Surgical Pathology Cancer Case Summary

PLEURA:             Report

PLEURA: Cytology/Biopsy

MACROSCOPIC (check all that apply)

SPECIMEN TYPE

___ Cytology

___ Thoracentesis

___ Thoracoscopic

___ FNA

___ Other (specify: _____________________)

___ Biopsy

___ Percutaneous needle

___ Thoracoscopic

___ Open thoracotomy

___ Lymph node biopsy

TUMOR SITE

___ Right thorax

___ Superior

___ Middle

___ Inferior

___ Left thorax

___ Superior

___ Middle

___ Inferior

___ Other (specify: _________________)

___ Unknown

MICROSCOPIC (check all that apply)

HISTOLOGIC TYPE

___ Epithelial mesothelioma

___ Fibrous (spindle cell) mesothelioma

___ Biphasic mesothelioma

___ Other (specify: _______________________)

EXTENT OF INVASION (as appropriate)

___ Cannot be determined

___ Lung parenchyma

___ Endothoracic fascia

___ Soft tissue of chest wall

___ Diaphragm

___ Other (specify: _______________________)

ADDITIONAL PATHOLOGIC FINDINGS

___ None identified

___ Ferruginous bodies

___ Pleural plaque

___ Pulmonary interstital fibrosis

___ Inflammation (type: __________________)

___ Other (specify: _______________________)

COMMENT

___________________________________________

___________________________________________

___________________________________________

___________________________________________