Definition/General
Clinical Features
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Gross Description
Microscopic Description
Immunohistochemistry
Molecular/Genetic
Differential Diagnosis
Sample Pathology Report
Template Format
Sample Pathology Report
Complete Report: This is an example of how the final pathology report should be structured for this condition.
Specimen Information
Radical hysterectomy with bilateral salpingo-oophorectomy and pelvic lymph node dissection, received [fresh/in formalin]
Diagnosis
Cervical tubular carcinoma, well to moderately differentiated
Histological Features
Well-formed tubular glands (>90% of tumor) with minimal intraluminal mucin, single layer epithelium, marked desmoplastic stroma
Tumor Size
Greatest dimension: [X] cm; Additional dimensions: [X] × [X] cm; Gross tumor volume: [X] cm³
Depth of Invasion
Depth of stromal invasion: [X] mm; Cervical wall thickness: [X] mm; Percentage of wall invasion: [X]%
Margins
Ectocervical margin: [Negative/Positive] ([X] mm); Endocervical margin: [Negative/Positive] ([X] mm); Deep stromal margin: [Negative/Positive] ([X] mm); Vaginal cuff margin: [Negative/Positive] ([X] mm)
Lymphovascular Invasion
[Present/Absent]; If present: [focal (<5 foci)/multifocal (≥5 foci)]; Vessel type: [lymphatic/blood vessel/both]
Parametrial Involvement
Right parametrium: [Involved/Not involved]; Left parametrium: [Involved/Not involved]; Pattern: [direct extension/lymphovascular]
Lymph Nodes
Total nodes examined: [X]; Positive nodes: [X]; Largest metastatic deposit: [X] mm; Extranodal extension: [Present/Absent]
Immunohistochemistry
p16: Diffuse positive; CK7: Positive; PAX8: Positive; CEA: Positive; Mammoglobin: Negative; GATA3: Negative
Molecular Testing
HPV ISH: Positive (type [X]); Additional testing: [as indicated]
Pathological Stage
FIGO Stage (2018): [stage]; TNM Stage (8th edition): pT[X]N[X]M[X]
Additional Findings
[Adenocarcinoma in situ/Endometriosis/Nabothian cysts/Other findings]