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875 lines (740 loc) · 38.1 KB
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<!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>Appendix cancers</title>
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<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-2022-12-Update\Gastrointestinal Protocol Folder\Appendix_5.1.0.0.REL_CAPCP.pdf" target="_blank">
<div class="tooltip">Carcinoma of the Appendix
<span class="tooltiptext">click to access explanations in the original CAP template</span>
</div>
</a></h2>
</div>
<form>
<!--
<p>
<fieldset style="border-color:#e6e6ff;">
<legend><label class="description">Gross descriptions:</label></legend>
<p>
<table border="1">
<col width="40%">
<tr>
<td>
<label class="description">- Procedure:</label>
</td>
<td>
<select class="element select large" ID="A01">
<option value=""></option>
<option value=" - Appendectomy">Appendectomy</option>
<option value=" - Appendectomy and right colectomy">Appendectomy and right colectomy</option>
<option value=" - Other (specify):">Other (specify):</option>
<option value=" - Not specified">Not specified</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Tumor site:</label>
</td>
<td>
<input class="element checkbox" type="checkbox" id="A02" value=" - Proximal half of appendix"><label >Proximal half of appendix</label><br>
<input class="element checkbox" type="checkbox" id="A03" value=" - Proximal half of appendix + base of appendix involved by tumor"><label >Proximal half of appendix<br> + base of appendix involved by tumor</label><br>
<input class="element checkbox" type="checkbox" id="A04" value=" - Proximal half of appendix + base of appendix uninvolved by tumor"><label >Proximal half of appendix<br> + base of appendix uninvolved by tumor</label><br>
<input class="element checkbox" type="checkbox" id="A05" value=" - Proximal half of appendix + involvement of base of appendix cannot be assessed"><label >Proximal half of appendix<br> + involvement of base of appendix cannot be assessed</label><br>
<input class="element checkbox" type="checkbox" id="A06" value=" - Distal half of appendix"><label >Distal half of appendix</label><br>
<input class="element checkbox" type="checkbox" id="A07" value=" - Diffusely involving appendix"><label >Diffusely involving appendix</label><br>
<input class="element checkbox" type="checkbox" id="A08" value=" - Appendix, not otherwise specified"><label >Appendix, not otherwise specified</label><br>
<input class="element checkbox" type="checkbox" id="A09" value=" - Other (specify):"><label >Other (specify):</label><br>
</td>
</tr>
<tr>
<td>
<label class="description">- Tumor size:</label>
</td>
<td>
<select class="element select large" ID="A10">
<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="A11" class="element textarea medium"></textarea>
</p>
<p>
<table border="1">
<col width="40%">
<tr>
<td>
<label class="description">- <a href=".\cap\Cancer-Protocols-2022-06-Update\Gastrointestinal Protocol Folder\Appendix_5.0.0.0.REL_CAPCP.pdf#page=10" target="_blank">Histologic type (WHO 2019)</a>:</label>
</td>
<td>
<select class="element select large" ID="A12">
<option value=""></option>
<option value="Adenocarcinoma">Adenocarcinoma</option>
<option value="Mucinous adenocarcinoma">Mucinous adenocarcinoma</option>
<option value="Low-grade appendiceal mucinous neoplasm">Low-grade appendiceal mucinous neoplasm</option>
<option value="High-grade appendiceal mucinous neoplasm">High-grade appendiceal mucinous neoplasm</option>
<option value="Signet-ring cell carcinoma (poorly cohesive carcinoma)">Signet-ring cell carcinoma (poorly cohesive carcinoma)</option>
<option value="Goblet cell carcinoid">Goblet cell carcinoid</option>
<option value="Large cell neuroendocrine carcinoma">Large cell neuroendocrine carcinoma</option>
<option value="Small cell neuroendocrine carcinoma">Small cell neuroendocrine carcinoma</option>
<option value="Neuroendocrine carcinoma (poorly differentiated)">Neuroendocrine carcinoma (poorly differentiated)</option>
