Surgical Pathology Cancer Case Summary

LIVER:             Report

LIVER: Cytology/Biopsy

MACROSCOPIC (check all that apply)

SPECIMEN TYPE

___ Cytology (FNA)

___ Needle biopsy

___ Incisional biopsy

TUMOR SITE

___ Right lobe

___ Left lobe

___ Unknown

___ Other

ADEQUACY OF SPECIMEN (if applicable)

___ Satisfactory

___ Limited (see COMMENT)

___ Unsatisfactory (see COMMENT)

COMMENT

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MICROSCOPIC (check all that apply)

HISTOLOGIC TYPE

___ Cannot be assessed

___ Hepatocellular carcinoma, NOS

___ Fibrolamellar hepatocellular carcinoma

___ Combined hepatocellular cholangiocarcinoma

___ Cholangiocarcinoma

___ Other (specify:_______________)

HISTOLOGIC GRADE

___ Not applicable

___ GX: Cannot be assessed

___ G1: Well differentiated

___ G2: Moderately differentiated

___ G3: Poorly differentiated

___ G4: Undifferentiated/anaplastic

ADDITIONAL PATHOLOGIC FINDINGS

___ None identified

___ Hepatocyte dysplasia

___ Ductal dysplasia

___ Cirrhosis/fibrosis

___ Iron overload

___ Hepatitis (specify type: ____________________)

___ Other (specify: ____________________)

COMMENT

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