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
Pancreaticoduodenectomy specimen
Tumor Location
Tumor located in [head/body/tail] of pancreas
Tumor Size
Tumor measures [X] x [Y] x [Z] cm
Histologic Type
Ductal adenocarcinoma, [conventional/variant] type
Histologic Grade
[Well/Moderately/Poorly] differentiated
Extent of Invasion
Tumor extends into [peripancreatic soft tissue/adjacent organs] (pT[X])
Resection Margins
Pancreatic margin: [negative/positive], Bile duct margin: [negative/positive], Duodenal margin: [negative/positive]
Lymph Nodes
[X] of [Y] lymph nodes involved (pN[X])
Perineural Invasion
Perineural invasion: [Present/Absent]
Lymphovascular Invasion
Lymphovascular invasion: [Present/Absent]
SMAD4 Status
SMAD4/DPC4: [Retained/Lost] (if performed)
TNM Staging
pT[X]N[X]M[X], Stage [I/II/III/IV]
Final Diagnosis
Final diagnosis: Pancreatic ductal adenocarcinoma, [grade], pT[X]N[X]M[X], Stage [X]