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
Right/Left ovary and fallopian tube, total weight: __ grams. Ovary measures __ x __ x __ cm, markedly enlarged. External surface smooth/bosselated. Cut surface shows characteristic leaf-like architecture with slit-like spaces and intervening stromal tissue. Areas of necrosis/hemorrhage present/absent.
Diagnosis
Phyllodes tumor, __ type (benign/borderline/malignant), with the following features: Leaf-like architecture, stromal cellularity __ (low/moderate/high), nuclear atypia __ (minimal/mild/marked), mitotic rate __ per 10 HPF, stromal overgrowth present/absent.
Final Diagnosis
PHYLLODES TUMOR OF OVARY, __ TYPE (Benign/Borderline/Malignant)\n\nSize: __ cm\nMargins: Negative/Positive\nStromal mitoses: __ per 10 HPF\nStromal atypia: Minimal/Mild/Marked\n\nIHC Profile: CD34 (stromal, +/-), CK7 (epithelial, +), p53 (__), Ki-67 (__%)\n\nNote: PRIMARY vs METASTATIC phyllodes tumor - Clinical correlation with breast imaging/history essential. Multidisciplinary team discussion recommended for treatment planning.