<option value="Mixed neuroendocrine-non-neuroendocrine neoplasm (Mixed adenoneuroendocrine carcinoma)">Mixed neuroendocrine-non-neuroendocrine neoplasm (Mixed adenoneuroendocrine carcinoma)</option>
<option value="Medullary carcinoma">Medullary carcinoma</option>
<option value="Adenosquamous carcinoma">Adenosquamous carcinoma</option>
<option value="Undifferentiated carcinoma">Undifferentiated carcinoma</option>
<option value="Other histologic type not listed (specify):">Other histologic type not listed (specify):</option>
<option value="Carcinoma, type cannot be determined">Carcinoma, type cannot be determined</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- <a href=".\cap\Cancer-Protocols-2022-06-Update\Gastrointestinal Protocol Folder\Appendix_5.0.0.0.REL_CAPCP.pdf#page=11" target="_blank">Histologic grade</a>:</label>
</td>
<td>
<select class="element select large" ID="A13">
<option value=""></option>
<option value="G1: Well differentiated">G1: Well differentiated</option>
<option value="G2: Moderately differentiated">G2: Moderately differentiated</option>
<option value="G3: Poorly differentiated">G3: Poorly differentiated</option>
<option value="G4: Undifferentiated">G4: Undifferentiated</option>
<option value="GX: Cannot be assessed">GX: Cannot be assessed</option>
<option value="Other (specify):">Other (specify):</option>
<option value="Not applicable">Not applicable</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- <a href=".\cap\Cancer-Protocols-2022-06-Update\Gastrointestinal Protocol Folder\Appendix_5.0.0.0.REL_CAPCP.pdf#page=13" target="_blank">Lymphatic and/on vascular invasion</a>: </label>
</td>
<td>
<select class="element select large" ID="A24">
<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=""> + <a href=".\cap\Cancer-Protocols-2022-06-Update\Gastrointestinal Protocol Folder\Appendix_5.0.0.0.REL_CAPCP.pdf#page=13" target="_blank">Perineural invasion</a>: </label>
</td>
<td>
<select class="element select large" ID="A25">
<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">- <a href=".\cap\Cancer-Protocols-2022-06-Update\Gastrointestinal Protocol Folder\Appendix_5.0.0.0.REL_CAPCP.pdf#page=13" target="_blank">Tumor deposits</a>: </label>
</td>
<td>
<select class="element select large" ID="A26">
<option value=""></option>
<option value="Not identified">Not identified</option>
<option value="Present, specify number:">Present, specify number:</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=" - Tumor invades lamina propria or muscularis mucosa"><label class="choice">Tumor invades lamina propria or muscularis mucosa</label>
<input class="element checkbox" type="checkbox" id="A80" value=" - Acellular mucin invades submucosa"><label class="choice">Acellular mucin invades submucosa</label>
<input class="element checkbox" type="checkbox" id="A16" value=" - Tumor invades submucosa"><label class="choice">Tumor invades submucosa</label>
<input class="element checkbox" type="checkbox" id="A81" value=" - Acellular mucin invades muscularis propria"><label class="choice">Acellular mucin invades muscularis propria</label>
<input class="element checkbox" type="checkbox" id="A17" value=" - Tumor invades muscularis propria"><label class="choice">Tumor invades muscularis propria</label>
<input class="element checkbox" type="checkbox" id="A18" value=" - Acellular mucin invades subserosa or mesoappendix but does not extend to the serosal surface"><label class="choice">Acellular mucin invades subserosa or mesoappendix but does not extend to the serosal surface</label>
<input class="element checkbox" type="checkbox" id="A19" value=" - Tumor invades through the muscularis propria into the subserosa or mesoappendix but does not extend to the serosal surface"><label class="choice">Tumor invades through the muscularis propria into the subserosa or mesoappendix but does not extend to the serosal surface</label>
<input class="element checkbox" type="checkbox" id="A20" value=" - Acellular mucin invades the visceral peritoneum (serosa)"><label class="choice">Acellular mucin invades the visceral peritoneum (serosa)</label>
