Medical Pathology Report Form

Basic Report Information

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Diagnosis

<ul><li>Specimen: Right kidney, radical nephrectomy</li><li>Tumor Site: Lower pole of the right kidney</li><li>Histologic Type: Clear Cell Renal Cell Carcinoma</li><li>Tumor Size: 4.5 x 3.5 x 3.5 cm (Greatest dimension: 4.5 cm)</li><li>Histologic Grade: WHO / ISUP Grade 2</li><li>Tumor Extent: Tumor is confined within the renal capsule (infiltrates within it only, without penetrating), not infiltrating renal pelvis.</li><li>Surgical Margins: kindly refer to original pathology report report (which stated:All surgical margins are negative for carcinoma).</li><li>Lymphovascular Invasion (LVI): Present. </li><li>Perineural Invasion: absent.</li><li>Regional Lymph Nodes: None submitted.</li></ul>Pathologic Staging AJCC 8th Edition)<ul><li>Primary Tumor (pT): pT1b (Tumor > 4 cm but < 7 cm in greatest dimension, limited to the kidney)</li><li>Regional Lymph Nodes (pN): pNx (Regional lymph nodes cannot be assessed / no lymph nodes identified)</li></ul>

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