding, click the Add More button.
Pathologic finding Select the appropriate Pathologic Finding from the drop-down list.
Details To enter information about the Details, click the Details link. Click Add More to add a row.
Details Enter the details about the Additional Finding. Click Submit to save the data entered and to navigate back to the main form.
Comments Enter additional information about the specimen, site of specimen, or other basic details.
Histologic Grade To enter information about the Histologic Grade, click the Add More button.
Grading System Name Select the appropriate Grading System Name from the drop-down list.
Other Grading System Name Enter the name of grading system if it is not available in the previous attribute’s (Grading System Name) drop-down list. Data entry in this field is optional.
Grade Enter the Grade. This field accepts alphanumeric values.
Invasion
Lymphatic Invasion Select the radio button for the appropriate value for Lymphatic Invasion.
Venous Invasion Select the radio button for the appropriate value for Venous Invasion.
Perineural Invasion Select the radio button for the appropriate value for Perineural Invasion.
Pathologic Staging
Primary Tumor Stage To enter information about the Primary Tumor Stage, click the Enter Details link.
Primary Tumor Stage Select the appropriate Primary Tumor Stage from the drop-down list.
Regional Lymph Node To enter information about the Regional Lymph Node, click the Enter Details link.
Lymph Node Stage Select the appropriate Lymph Node Stage from the drop-down list.
Number Examined Enter the number of lymph nodes examined. This field accepts integer values only. If you enter a decimal value, the value is rounded off.
Number Involved Enter the number of lymph nodes Involved. This field accepts integer values only. If you enter a decimal value, the value is rounded off.
Number Positive Enter the number of lymph nodes macroscopically involved. This field accepts integer values only. If you enter a decimal value, the value is rounded off.
Macroscopically
Number Positive Enter the number of lymph nodes microscopically involved. This field accepts integer values only. If you enter a decimal value, the value is rounded off.
Microscopically
Matted Nodes Select the radio button for the appropriate value for Matted Nodes.
Distant Metastasis To enter information about the Distant Metastasis, click the Enter Details link.
Metastasis Stage Select the appropriate Metastasis Stage from the drop-down list.
Metastasis Tissue Site To enter information about the Metastasis Tissue Site, click the Enter Details link. Click Add More to add a row.
Tissue Site Select the appropriate Tissue Site from the drop-down list.
Other Tissue Site Enter the name of the tissue site if it is not available in the previous attribute’s (Tissue Site) drop –down list. Data entry is optional.
Tumor Tissue Site To enter information about the Tumor Tissue Site, click the Add More button.
Site Select the appropriate tissue site from the drop-down list.
Other Site Enter the name of tissue site if it is not available in the previous attribute’s (Site) drop-down list. Data entry is optional.
Tissue Side To enter information about the Tissue Side, click the Details link. Click Add More to add a row.
Side Select the appropriate side from the drop-down list. Click Submit to save the data entered and to navigate back to the main form.
Tumor Size
Greatest Dimension Enter the Greatest Dimension of the tumor. This field accepts numerical values with decimal.
Additional Dimension One Enter the first dimension of the tumor. This field accepts numerical values with decimal.
Additional Dimension Two Enter the second dimension of the tumor. This field accepts numerical values with decimal.
Cannot Be Determined Select the check box if the tumor size cannot be determined. If this check box is selected, do not enter data in the preceding three fields (Greatest Dimension, Additional Dimension One, and Additional Dimension Two).
Proportion Or Percent Of Prostatic Tissue Involved By Tumor Enter the percentage of prostatic tissue involved by tumor. This field accepts numerical value with decimal between the range (0.0,100.0).
Periprostatic Fat Invasion Select the radio button for the appropriate value for Periprostatic Fat Invasion.
Seminal Vesicle Invasion Select the radio button for the appropriate value for Seminal Vesicle Invasion.
Gleason Score
Primary Pattern Score Select the appropriate Primary Pattern Gleason Score from the drop-down list.
Secondary Pattern Score Select the appropriate Secondary Pattern Gleason Score from the drop-down list.
Tertiary Pattern Score Select the appropriate Tertiary Pattern Gleason Score from the drop-down list.
Total Linear Carcinoma In Millimeter Enter the length of the carcinoma in millimeters. This field accepts numerical values with decimal.
Core Length In Millimeter Enter the length of the core in millimeters. This field accepts numerical values with decimal.
Other Quantification Enter data about any other quantitative information about the tumor.
Number Of Positive Cores Enter the number of cores found positive for the tumor. This field accepts integer values only. If you enter a decimal value, the value is rounded off.
Total Number Of Cores Enter the total number of cores. This field accepts integer values only. If you enter a decimal value, the value is rounded off.