PRIMARY TUMOR:
Distance to the anal verge: 12 cm
Distance to the top of sphincter complex/anorectal junction: 10 cm
Relationship to anterior peritoneal reflection: Above
Craniocaudal length: 6 cm
Circumferential location (o’clock position): circumferential
Morphology: Annular
Mucinous: No
MR‐T category: T3c (tumor penetrates >5‐15 mm beyond muscularis propria)
EMVI: Yes
CRM: N/A: (tumor at peritonealized portion of the rectum)
LYMPH NODES: Mesorectal/superior rectal lymph nodes and/or tumor deposits: N2b (short axis <5 mm AND all 3 morphologic criteria*)
Superior most suspicious lymph node/deposit is located: peritoneal
Extra mesorectal lymph nodes: M1: common iliac and retroperitoneal
IMPRESSION:
Stage: T3c N2b
Suspicious extra mesorectal lymph nodes: Yes