Surgical Pathology Cancer Case Summary

FALLOPIAN TUBE:             Report

FALLOPIAN TUBE: Cytology/Excision of tubal fragments

MACROSCOPIC (check all that apply)

SPECIMEN TYPE

___ Cytology

___ Excision of tubal fragments

TUMOR SITE

___ Right fallopian tube

___ Left fallopian tube

MICROSCOPIC (check all that apply)

HISTOLOGIC TYPE

___ Carcinoma in situ

___ Serous carcinoma

___ Mucinous carcinoma

___ Endometrioid carcinoma

___ Clear cell carcinoma

___ Transitional cell carcinoma

___ Squamous cell carcinoma

___ Undifferentiated carcinoma

___ Other (specify: ____________________________)

HISTOLOGIC GRADE

___ Not applicable

___ GX: Cannot be assessed

___ G1: Well differentiated

___ G2: Moderately differentiated

___ G3: Poorly differentiated

___ G4: Undifferentiated

BLOOD/LYMPHATIC VESSEL INVASION

___ Not applicable

___ Absent

___ Present

ADDITIONAL PATHOLOGIC FINDINGS, IF PRESENT
(specify: ____________________)

COMMENT

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