<input class="element checkbox" type="checkbox" id="A21" value=" - Tumor invades the visceral peritoneum (serosa)"><label class="choice" >Tumor invades the visceral peritoneum (serosa)</label>
<input class="element checkbox" type="checkbox" id="A22" value=" - Tumor directly invades adjacent organs or structures (specify):"><label class="choice">Tumor directly invades adjacent organs or structures (specify):</label>
<input class="element checkbox" type="checkbox" id="A23" value=" - Cannot be determined: "><label class="choice">Cannot be determined: </label>
<input class="element checkbox" type="checkbox" id="A14" value=" - No evidence of primary tumor"><label class="choice">No evidence of primary tumor</label>
</p>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend><label class="description"><a href=".\cap\Cancer-Protocols-2022-06-Update\Gastrointestinal Protocol Folder\Appendix_5.0.0.0.REL_CAPCP.pdf#page=13" target="_blank">Surgical margins for surgical specimens</a>:</label></legend>
<p><label class="description">- Proximal margin:</label>
<input class="element checkbox" type="checkbox" id="A27" value=" - Cannot be assessed"><label class="choice">Cannot be assessed</label>
<input class="element checkbox" type="checkbox" id="A28" value=" - Uninvolved by invasive carcinoma, specifiy distance (mm):"><label class="choice">Uninvolved by invasive carcinoma, specifiy distance (mm):</label>
<input class="element checkbox" type="checkbox" id="A29" value=" - Involved by invasive carcinoma"><label class="choice">Involved by invasive carcinoma</label>
<input class="element checkbox" type="checkbox" id="A30" value=" - Involved by high-grade dysplasia"><label class="choice">Involved by high-grade dysplasia</label>
<input class="element checkbox" type="checkbox" id="A31" value=" - Uninvolved by appendiceal mucinous neoplasm, specifiy distance (mm):"><label class="choice">Uninvolved by appendiceal mucinous neoplasm, specifiy distance (mm):</label>
<input class="element checkbox" type="checkbox" id="A32" value=" - Involved by low-grade appendiceal mucinous neoplasm"><label class="choice">Involved by low-grade appendiceal mucinous neoplasm</label>
<input class="element checkbox" type="checkbox" id="A33" value=" - Involved by high-grade appendiceal mucinous neoplasm"><label class="choice" >Involved by high-grade appendiceal mucinous neoplasm</label>
<input class="element checkbox" type="checkbox" id="A34" value=" - Involved by acellular mucin"><label class="choice">Involved by acellular mucin</label>
</p>
<p><label class="description">- Mesenteric margin:</label>
<input class="element checkbox" type="checkbox" id="A35" value=" - Cannot be assessed"><label class="choice">Cannot be assessed</label>
<input class="element checkbox" type="checkbox" id="A36" value=" - Uninvolved by invasive carcinoma, specifiy distance (mm):"><label class="choice">Uninvolved by invasive carcinoma, specifiy distance (mm):</label>
<input class="element checkbox" type="checkbox" id="A37" value=" - Involved by invasive carcinoma"><label class="choice">Involved by invasive carcinoma</label>
<input class="element checkbox" type="checkbox" id="A38" value=" - Involved by high-grade dysplasia"><label class="choice" >Involved by high-grade dysplasia</label>
<input class="element checkbox" type="checkbox" id="A39" value=" - Uninvolved by appendiceal mucinous neoplasm, specifiy distance (mm):"><label class="choice">Uninvolved by appendiceal mucinous neoplasm, specifiy distance (mm):</label>
<input class="element checkbox" type="checkbox" id="A40" value=" - Involved by low-grade appendiceal mucinous neoplasm"><label class="choice">Involved by low-grade appendiceal mucinous neoplasm</label>
<input class="element checkbox" type="checkbox" id="A41" value=" - Involved by high-grade appendiceal mucinous neoplasm"><label class="choice" >Involved by high-grade appendiceal mucinous neoplasm</label>
<input class="element checkbox" type="checkbox" id="A42" value=" - Involved by acellular mucin"><label class="choice">Involved by acellular mucin</label>
</p>
<p><label class="description">- Other margin(s) (specify: ):</label>
