Surgical Pathology Cancer Case Summary

PANCREAS (ENDOCRINE):             Report

 

PANCREAS (ENDOCRINE): Resection

MACROSCOPIC (check all that apply)

SPECIMEN TYPE

___ Pancreaticoduodenectomy (Whipple resection)

        ___ Partial pancreatectomy

        ___ Total pancreatectomy

___ Pylorus sparing pancreaticoduodenectomy

        ___ Partial pancreatectomy

        ___ Total pancreatectomy

___ Partial resection

        ___ Pancreatic body

        ___ Pancreatic tail

___ Other (specify: ___________________________)

TUMOR SITE (check all that apply)

___ Pancreatic head

___ Uncinate process

___ Pancreatic body

___ Pancreatic tail

___ Unknown

TUMOR CONFIGURATION

___ Infiltrative

        ___ Solid

        ___ Cystic

___ Circumscribed

        ___ Solid

        ___ Cystic

TUMOR SIZE: ___ x ___ x ___ cm

OTHER ORGANS

___ None

___ Spleen

___ Gallbladder

___ Other(s) (specify: ______________)

 

MICROSCOPIC (check all that apply)

HISTOLOGIC TYPE

___ Cannot be assessed

___ Pancreatic endocrine tumor, functional (correlation with clinical syndrome and/or elevated serum levels of hormone product)

        (specify type: ____________________________)

___ Pancreatic endocrine tumor, nonsecretory

___ Pancreatic endocrine tumor, secretory status unknown

EXTENT OF INVASION

___ Tumor limited to pancreas

___ Tumor invades beyond pancreatic capsule but  does not invade other organs

___ Tumor extends directly to any of the following:

        ___ Duodenum

        ___ Bile duct

        ___ Stomach

        ___ Spleen

        ___ Colon

        ___ Adjacent large vessels (eg, portal vein, celiac artery, superior mesenteric

               vessels, common hepatic vessels)

MARGINS

___ Uninvolved by tumor

        Distance of tumor from closest margin: ___ cm

        (specify margin: ___________________________)

___ Involved by tumor

        ___ Proximal pancreatic margin

        ___ Distal pancreatic margin

        ___ Posterior retroperitoneal surface of pancreas

        ___ Common bile duct margin

        ___ Other (specify:__________________)

BLOOD/LYMPHATIC VESSEL INVASION

___ Absent

___ Present

___ Indeterminate

PERINEURAL INVASION

___ Absent

___ Present

MITOTIC ACTIVITY

___ Not applicable

___ Absent

___ Present

        ___ < 4 mitoses/high power field

        ___ > 4 mitoses/high power field

REGIONAL LYMPH NODES

___ Cannot be assessed

___ No regional lymph node metastasis

        Number examined: ___

___ Regional lymph node metastasis

        Number examined: ____

        Number involved: ____

DISTANT METASTASIS

___ Cannot be assessed

___ No distant metastasis

___ Distant metastasis (site(s):_______________

        _______________________________________)

ADDITIONAL PATHOLOGIC FINDINGS

___ None identified

___ Chronic pancreatitis

___ Acute pancreatitis

___ Nesidioblastosis

___ Other (specify: ________________________)

COMMENT

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