Surgical Pathology Cancer Case Summary

EXTRAHEPATIC BILE DUCTS:             Report

 

EXTRAHEPATIC BILE DUCTS: Cytology/Biopsy

MACROSCOPIC (check all that apply)

 

SPECIMEN TYPE

___ Cytology

___ Biopsy

TUMOR SITE

___ Unknown

___ Right hepatic duct

___ Left hepatic duct

___ Junction of right and left hepatic ducts

___ Cystic duct

___ Common bile duct

        ___ Proximal

        ___ Middle

        ___ Distal

ADEQUACY OF SPECIMEN

___ Satisfactory

___ Limited (see COMMENT)

___ Unsatisfactory (see COMMENT)

COMMENT

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MICROSCOPIC (check all that apply)

HISTOLOGIC TYPE

___ Carcinoma in situ

___ Papillary adenocarcinoma

___ Adenocarcinoma, intestinal type

___ Mucinous adenocarcinoma

___ Adenosquamous carcinoma

___ Squamous cell carcinoma

___ Other: __________________

HISTOLOGIC GRADE

___ Not applicable

___ GX:    Cannot be assessed

___ G1:    Well differentiated

___ G2:    Moderately differentiated

___ G3:    Poorly differentiated

___ G4:    Undifferentiated

EXTENT OF INVASION

___ Cannot be determined

___ Tis: Epithelium only (carcinoma in situ)

___ T1: Tumor invades subepithelial connective

              tissue or fibromuscular layer

       ___ T1a:  Tumor invades subepithelial

                       connective tissue

       ___ T1b:  Tumor invades fibromuscular layer

ADDITIONAL PATHOLOGIC FINDINGS

___ None identified

___ Dysplasia/adenoma

___ Cholangitis

___ Other (specify: ____________________)

COMMENT

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