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, [site], measuring [size] cm in greatest dimension
Diagnosis
Vulvar melanoma, [histological subtype]
Classification and Staging
Breslow thickness: [X] mm, Clark level: [I-V], AJCC stage: [stage]
Histological Features
Shows [growth pattern] with [cellular morphology] and [pigmentation status]
Invasion and Thickness
Breslow thickness: [X] mm, invasion to [anatomic level]
Margins
Margins are [clear/involved] with closest margin [X] mm from tumor
Lymphovascular Invasion
Lymphovascular invasion: [present/absent]
Mitotic Activity
Mitotic rate: [X] mitoses per mm²
Special Studies
IHC: S-100: [positive/negative], HMB-45: [result], Melan-A: [result]
Molecular: [test performed]: [result]
[other study]: [result]
Prognostic Factors
Prognostic factors: Breslow thickness, ulceration status, mitotic rate, LVI
Final Diagnosis
Vulvar melanoma, [subtype], Breslow thickness [X] mm, [Clark level], [AJCC stage]