Surgical Pathology Cancer Case Summary

Uveal Melanoma:             Report

 

Uveal Melanoma: Cytology/Biopsy

MACROSCOPIC (check all that apply)

 

SPECIMEN TYPE

___ Cytology

___ Biopsy

 

TUMOR SITE

___ Right eye

___ Left eye

___ Unknown

 

PART OF THE EYE SAMPLED

___ Anterior chamber

___ Vitreous

___ Choroid

___ Ciliary body

___ Iris

___ Other (specify:_____________________)

 

FIXATION

___ Alcohol

___ NBF

___ Other

___ None

 

QUANTITY

___ Amount of fluid

___ Specimen Size: ___ x ___ x ___ mm

___ Other (specify:_____________________)

 

TUMOR SIZE (largest dimension), if appropriate: ___ mm

 

 

MICROSCOPIC (check all that apply)

 

ADEQUACY OF SPECIMEN FOR ANALYSIS

___ Adequate

___ Inadequate, specify reason: _____________

 

PART OF UVEA INVOLVED

___ Choroid

___ Ciliary body

___ Iris

 

HISTOLOGIC TYPE

___ Cannot be determined

___ Spindle cell type

      ___ Spindle A

      ___ Spindle B

___ Epithelioid cell type

___ Mixed cell type

___ Necrotic

___ Balloon cell

 

INVOLVEMENT OF OTHER STRUCTURES

___ Cannot be determined

___ Sclera

___ Vortex vein

___ Optic Nerve

___ Vitreous

___ Retina

___ Angle/Schlemm’s canal

___ Other(s) (specify:_____________________)

 

ADDITIONAL PATHOLOGIC FINDINGS

___ None identified

___ Mitotic rate: Number of mitoses per 40x objective with a field area of 0.152 mm2 ______

___ Necrosis

___ Microvascular patterns

___ Vascular invasion (tumor vessels or other vessels)

___ Degree of pigmentation

___ Inflammatory cells/tumor infiltrating lymphocytes

___ Drusen

___ Nevus

___ Hemorrhage

___ Neovascularization

___ Changes associated with previous therapy

___ Other (specify: _____________________)

 

COMMENT

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