-
Notifications
You must be signed in to change notification settings - Fork 3
/
Copy pathThorax-Mesothelioma.html
1114 lines (969 loc) · 37.6 KB
/
Thorax-Mesothelioma.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
898
899
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
941
942
943
944
945
946
947
948
949
950
951
952
953
954
955
956
957
958
959
960
961
962
963
964
965
966
967
968
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
984
985
986
987
988
989
990
991
992
993
994
995
996
997
998
999
1000
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html>
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Mesothelioma</title>
<link rel="stylesheet" type="text/css" href="view.css" media="all">
<script type="text/javascript" src="view.js"></script>
<script>
function updateDescription (frm)
{
var Template = "";
/*
if (frm.A01.value !== ""){
Template += "- Procedure: " + "\n" + " - " + frm.A01.value + "\n";
}
if (document.getElementById("A02").checked || document.getElementById("A03").checked ||
document.getElementById("A04").checked || document.getElementById("A05").checked ||
document.getElementById("A06").checked){
Template += "- Tumor site:" + "\n";
}
if (document.getElementById("A02").checked){
Template += " - " + frm.A02.value + "\n";
}
if (document.getElementById("A03").checked){
Template += " - " + frm.A03.value + "\n";
}
if (document.getElementById("A04").checked){
Template += " - " + frm.A04.value + "\n";
}
if (document.getElementById("A05").checked){
Template += " - " + frm.A05.value + "\n";
}
if (document.getElementById("A06").checked){
Template += " - " + frm.A06.value + "\n";
}
if (frm.A07.value !== ""){
Template += "- Specimen laterality: " + "\n" + " - " + frm.A07.value + "\n";
}
if (frm.A08.value !== ""){
Template += "- Tumor focality: " + "\n" + " - "+ frm.A08.value + "\n";
}
if (frm.A09.value !== ""){
Template += "- Tumor size: " + "\n" + " - "+ frm.A09.value + "\n";
}
*/
if (frm.A10.value !== ""){
Template += "- Tumor histology and immunohistochemical studies: " + "\n" + " - " + frm.A10.value + "\n";
}
if (frm.A48.value !=="" || frm.A49.value !=="" || frm.A50.value !=="" ||
frm.A51.value !=="" || frm.A52.value !=="" || frm.A53.value !=="" ||
document.getElementById("A54").checked || document.getElementById("A55").checked ||
document.getElementById("A56").checked || document.getElementById("A57").checked ||
document.getElementById("A58").checked || document.getElementById("A59").checked ||
document.getElementById("A60").checked || frm.A61.value !=="" ||
document.getElementById("A62").checked || frm.A63.value !==""){
Template += "- Histologic type: Epithelioid meosthelioma" + "\n";
}
if (frm.A48.value !=="" || frm.A49.value !=="" || frm.A50.value !=="" ||
frm.A51.value !=="" || frm.A52.value !=="" || frm.A53.value !=="" ){
Template += " - Architecture: " + "\n";
}
if (frm.A48.value !== ""){
Template += " - Tubulopapillary (%) :" + frm.A48.value + "\n";
}
if (frm.A49.value !== ""){
Template += " - Trabecular (%) : " + frm.A49.value + "\n";
}
if (frm.A50.value !== ""){
Template += " - Adenomatoid (%) : " + frm.A50.value + "\n";
}
if (frm.A51.value !== ""){
Template += " - Solid (%) : " + frm.A51.value + "\n";
}
if (frm.A52.value !== ""){
Template += " - Micropapillary (%) : " + frm.A52.value + "\n";
}
if (frm.A53.value !== ""){
Template += " - Other (specifiy) (%) : " + frm.A53.value + "\n";
}
if (document.getElementById("A54").checked || document.getElementById("A55").checked ||
document.getElementById("A56").checked || document.getElementById("A57").checked ||
document.getElementById("A58").checked || document.getElementById("A59").checked ||
document.getElementById("A60").checked || frm.A61.value !==""){
Template += " - Cytological features: " + "\n";
}
if (document.getElementById("A54").checked){
Template += " - " + frm.A54.value + "\n";
}
if (document.getElementById("A55").checked){
Template += " - " + frm.A55.value + "\n";
}
if (document.getElementById("A56").checked){
Template += " - " + frm.A56.value + "\n";
}
if (document.getElementById("A57").checked){
Template += " - " + frm.A57.value + "\n";
}
if (document.getElementById("A58").checked){
Template += " - " + frm.A58.value + "\n";
}
if (document.getElementById("A59").checked){
Template += " - " + frm.A59.value + "\n";
}
if (document.getElementById("A60").checked){
Template += " - " + frm.A60.value + "\n";
}
if (frm.A61.value !== ""){
Template += " - Other (specifiy) : " + frm.A61.value + "\n";
}
if (document.getElementById("A62").checked || frm.A63.value !==""){
Template += " - Stromal features: " + "\n";
}
if (document.getElementById("A62").checked){
Template += " - " + frm.A62.value + "\n";
}
if (frm.A63.value !== ""){
Template += " - Other (specifiy) : " + frm.A63.value + "\n";
}
if (document.getElementById("A64").checked || document.getElementById("A65").checked ||
document.getElementById("A66").checked || frm.A67.value !=="" ||
document.getElementById("A68").checked || document.getElementById("A69").checked ||
frm.A70.value !==""){
Template += "- Histologic type: Sacromatoid meosthelioma" + "\n";
}
if (document.getElementById("A64").checked || document.getElementById("A65").checked ||
document.getElementById("A66").checked || frm.A67.value !=="" ){
Template += " - Cytological features: " + "\n";
}
if (document.getElementById("A64").checked){
Template += " - " + frm.A64.value + "\n";
}
if (document.getElementById("A65").checked){
Template += " - " + frm.A65.value + "\n";
}
if (document.getElementById("A66").checked){
Template += " - " + frm.A66.value + "\n";
}
if (frm.A67.value !== ""){
Template += " - Other (specifiy) : " + frm.A67.value + "\n";
}
if (document.getElementById("A68").checked || document.getElementById("A69").checked ||
frm.A70.value !==""){
Template += " - Stromal features: " + "\n";
}
if (document.getElementById("A68").checked){
Template += " - " + frm.A68.value + "\n";
}
if (document.getElementById("A69").checked){
Template += " - " + frm.A69.value + "\n";
}
if (frm.A70.value !== ""){
Template += " - Other (specifiy) : " + frm.A70.value + "\n";
}
if (frm.A71.value !=="" || frm.A72.value !=="" ||frm.A73.value !==""){
Template += "- Histologic type: Biphasic meosthelioma" + "\n";
}
if (frm.A71.value !== ""){
Template += " - Sacromatoid pattern (%) : " + frm.A71.value + "\n";
}
if (frm.A72.value !== ""){
Template += " - Other (specifiy) : " + frm.A72.value + "\n";
}
if (frm.A73.value !== ""){
Template += " - Cannot be determined : " + frm.A73.value + "\n";
}
if (frm.A74.value !== ""){
Template += "- Other histologic type: " + frm.A74.value + "\n";
}
if (frm.A75.value !== ""){
Template += "- Cannot be determined: " + frm.A75.value + "\n";
}
if (frm.A76.value !== ""){
Template += "- Histologic grade: " + frm.A76.value + "\n";
}
if (frm.A77.value !== ""){
Template += " - Nuclear grade: " + frm.A77.value + "\n";
}
if (frm.A78.value !== ""){
Template += " - Nuclear atypia score: " + frm.A78.value + "\n";
}
if (frm.A79.value !== ""){
Template += " - Mitotic count score: " + frm.A80.value + "\n";
}
if (frm.A80.value !== ""){
Template += " - Necrosis: " + frm.A80.value + "\n";
}
if (frm.A12.value !== ""){
Template += "- Lymphovascular invasion: " + frm.A12.value + "\n";
}
if (frm.A13.value !== ""){
Template += "- Perineural invasion: " + frm.A13.value + "\n";
}
if (frm.A14.value !== ""){
Template += "- Treatment effects: " + frm.A14.value + "\n";
}
if (document.getElementById("A15").checked || document.getElementById("A16").checked ||
document.getElementById("A17").checked || document.getElementById("A18").checked ||
document.getElementById("A19").checked || document.getElementById("A20").checked ||
document.getElementById("A21").checked || document.getElementById("A22").checked ||
document.getElementById("A23").checked || document.getElementById("A24").checked ||
document.getElementById("A25").checked || document.getElementById("A26").checked ||
document.getElementById("A27").checked || document.getElementById("A28").checked ||
document.getElementById("A29").checked){
Template += "- Tumor extension:" + "\n";
}
if (document.getElementById("A15").checked){
Template += " - " + frm.A15.value + "\n";
}