<input class="element checkbox" type="checkbox" id="A43" value=" - Cannot be assessed"><label class="choice">Cannot be assessed</label>
<input class="element checkbox" type="checkbox" id="A44" value=" - Uninvolved by invasive carcinoma, specifiy distance (mm):"><label class="choice">Uninvolved by invasive carcinoma, specifiy distance (mm):</label>
<input class="element checkbox" type="checkbox" id="A45" value=" - Involved by invasive carcinoma"><label class="choice">Involved by invasive carcinoma</label>
<input class="element checkbox" type="checkbox" id="A46" value=" - Involved by high-grade dysplasia"><label class="choice" >Involved by high-grade dysplasia</label>
<input class="element checkbox" type="checkbox" id="A47" value=" - Uninvolved by appendiceal mucinous neoplasm, specifiy distance (mm):"><label class="choice">Uninvolved by appendiceal mucinous neoplasm, specifiy distance (mm):</label>
<input class="element checkbox" type="checkbox" id="A48" value=" - Involved by low-grade appendiceal mucinous neoplasm"><label class="choice">Involved by low-grade appendiceal mucinous neoplasm</label>
<input class="element checkbox" type="checkbox" id="A49" value=" - Involved by high-grade appendiceal mucinous neoplasm"><label class="choice">Involved by high-grade appendiceal mucinous neoplasm</label>
<input class="element checkbox" type="checkbox" id="A50" value=" - Involved by acellular mucin"><label class="choice">Involved by acellular mucin</label>
</p>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend> <label class="description"> Lymph nodes examination: </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" ID="A51" class = "element text large" size="10">
</td>
</tr>
<tr>
<td>
<label class="description">- Number of regional lymph nodes involved:</label>
</td>
<td>
<input type="text" ID="A52" class = "element text large" size="10">
</td>
</tr>
<tr>
<td>
<label class="description">- Extranodal extension:</label>
</td>
<td>
<select class="element select large" ID="A53">
<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" ID="A54" class = "element text large" size="20">
</td>
</tr>
<tr>
<td>
<label class="description">- Size of largest lymph node involved (mm), specify site:</label>
</td>
<td>
<input type="text" ID="A55" class = "element text large" size="20">
</td>
</tr>
</table>
</p>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend> <label class="description"> Distant Metastasis: </label></legend>
<input class="element checkbox" type="checkbox" id="A70" value=" - Not applicable"><label class="choice" >Not applicable</label>
<input class="element checkbox" type="checkbox" id="A71" value=" - Not identified"><label class="choice" >Not identified</label>
<input class="element checkbox" type="checkbox" id="A72" value=" - Non-regional lymph node(s) (specify):"><label class="choice" >Non-regional lymph node(s) (specify):</label>
<input class="element checkbox" type="checkbox" id="A73" value=" - Intraperitoneal acellular mucin without identifiable tumor cells in the disseminated peritoneal
mucinous deposits (specify):"><label class="choice" >Intraperitoneal acellular mucin without identifiable tumor cells in the disseminated peritoneal
mucinous deposits (specify):</label>
<input class="element checkbox" type="checkbox" id="A74" value=" - Intraperitoneal metastasis only (including peritoneal mucinous deposits containing tumor cells) (specify):"><label class="choice" >Intraperitoneal metastasis only (including peritoneal mucinous deposits containing tumor cells) (specify):</label>
<input class="element checkbox" type="checkbox" id="A75" value=" - Lung (specify):"><label class="choice" >Lung (specify):</label>
<input class="element checkbox" type="checkbox" id="A76" value=" - Liver (specify):"><label class="choice" >Liver (specify):</label>
<input class="element checkbox" type="checkbox" id="A77" value=" - Site(s) other than peritoneum (specify):"><label class="choice" >Site(s) other than peritoneum (specify):</label>
