SPECIMEN
Specimen Type: Excision
Specimen Size: 5 × 3.5 × 1.8 cm
TUMOR
Tumor Site: Not specified
Histologic Type: Invasive carcinoma of no special type (NST)
Histologic Grade (Nottingham Combined Histologic Score): Grade 2 (Intermediate)
Tumor Size: 3.5 × 2.5 × 1.5 cm (Greatest dimension: 3.5 cm)
Macroscopic Description: Fairly defined solid, firm, creamy-colored mass
TUMOR-INFILTRATING LYMPHOCYTES (TILs)
Stromal TILs Percentage: > 50%
TILs Interpretation: Intermediate to focally high
DUCTAL CARCINOMA IN SITU (DCIS)
Presence of DCIS: Present (minor component)
Architectural Pattern: Solid type
Nuclear Grade: Intermediate
Necrosis: Present (comedo type)
Lobular Cancerization: Present
ADDITIONAL PATHOLOGIC FINDINGS
Lymphovascular Invasion (LVI): Present
Perineural Invasion: not identified
MARGINS
Status: Negative for invasive carcinoma and DCIS
Distance to Closest Margin: 0.3 cm (deep margin)
Other Margin Distances:
Superior: 0.5 cm
Inferior: 0.5 cm
Medial: 0.5 cm
Lateral: 1 cm
PATHOLOGIC STAGING (AJCC 8th Edition)
Primary Tumor (pT): pT2
Regional Lymph Nodes (pN): pNX (not assessed)
Lt, breast mass.
Fibrifatty tissue measuring 5 x 3.5 x 1.8 cm. Serial sectioning reveals a fairly defined solid, firm mass that is creamy in color and measured 3.5 x 2.5 x 1.5 cm. The mass is located 0.3 cm from the deep margin, 0.5 cm from the superior margin, 0.5 cm from the inferior margin, 0.5 cm from the medial margin and 1 cm from the lateral margin.
Breast mass(Left), excision: