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
___ < 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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