Medical Pathology Report Form

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Diagnosis

Tumor Summary:Tumor site: Right kidney, mid and lower zones<ul><li>Tumor size: 6.3 x 5.5 x 6 cm, greatest dimension 6.3 cm</li></ul>Histologic type: Clear cell renal cell carcinoma.<ul><li>Histologic grade WHO/ISUP: Grade 2</li></ul>Tumor extension:<ul><li>Invades renal capsule</li><li>Invades perinephric fat</li><li>Invades renal pelvis/ pelvicalyceal system</li></ul>Margins:<ul><li>Ureteral margin uninvolved by invasive carcinoma</li><li>Other margins cannot be assessed</li></ul>Lymphovascular invasion: PresentSeparate tumor soft tissue mass: positive for tumorRegional lymph nodes: Cannot be determined pNX<ul><li>Note: If the separate mass represents a completely replaced lymph node, this would be pN1</li></ul>Pathologic stage classification AJCC 8th edition<ul><li>pT category: pT3a, tumor extends into the renal vein or its muscle containing branches, or invades the pelvicalyceal system, or invades perirenal or renal sinus fat but not beyond Gerota fascia</li><li>pN category: pNX, regional lymph nodes cannot be assessed</li><li>pM category: Not applicable, cannot be determined from the submitted specimen alone, though the separate soft tissue mass may represent a distant metastasis depending on its anatomic origin</li></ul>

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