Surgical Pathology Cancer Case Summary

GALLBLADDER:             Report

GALLBLADDER: Cytology/Biopsy

MACROSCOPIC (check all that apply)

SPECIMEN TYPE

___ Cytology

___ Biopsy

TUMOR SITE

___ Unknown

___ Fundus

___ Body

___ Neck

ADEQUACY OF SPECIMEN (if applicable)

___ 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

___ Small cell carcinoma

___ Other: __________________

HISTOLOGIC GRADE

___ Not applicable

___ GX: Cannot be assessed

___ G1: Well differentiated (>95% gland forming)

___ G2: Moderately differentiated (50-95% gland forming)

___ G3: Poorly differentiated (5-49% gland forming)

___ G4: Undifferentiated (<5% gland forming)

TUMOR SIZE (excisional biopsy only): ___ cm

EXTENT OF INVASION

___ TX: Cannot be assessed

___ 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

___ Cholecystitis

___ Other (specify: ____________________)

COMMENT

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