Medical Pathology Report Form

Basic Report Information

Patient Name

Specimen Number

Age

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Received Date

Date Reported

Nature of Specimen

Report Status

Clinical Data

Gross Description

Microscopic Description

Diagnosis

<ul><li>Procedure: Nephroureterectomy.</li><li>Tumor Site: Kidney (lower).</li><li>Tumor Focality: Unifocal.</li><li>Tumor Size: 5 cm (greatest dimension).</li><li>Histologic Type: Collecting duct carcinoma (Bellini duct carcinoma).</li><li>Histologic Grade: high grade.</li><li>Tumor Extent: Tumor invades renal sinus fat and perinephric fat. Renal pelvis is not infiltrated by the tumor.</li><li>Margins: All margins negative for tumor (including ureteric margin).</li><li>Lymphovascular Invasion: present</li><li class="ql-align-justify">Regional Lymph Nodes: Not submitted.</li></ul><h3 class="ql-align-justify">Immunostains:</h3><ul><li class="ql-align-justify">Pan-cytokeratin (pan-CK): Diffuse, strong cytoplasmic positivity in tumor cells.</li><li class="ql-align-justify">Cytokeratin 7 (CK7): Diffuse, strong cytoplasmic positivity in tumor cells.</li><li class="ql-align-justify">PAX8: Diffuse, weak to moderate nuclear positivity in tumor cells.</li><li class="ql-align-justify">GATA3: Negative in tumor cells.</li><li class="ql-align-justify">p63: Negative in tumor cell.</li></ul>

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