if (document.getElementById("A16").checked){
Template += " - " + frm.A16.value + "\n";
}
if (document.getElementById("A17").checked){
Template += " - " + frm.A17.value + "\n";
}
if (document.getElementById("A18").checked){
Template += " - " + frm.A18.value + "\n";
}
if (document.getElementById("A19").checked){
Template += " - " + frm.A19.value + "\n";
}
if (document.getElementById("A20").checked){
Template += " - " + frm.A20.value + "\n";
}
if (document.getElementById("A21").checked){
Template += " - " + frm.A21.value + "\n";
}
if (document.getElementById("A22").checked){
Template += " - " + frm.A22.value + "\n";
}
if (document.getElementById("A23").checked){
Template += " - " + frm.A23.value + "\n";
}
if (document.getElementById("A24").checked){
Template += " - " + frm.A24.value + "\n";
}
if (document.getElementById("A25").checked){
Template += " - " + frm.A25.value + "\n";
}
if (document.getElementById("A26").checked){
Template += " - " + frm.A26.value + "\n";
}
if (document.getElementById("A27").checked){
Template += " - " + frm.A27.value + "\n";
}
if (document.getElementById("A28").checked){
Template += " - " + frm.A28.value + "\n";
}
if (document.getElementById("A29").checked){
Template += " - " + frm.A29.value + "\n";
}
if (frm.A30.value !== ""){
Template += "\n" + "- Surgical margins: " + frm.A30.value + "\n";
}
if (frm.A31.value + frm.A32.value + frm.A33.value + frm.A34.value + frm.A35.value!== ""){
Template += "\n" + "- Regional lymph nodes: " + "\n";
}
if (frm.A31.value !== ""){
Template += " - Number of regional lymph nodes examined: " + frm.A31.value + "\n";
}
if (frm.A32.value !== ""){
Template += " - Number of lymph nodes involved: " + frm.A32.value + "\n";
}
if (frm.A33.value !== ""){
Template += " - Extranodal extension: " + frm.A33.value + "\n";
}
if (frm.A34.value !== ""){
Template += " - Size of largest metastatic deposit (mm), specify site: " + frm.A34.value + "\n";
}
if (frm.A35.value !== ""){
Template += " - Size of largest lymph node involved (mm), specify site: " + frm.A35.value + "\n";
}
if (document.getElementById("A81").checked || document.getElementById("A82").checked ||
document.getElementById("A83").checked || document.getElementById("A84").checked ||
document.getElementById("A85").checked ){
Template += "\n" + "- Distant metastasis:" + "\n";
}
if (document.getElementById("A81").checked){
Template += frm.A81.value + "\n";
}
if (document.getElementById("A82").checked){
Template += frm.A82.value + "\n";
}
if (document.getElementById("A83").checked){
Template += frm.A83.value + "\n";
}
if (document.getElementById("A84").checked){
Template += frm.A84.value + "\n";
}
if (document.getElementById("A85").checked){
Template += frm.A85.value + "\n";
}
if (document.getElementById("A36").checked || document.getElementById("A37").checked ||
frm.A38.value + frm.A39.value + frm.A40.value !== ""){
Template += "\n" + "- Pathologic stage classification (pTNM, AJCC 9th edition):" + "\n";
}
if (document.getElementById("A36").checked || document.getElementById("A37").checked){
Template += " - TNM Descriptors:" + "\n";
}
if (document.getElementById("A36").checked){
Template += " " + frm.A36.value + "\n";
}
if (document.getElementById("A37").checked){
Template += " " +frm.A37.value + "\n";
}
if (frm.A38.value !== ""){
Template += " - Primary tumor (pT): " + "\n" + " - " + frm.A38.value + "\n";
}
if (frm.A39.value !== ""){
Template += " - Regional lymph nodes (pN): " + "\n" + " - " + frm.A39.value + "\n";
}
if (frm.A40.value !== ""){
Template += " - Distant metastasis: " + "\n" + " - " + frm.A40.value + "\n";
}
if (document.getElementById("A42").checked || document.getElementById("A43").checked ||
document.getElementById("A44").checked || document.getElementById("A45").checked ||
frm.A46.value !==""){
Template += "\n" + "- Additional pathologic findings: " + "\n";
}
if (document.getElementById("A42").checked){
Template += " - " + frm.A42.value + "\n";
}
if (document.getElementById("A43").checked){
Template += " - " + frm.A43.value + "\n";
}
if (document.getElementById("A44").checked){
