Surgical Pathology Cancer Case Summary

HODGKIN’S DISEASE:             Report

HODGKIN’S DISEASE: Staging Laparotomy

MACROSCOPIC (check all that apply)

SPECIMEN TYPE

___ Lymph node(s)

___ Upper abdominal (celiac; splenic hilar; portahepatic)

___ Midabdominal (paraaortic; portacaval)

___ Pelvic (common, external, internal iliac)

__ Spleen (wt = __________ gm)

___ Nodules absent

___ Nodules present (number: ______________)

___ Liver biopsy

___ Needle (specify lobe(s): ________________)

___ Wedge (specify lobe(s): _________________)

___ Bone marrow biopsy(ies) (site(s): ___________

_________________________________________)

___ Other (specify: ___________________________)

MICROSCOPIC (check all that apply)

IMMUNOPHENOTYPING

___ Performed (see COMMENT, if pertinent)

___ Not performed

HISTOLOGIC TYPE

___ Lymphocyte predominance, nodular

___ Nodular sclerosis

___ Mixed cellularity

___ Lymphocyte depletion

___ Lymphocyte-rich, classical Hodgkin’s disease (provisional category)

HISTOLOGIC GRADE (Nodular sclerosis only)

___ Not applicable

___ Grade I

___ < 25% of nodules show lymphocyte depletion

or

___< 25% of nodules show numerous anaplastic Hodgkin’s cells without lymphoctye depletion

___ Grade II

___ ³ 25% of nodules show lymphocyte depletion

or

___ ≥ 25% of nodules show numerous anaplastic Hodgkin’s cells without lymphoctye depletion

SPECIMEN TYPE

___ Lymph node(s)

___ Upper abdominal (celiac; splenic hilar; portahepatic)

___ No involvement by Hodgkin’s disease

___ Hodgkin’s disease present

(extent: ________________________)

___ Midabdominal (paraaortic; portacaval)

___ No involvement by Hodgkin’s disease

___ Hodgkin’s disease present

(extent: ________________________)

___ Pelvic (common, external, internal iliac)

___ No involvement by Hodgkin’s disease

___ Hodgkin’s disease present

(extent: ________________________)

___ Spleen (wt = __________ gm)

___ Nodules absent

___ Nodules present (number: ______________)

___ Liver biopsy

___ Needle (specify lobe(s): ________________)

___ No involvement by Hodgkin’s disease

___ Hodgkin’s disease present

(extent: ________________________)

___ Wedge (specify lobe(s): _________________)

___ No involvement by Hodgkin’s disease

___ Hodgkin’s disease present

(extent: ________________________)

___ Bone marrow biopsy(ies) (site(s):____________________________________)

___ No involvement by Hodgkin’s disease

___ Hodgkin’s disease present

(extent: ________________________)

___ Other (specify: ___________________________)

___ No involvement by Hodgkin’s disease

___ Hodgkin’s disease present

(extent: ________________________)

STAGE

___ Cannot be assessed

___ Stage I:

___ Involvement of single lymph node region (I)

or

___ Localized involvement of a single extralymphatic organ or site (I_E)

___ Stage II:

___ Involvement of two or more lymph node regions on the same side of diaphragm (II)

or

___ Localized involvement of a single associated extralymphatic organ or site and its regional lymph nodes, with or without other lymph node regions on the same side of diaphragm (II_E)

___ Stage III: Involvement of lymph node regions on both sides of the diaphragm accompanied by (check one):

___ No involvement of extralymphatic organ or spleen (III)

___ Involvement of extralymphatic organ or site but not the spleen (III_E)

___ Involvement of the spleen but not extralymphatic organs or sites (III_S)

___ Involvement of both the extralymphatic organ(s)/site(s) and the spleen (IIIE_+S)

___ Stage IV:

___ Disseminated (multifocal) involvement of one or more extralymphatic organs with or without associated lymph node involvement

or

___ Isolated extralymphatic organ involvement with distant (nonregional) nodal involvement

ADDITIONAL PATHOLOGIC FINDINGS

___ None identified

___ Progressively transformed germinal centers

___ Hyaline vascular follicles

___ Hypervascular interfollicular regions

___ Numerous interfollicular plasma cells

___ Other (specify: _____________________)

COMMENT

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