Skin Macroscopic reporting dictation template

SPR*/ ICCR¡ Data element Response

(melanoma)
Fresh tissue received No Yes If yes, describe any additional tests/ frozen sections/biobanking performed

G2.01¡ Specimen description Text Record a description of the specimen (e.g. procedure or specimen type such as ellipse,
excision etc. and the site and laterality as stated by the clinician)

G2.04¡ Specimen orientation Not provided Text If present, describe method of orientation used by the clinician &
feature denoted (e.g. suture at 12 o’clock)

G2.03¡ Specimen dimensions __ x __ x __mm Length x width x thickness (thickness is optional)

Number of lesions __
Record the dimensions and a description of each lesion. For melanomas, SRP guidelines distinguish “primary” from “other lesions”.

G2.06¡ Macroscopic primary lesion dimensions Indeterminate OR __x__x__mm Length x width x depth (depth is optional)

Distance of lesion to closest margin __ Specify margin

G2.05¡ Macroscopic primary lesion description Text E.g. shape, colour, border, pigmentation, ulceration & surface crusting

G2.07¡ Other lesion(s) Not identified Present

Description of other lesion(s) Text E.g. shape, colour, border, pigmentation, ulceration & surface crusting
Distance between lesions __mm

G2.09¡ Other comments Text E.g. any additional information; specimen integrity (if disrupted); additional
anatomical components
Colour key for surgical margins Text List the margins and colours painted. A diagram is recommended
¡
G2.08 Block identification key Text

SPR*Structured Reporting of Cancer and ICCR¡ International Collaboration On Cancer Reporting Standards (S) & Guidelines (G)

Skin dictation template Date: 22 October 2015 Version: 2.2