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
Vulvar excision from [site], measuring [size] cm
Diagnosis
Vulvar adenocarcinoma, [subtype if determined]
Classification and Grade
Primary/Secondary: [assessment], Grade: [1/2/3], Type: [subtype]
Histological Features
Shows [glandular pattern] with [differentiation] and [stromal reaction]
Glandular Architecture
Architecture: [tubular/papillary/solid], mucin production: [present/absent]
Tumor Size
Tumor size: [X] cm in greatest dimension
Margins
Margins: [clear/involved], closest margin [X] mm
Lymphovascular Invasion
Lymphovascular invasion: [present/absent]
Special Studies
IHC: CK7: [result], CEA: [result], [organ-specific markers]: [results]
Hormone receptors: ER: [result], PR: [result]
[other study]: [result]
Primary vs Metastatic Assessment
Assessment: [primary vulvar/metastatic from [site]/indeterminate]
Prognostic Factors
Prognostic factors: grade, size, stage, hormone receptor status
Final Diagnosis
Vulvar adenocarcinoma, [subtype], [grade], [primary/metastatic]