<input class="element checkbox" type="checkbox" id="A78" value=" - Cannot be determined: "><label class="choice" >Cannot be determined: </label>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend> <label class="description"> <a href=".\cap\Cancer-Protocols-2022-06-Update\Gastrointestinal Protocol Folder\Appendix_5.0.0.0.REL_CAPCP.pdf#page=14" target="_blank">Pathologic Stage Classification (AJCC 9e)</a>:</label></legend>
<p>
<table border="1">
<col width="40%">
<tr>
<td valign="top">
<label class="description">- TNM Descriptors:</label>
</td>
<td>
<input class="element checkbox" type="checkbox" id="A56" value=" m (multiple primary tumors) "><label class="choice">m (multiple primary tumors)</label>
<input class="element checkbox" type="checkbox" id="A57" value=" r (recurrent) "><label class="choice">r (recurrent)</label>
<input class="element checkbox" type="checkbox" id="A58" value=" y (post treatment) "><label class="choice">y (post treatment)</label>
</td>
</tr>
<tr>
<td>
<label class="description">- Primary tumor (pT):</label>
</td>
<td>
<select class="element select large" ID="A59">
<option value=""></option>
<option value=" - pT not assigned (cannot be determined based on available pathological information)">pT not assigned (cannot be determined based on available pathological information)</option>
<option value=" - pT0: No evidence of primary tumor">pT0: No evidence of primary tumor</option>
<option value=" - pTis: Carcinoma in situ (intramucosal carcinoma; invasion of the lamina propria or extension into but not through the muscularis mucosae)">pTis: Carcinoma in situ (intramucosal carcinoma; invasion of the lamina propria or extension into but not through the muscularis mucosae)</option>
<option value=" - pTis(LAMN): Low-grade appendiceal mucinous neoplasm confined by the muscularis propria">pTis(LAMN): Low-grade appendiceal mucinous neoplasm confined by the muscularis propria</option>
<option value=" - pT1: Tumor invades the submucosa (through the muscularis mucosa but not into the muscularis propria)">pT1: Tumor invades the submucosa (through the muscularis mucosa but not into the muscularis propria)</option>
<option value=" - pT2: Tumor invades the muscularis propria">pT2: Tumor invades the muscularis propria</option>
<option value=" - pT3: Tumor invades through the muscularis propria into the subserosa or mesoappendix">pT3: Tumor invades through the muscularis propria into the subserosa or mesoappendix</option>
<option value=" - pT4a: Tumor invades through the visceral peritoneum, including the acellular mucin or mucinous epithelium involving the serosa of the appendix or serosa of the mesoappendix">pT4a: Tumor invades through the visceral peritoneum, including the acellular mucin or mucinous epithelium involving the serosa of the appendix or serosa of the mesoappendix</option>
<option value=" - pT4b: Tumor directly invades (or adheres to) adjacent organs or structures">pT4b: Tumor directly invades (or adheres to) adjacent organs or structures</option>
<option value=" - pT4 (subcategory cannot be determined)">pT4 (subcategory cannot be determined)</option>
</select>
</td>
</tr>
<tr>
<td>
<label class="description">- Regional lymph nodes (pN):</label>
</td>
<td>
<select class="element select large" ID="A60">
<option value=""></option>
<option value=" - pN not assigned (no nodes submitted or found)">pN not assigned (no nodes submitted or found)</option>
<option value=" - pN not assigned (cannot be determined based on available pathological information)">pN not assigned (cannot be determined based on available pathological information)</option>
<option value=" - pN0: No regional lymph node metastasis">pN0: No regional lymph node metastasis</option>
<option value=" - pN1a: 1 regional lymph node is positive">pN1a: 1 regional lymph node is positive</option>
<option value=" - pN1b: 2 or 3 regional lymph nodes are positive">pN1b: 2 or 3 regional lymph nodes are positive</option>
<option value=" - pN1c: No regional lymph nodes are positive, but there are tumor deposits in the subserosa, mesentery, or nonperitonealized pericolic, or perirectal/mesorectal tissues.">pN1c: No regional lymph nodes are positive, but there are tumor deposits in the subserosa, mesentery, or nonperitonealized pericolic, or perirectal/mesorectal tissues.</option>
