Surgical Pathology Cancer Case Summary

OVARY:             Report

OVARY: Cytology/Biopsy

MACROSCOPIC (check all that apply)

SPECIMEN TYPE

___ Cytology

___ Incisional biopsy

TUMOR SITE

___ Right ovary

___ Left ovary

MICROSCOPIC (check all that apply)

HISTOLOGIC TYPE

___ Serous

___ Borderline

___ Carcinoma

___ Mixed

___ Mucinous

___ Borderline

___ Carcinoma

___ Mixed

___ Endometrioid

___ Borderline

___ Carcinoma

___ Mixed

___ Clear cell

___ Borderline

___ Carcinoma

___ Mixed

___ Transitional cell

___ Borderline

___ Carcinoma

___ Mixed

___ Mixed epithelial

___ Borderline

___ Carcinoma

___ Mixed

___ Undifferentiated

___ Granulosa cell

___ Germ cell (specify type(s): __________________)

___ 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

___ Indeterminate

ADDITIONAL PATHOLOGIC FINDINGS, IF PRESENT (specify: ____________________)

COMMENT

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