Template += " - " + frm.A44.value + "\n";
}
if (document.getElementById("A45").checked){
Template += " - " + frm.A45.value + "\n";
}
if (frm.A46.value !== ""){
Template += " - Other (specify): " + frm.A46.value + "\n";
}
if (frm.A47.value !== ""){
Template += "\n" + "- Additional notes: " + "\n" + " - " + frm.A47.value + "\n";
}
frm.holdtext.value = Template;
}
function CopyToClipboard() {
/* Get the text field */
var copyText = document.getElementById("holdtext");
/* Select the text field */
copyText.select();
/* Copy the text inside the text field */
document.execCommand("copy");
/* Alert the copied text */
alert("Report copied to clipboard");
}
</script>
<style>
table, th, td {
border: 1px solid silver;
border-collapse: collapse;
padding: 4px;
}
</style>
</head>
<body>
<img id="top" src="top.png" alt="">
<div id="form_container">
<div class="form_description">
<h2><a href=".\cap\Cancer-Protocols-2024-12-Update\Thorax Protocol Folder\PleuraPericard_5.0.0.0.REL.CAPCP.pdf" target="_blank">
Diffuse Pleural Mesothelioma
</a></h2>
</div>
<form>
<!--
<p>
<fieldset style="border-color:#e6e6ff;">
<legend><label class="description">Gross descriptions:</label></legend>
<p>
<table border="1">
<col width="60%">
<tr>
<td>
<label class="description">- Procedure:</label>
</td>
<td>
<select class="element select large" ID="A01">
<option value=""></option>
<option value="Extrapleural pneumonectomy">Extrapleural pneumonectomy</option>
<option value="Extended pleurectomy/ decortication">Extended pleurectomy/ decortication</option>
<option value="Pleurectomy/decortication">Pleurectomy/decortication</option>
<option value="Partial pleurectomy">Partial pleurectomy</option>
<option value="Other (specify): ">Other (specify): </option>
<option value="Not specified">Not specified</option>
</select>
</td>
</tr>
<tr>
<td valign="top">
<label class="description">- Tumor site:</label>
</td>
<td>
<input class="element checkbox" type="checkbox" id="A02" value="Parietal pleura"><label >Parietal pleura</label><br>
<input class="element checkbox" type="checkbox" id="A03" value="Visceral pleura"><label >Visceral pleura</label><br>
<input class="element checkbox" type="checkbox" id="A04" value="Diaphragm"><label >Diaphragm</label><br>
<input class="element checkbox" type="checkbox" id="A05" value="Other (specify): "><label >Other (specify): </label><br>
<input class="element checkbox" type="checkbox" id="A06" value="Not specified"><label >Not specified</label><br>
</td>
</tr>
<tr>
<td>
<label class="description">- Specimen laterality:</label>
</td>
<td>
<select class="element select large" ID="A07">
<option value=""></option>
<option value="Right">Right</option>
<option value="Left">Left</option>
<option value="Not specified">Not specified</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Tumor focality:</label>
</td>
<td>
<select class="element select large" ID="A08">
<option value=""></option>
<option value="Localized">Localized</option>
<option value="Diffuse">Diffuse</option>
<option value="Cannot be determined (explain): ">Cannot be determined (explain): </option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Tumor size:</label>
</td>
<td>
<select class="element select large" ID="A09">
<option value=""></option>
<option value="Greatest dimension (mm): ">Greatest dimension (mm): </option>
<option value="All dimensions (mm x mm x mm): ">All dimensions (mm x mm x mm):</option>
<option value="Cannot be determined (explain):">Cannot be determined (explain):</option>
</select>
</td>
</tr>
</table>
</p>
</fieldset>
</p>
-->
<p>
<fieldset style="border-color:#e6e6ff;">
<legend><label class="description">Microscopic descriptions:</label></legend>
<p><label class="description">- Tumor histology and immunohistochemical studies: </label>
<textarea ID="A10" class="element textarea medium"></textarea>
</p>
<p>
<table border="1">
<col width="25%">
<tr>
<td rowspan="16">
<label class="description">Epithelioid mesothelioma</label>
</td>
<td rowspan="6">
<label class="">+ Architecture</label>
</td>
<td>
Tubulopapillary (%):
</td>
<td>
