Upper GI 2017

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)

 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)

Institute of Pathology | Alexander Quaas

Gastrointestinal Cancer Group Cologne (GCGC)