Tumor Margin Assessment Form
Document tumor margin assessment results accurately and efficiently.
Specimen Identifier
*
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Tumor Location
*
Tumor Type
Margin Status
*
Clear
Involved
Close
Measured Margin Distance (mm)
Assessment Method
Please Select
Gross Examination
Microscopic Examination
Imaging
Other
Evaluator Name
*
First Name
Last Name
Supporting Document or Image (optional)
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Additional Comments
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