<input type="text" class="element text large" ID="A48" size="20">
</td>
</tr>
<tr>
<td>
Trabecular (%):
</td>
<td>
<input type="text" class="element text large" ID="A49" size="20">
</td>
</tr>
<tr>
<td>
Adenomatoid (%):
</td>
<td>
<input type="text" class="element text large" ID="A50" size="20">
</td>
</tr>
<tr>
<td>
Solid (%):
</td>
<td>
<input type="text" class="element text large" ID="A51" size="20">
</td>
</tr>
<tr>
<td>
Micropapillary (%):
</td>
<td>
<input type="text" class="element text large" ID="A52" size="20">
</td>
</tr>
<tr>
<td>
Other (specifiy) (%):
</td>
<td>
<input type="text" class="element text large" ID="A53" size="20">
</td>
</tr>
<tr>
<td rowspan="8">
<label class="">+ Cytological features</label>
</td>
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A54" value="Rhabdoid"><label class="choice">Rhabdoid</label>
</td>
</tr>
<tr>
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A55" value="Deciduoid"><label class="choice">Deciduoid</label>
</td>
</tr>
<tr>
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A56" value="Small cell"><label class="choice">Small cell</label>
</td>
</tr>
<tr>
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A57" value="Clear cell"><label class="choice">Clear cell</label>
</td>
</tr>
<tr>
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A58" value="Signet ring"><label class="choice">Signet ring</label>
</td>
</tr>
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A59" value="Lymphohistiocytoid"><label class="choice">Lymphohistiocytoid</label>
</td>
</tr>
<tr>
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A60" value="Pleomorphic"><label class="choice">Pleomorphic</label>
</td>
</tr>
<tr>
<td>
Other (specifiy):
</td>
<td>
<input type="text" class="element text large" ID="A61" size="20">
</td>
</tr>
<tr>
<td rowspan="2">
+ Stromal features:
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A62" value="Myxoid predominant"><label class="choice">Myxoid predominant</label>
</td>
</tr>
<tr>
<td>
Other (specifiy):
</td>
<td>
<input type="text" class="element text large" ID="A63" size="20">
</td>
</tr>
</table>
</p>
<p>
<table border="1">
<col width="25%">
<tr>
<td rowspan="7">
<label class="description">Sacromatoid mesothelioma</label>
</td>
<td rowspan="4">
<label class="">+ Cytological features</label>
</td>
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A64" value=" Lymphohistiocytoid"><label class="choice"> Lymphohistiocytoid</label>
</td>
</tr>
<tr>
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A65" value="Transitional"><label class="choice">Transitional</label>
</td>
</tr>
<tr>
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A66" value="Pleomorphic"><label class="choice">Pleomorphic</label>
</td>
</tr>
<tr>
<td>
Other (specifiy):
</td>
<td>
<input type="text" class="element text large" ID="A67" size="25">
</td>
</tr>
<tr>
<td rowspan="3">
+ Stromal features:
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A68" value="Desmoplastic"><label class="choice">Desmoplastic</label>
</td>
</tr>
<tr>
<td colspan="2">
<input class="element checkbox" type="checkbox" id="A69" value="With heterologous differentiation"><label class="choice">With heterologous differentiation</label>
</td>
</tr>
<tr>
<td>
Other (specifiy):
</td>
<td>
<input type="text" class="element text large" ID="A70" size="25">
</td>
</tr>
</table>
</p>
<p>
<table border="1">
<col width="25%">
<tr>
<td rowspan="3">
<label class="description">Biphasic mesothelioma</label>
</td>
<td>
<label class="description">Sacromatoid pattern (%)</label>
</td>
<td>
<input type="text" class="element text large" ID="A71" size="35">
</td>
</tr>
<tr>
<td>
<label class="description">Other (specify):</label>
</td>
<td>
<input type="text" class="element text large" ID="A72" size="35">
</td>
</tr>
<tr>
<td>
<label class="description">Cannot be determined:</label>
</td>
<td>
<input type="text" class="element text large" ID="A73" size="35">
</td>
</tr>
</table>
</p>
<p>
<table border="1">
<col width="60%">
<tr>
<td>
<label class="description">- Other histologic type not listed (specify):</label>
</td>
