Medical Pathology Report Form

Basic Report Information

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Specimen Number

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Clinical Data

Gross Description

Microscopic Description

Diagnosis

<ul><li>Tumor site (breast quadrant / location): 3 o'clock, 2 o'clock, 11 o'clock, 12 o'clock, 10 o'clock.</li><li>Tumor size (greatest dimension in mm): 30 mm</li><li>Histologic type: Invasive carcinoma (NST)</li><li>Histologic grade: 3</li><li>Extension to skin: None, nipple and areola are free of tumor and Paget cells.</li><li>Chest wall (pectoral muscle) involvement: No</li><li>Margin status (distance in mm): 36 mm, 32 mm, 18 mm, 35 mm and 27 mm from superior, inferior, medial, lateral and deep margins, respectively.</li><li>Lymphovascular invasion: Present</li><li>Perineural invasion: Not identified</li><li>Multifocality / multicentricity (number of foci and dimensions): present, 20x15x13 mm, 25x20x15 mm, 30x30x23 mm, 15x13x10 mm, 8x7x6 mm.</li><li>Presence/extent of DCIS (if concurrent)—grade and extent.: absent.</li><li>Number of lymph nodes examined (total): 16</li><li>Number positive for metastasis: 10</li><li>Greatest dimension of lymph nodes: 20x18 mm</li><li>Extra-nodal / extracapsular extension (present/absent): Present</li><li>Pathologic stage: pT2N3Mx</li></ul>

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