<option value=" - pN1 (subcategory cannot be determined)">pN1 (subcategory cannot be determined)</option>
<option value=" - pN2: > or = 4 regional lymph nodes are positive">pN2: > or = 4 regional lymph nodes are positive</option>
</select>
</td>
</tr>
<tr>
<td >
<label class="description">- Distant metastasis (pM):</label>
</td>
<td>
<select class="element select large" ID="A61">
<option value=""></option>
<option value=" - Not applicable - pM cannot be determined from the submitted specimen(s)">Not applicable - pM cannot be determined from the submitted specimen(s)</option>
<option value=" - pM1a: Intraperitoneal acellular mucin, without identifiable tumor cells in the disseminated peritoneal mucinous deposits">pM1a: Intraperitoneal acellular mucin, without identifiable tumor cells in the disseminated peritoneal mucinous deposits</option>
<option value=" - pM1b: Intraperitoneal metastasis only, including peritoneal mucinous deposits containing tumor cells">pM1b: Intraperitoneal metastasis only, including peritoneal mucinous deposits containing tumor cells</option>
<option value=" - pM1c: Metastasis to sites other than peritoneum">pM1c: Metastasis to sites other than peritoneum</option>
<option value=" - pM1 (subcategory cannot be determined)">pM1 (subcategory cannot be determined)</option>
</select>
</td>
</tr>
<!--
<tr>
<td>
<label>- Specify site(s), if known:</label>
<input type="text" ID="A62" class = "element text small" size="35">
</td>
</tr>
-->
</table>
</p>
<p>
Acellular mucin or mucinous epithelium may invade into the muscularis propria. (T1 and T2 are not applicable to LAMN; Acellular mucin or mucinous epithelium that extends into the subserosa or serosa should be classified as T3 or T4a, respectively.)
</p>
</fieldset>
</p>
<p>
<fieldset style="border-color:#e6e6ff;">
<legend> <label class=""> + Additional pathologic findings: </label></legend>
<p>
<input class="element checkbox" type="checkbox" id="A63" value=" - Appendicitis"><label class="choice">Appendicitis</label>
<input class="element checkbox" type="checkbox" id="A64" value=" - Perforation, not at tumor"><label class="choice">Perforation, not at tumor</label>
<input class="element checkbox" type="checkbox" id="A65" value=" - Ulcerative colitis"><label class="choice">Ulcerative colitis</label>
<input class="element checkbox" type="checkbox" id="A66" value=" - Crohn disease"><label class="choice">Crohn disease</label>
<input class="element checkbox" type="checkbox" id="A67" value=" - Diverticulosis"><label class="choice">Diverticulosis</label>
<input class="element checkbox" type="checkbox" id="A79" value=" - Sessile serrated lesion / adenoma / polyp"><label class="choice">Sessile serrated lesion / adenoma / polyp</label>
</p>
<p>
- Other (specify):
<input type="text" class = "element text medium" ID="A68" size="35">
</p>
<br>
</fieldset>
</p>
<p>
<label class="description">- Additional notes:</label>
<textarea ID="A69" class = "element textarea medium" style="border-color:Grey;"></textarea>
</p>
<br><br>
<input type="button" name="copyform" value="Check your Report" onclick="updateDescription(this.form)"/>
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<TEXTAREA ID="holdtext" name="holdtext" class="textarea large" style="border-color:coral;"></TEXTAREA>
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<input type="reset" value="Reset Form" name="reset" style="float: right;">
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Last upated on 14-Jan-2023,<br>
based on <a href="https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocol-templates" target="_blank">US CAP cancer protocol templates</a>.<br>
Appendix 5.1.0.0 (Dec 2022), <br>
html form was created on <a href="https://www.phpform.org">pForm</a>, <a href="https://www.w3schools.com/">W3 School</a>, <a href="https://stackoverflow.com/">StackOverflow</a>, and <a href="https://icons8.com">Icons8</a>.<br><br>
Anatomical Pathology Division, Queen Mary Hospital, Hong Kong.
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