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Work-flow in Cologne
1) Photographic documentation of all surgical specimens
2) Macroscopically
Tumor size (if possible in three dimension)
Tumor localisation
Tumor extension
Distance to margins (oral, aboral, circumferential)
Complete embedding of the tumor from oral to aboral
(CRM is included and colourmarked)
Institute of Pathology | Alexander Quaas
Gastrointestinal Cancer Group Cologne (GCGC)
Lymph nodes are completely embedded
3) Reporting
Histological types (adenocarcinoma, squamous cell carcinoma)
UICC staging (y) pT pN (including ece+) L V Pn (=perineural invasion)
Margins (free; distance; oral, aboral, circumferential)
Grading (in case of neoadjuvant chemo-/radiotherapy: no grading)
Regression grade (in case of neoadjuvant therapy using Becker and Cologne Score)