<td>
<input type="text" class="element text large" ID="A74" size="30">
</td>
</tr>
<tr>
<td>
<label class="description">- Cannot be determined (explain):</label>
</td>
<td>
<input type="text" class="element text large" ID="A75" size="30">
</td>
</tr>
</table>
</p>
<p>
<table border="1">
<col width="20%">
<tr>
<td rowspan="5" valign="top">
<label class="">+ Histologic Grade: </label></td>
<td colspan="3">
<select class="element select large" ID="A76">
<option value=""></option>
<option value="Low grade (nuclear grades 1 and 2 without necrosis)">Low grade (nuclear grades 1 and 2 without necrosis)</option>
<option value=" High grade (nuclear grade 2 with necrosis, or nuclear grade 3 with or without necrosis)"> High grade (nuclear grade 2 with necrosis, or nuclear grade 3 with or without necrosis)</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td rowspan="3" valign="top">
<label class="">Nuclear Grade: </label></td>
<td colspan="2">
<select class="element select large" ID="A77">
<option value=""></option>
<option value="1 (sum score of 2 or 3)">1 (sum score of 2 or 3)</option>
<option value="2 (sum score of 4 or 5)">2 (sum score of 4 or 5)</option>
<option value="3 (sum score of 6)">3 (sum score of 6)</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
<tr>
<td><label class="">Nuclear Atypia Score: </label></td>
<td><select class="element select large" ID="A78">
<option value=""></option>
<option value="1 (mild)">1 (mild)</option>
<option value="2 (moderate)">2 (moderate)</option>
<option value="3 (severe)">3 (severe)</option>
<option value="Cannot be determined">Cannot be determined</option>
</select></td>
</tr>
<tr>
<td><label class="">Mitotic Count Score: </label></td>
<td>
<select class="element select large" ID="A79">
<option value=""></option>
<option value="1 (low, up to 1 mitosis per 2 mm2)">1 (low, up to 1 mitosis per 2 mm2)</option>
<option value="2 (intermediate, 2 to 4 mitoses per 2 mm2)">2 (intermediate, 2 to 4 mitoses per 2 mm2)</option>
<option value="3 (high, 5 or more mitoses per 2 mm2)">3 (high, 5 or more mitoses per 2 mm2)</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="">Necrosis: </label></td>
<td colspan="2">
<select class="element select large" ID="A80">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present">Present</option>
<option value="Cannot be determined">Cannot be determined</option>
</select></td>
</tr>
</table>
</p>
<p>
<table border="1">
<col width="60%">
<tr>
<td><label class="">+ Lymphovascular invasion: </label></td>
<td><select class="element select large" ID="A12">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present">Present</option>
<option value="Cannot be determined">Cannot be determined</option>
</select></td>
</tr>
<tr>
<td><label class="">+ Perineural invasion: </label></td>
<td><select class="element select large" ID="A13">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present">Present</option>
<option value="Cannot be determined">Cannot be determined</option>
</select></td>
</tr>
<tr>
<td><label class="">+ Treatment effect: </label></td>
<td><select class="element select large" ID="A14">
<option value=""></option>
<option value="No known presurgical therapy">No known presurgical therapy</option>
<option value="Greater than 50% residual viable tumor">Greater than 50% residual viable tumor</option>
<option value="Less than 50% residual viable tumord">Less than 50% residual viable tumor</option>
<option value="Cannot be determined">Cannot be determined</option>
</select></td>
</tr>
</table>
</p>
<p>
<label class="description">- Tumor extension:</label>
<input class="element checkbox" type="checkbox" id="A15" value="No evidence of primary tumor"><label class="choice">No evidence of primary tumor</label>
<input class="element checkbox" type="checkbox" id="A16" value="Limited to parietal pleura without involvement of ipsilateral visceral, mediastinal, or diaphragmatic pleura"><label class="choice">Limited to parietal pleura without involvement of ipsilateral visceral, mediastinal, or diaphragmatic pleura</label>
