PATHOLOGY REPORT

FRONTIERS IN BIOSCIENCE;
PATHOLOGY REPORT

PATHOLOGY REPORT; BREAST

Department of Pathology

Date of Submission

Date of Operation

Clinical History

Clinical Diagnosis

Previous Surgical Number(s)

Previous Cytology Number(s)

Name of the Clinician

Patient Name

Patient Identification number

Patient Social Security Number

Surgical Pathology Number

Surgical Specimen

Operation type

- Biospsy

- Excisional biopsy

- Resection

- Other

Gross Description

Microscopic Description

Special staining findings

Non-applicable

Immunohistochemical findings

Non-applicable

Ultrastructrual findings

Non-applicable

Additional studies

Non-applicable
Non-applicable

Final Diagnosis


Breast (Right or Left)
Specimen
Tumor Type-In Situ: within tumor:pattern/grade, adjacent to tumor: pattern/grade, multifocal: pattern/grade
Tumor Type-Infiltrating
Tumor Size
Final tumor grade-Histological Grade
Final tumor grade-Nuclear Grade
Final tumor grade-Mitotic Grade
Peripheral margins-invasive
Peripheral margins-In-situ
Deep margin
Skin
Nipple involvement
Muscle
Angiolymphatic invasion
Microcalcifications
Tumor location(in mastectomy)
Lymph nodes(total): Sentinel: Non-sentinel: Others: Nodes>2cm: Extranodal extension:
Ancillary studies

Comments

Pathologist

M.D.
I am the pathologist who has reviewed this case
and rendered the above diagnosis.
Date