<input class="element checkbox" type="checkbox" id="A17" value="Limited to parietal pleura with focal involvement of ipsilateral visceral, mediastinal, or diaphragmatic pleura"><label class="choice">Limited to parietal pleura with focal involvement of ipsilateral visceral, mediastinal, or diaphragmatic pleura</label>
<input class="element checkbox" type="checkbox" id="A18" value="All ipsilateral pleural surfaces (including fissure)"><label class="choice">All ipsilateral pleural surfaces (including fissure)</label>
<input class="element checkbox" type="checkbox" id="A19" value="Diaphragmatic muscle"><label class="choice">Diaphragmatic muscle</label>
<input class="element checkbox" type="checkbox" id="A20" value="Lung parenchyma"><label class="choice">Lung parenchyma</label>
<input class="element checkbox" type="checkbox" id="A21" value="Endothoracic fascia"><label class="choice">Endothoracic fascia</label>
<input class="element checkbox" type="checkbox" id="A22" value="Mediastinal fat"><label class="choice">Mediastinal fat</label>
<input class="element checkbox" type="checkbox" id="A23" value="Soft tissues of chest wall in a solitary focus"><label class="choice">Soft tissues of chest wall in a solitary focus</label>
<input class="element checkbox" type="checkbox" id="A24" value="Soft tissues of chest wall diffusely or in multiple foci"><label class="choice">Soft tissues of chest wall diffusely or in multiple foci</label>
<input class="element checkbox" type="checkbox" id="A25" value="Into but not through the pericardium"><label class="choice" >Into but not through the pericardium</label>
<input class="element checkbox" type="checkbox" id="A26" value="Rib(s)"><label class="choice">Rib(s)</label>
<input class="element checkbox" type="checkbox" id="A27" value="Mediastinal organ(s) (specify):"><label class="choice">Mediastinal organ(s) (specify):</label>
<input class="element checkbox" type="checkbox" id="A28" value="Other (specify):"><label class="choice">Other (specify):</label>
<input class="element checkbox" type="checkbox" id="A29" value="Cannot be assessed (explain):"><label class="choice">Cannot be assessed (explain):</label>
</p>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend><label class="description">Surgical margins: </label></legend>
<p>
<select class="element select medium" ID="A30">
<option value=""></option>
<option value="Cannot be assessed">Cannot be assessed</option>
<option value="Uninvolved by tumor, closest margin, specify distance and locations (mm):">Uninvolved by tumor, closest margin, specify distance and locations (mm):</option>
<option value="Involved by tummor, specify margins: ">Involved by invasive carcinoma, specify margins: </option>
<option value="Not applicable">Not applicable</option>
</select>
</p>
<br>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend> <label class="description"> Regional lymph nodes: </label></legend>
<p>
<table border="1">
<col width="75%">
<tr>
<td>
<label class="description">- Number of regional lymph nodes examined:</label>
</td>
<td>
<input type="text" class="element text large" ID="A31" size="15">
</td>
</tr>
<tr>
<td>
<label class="description">- Number of lymph nodes involved (specify locations):</label>
</td>
<td>
<input type="text" class="element text large" ID="A32" size="15">
</td>
</tr>
<tr>
<td>
<label class="description">- Extranodal extension:</label>
</td>
<td>
<select class="element select large" ID="A33">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present">Present</option>
<option value="Cannot be determined">Cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Size of largest metastatic deposit (mm), specify site:</label>
</td>
<td>
<input type="text" class="element text large" ID="A34" size="15">
</td>
</tr>
<tr>
<td>
<label class="description">- Size of largest lymph node involved (mm), specify site:</label>
</td>
<td>
<input type="text" class="element text large" ID="A35" size="15">
</td>
</tr>
</table>
</p>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend> <label class="description"> Distant Metastasis: </label></legend>