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Procedure

Specimen Laterality

Tumor Size

Histologic Type

Histologic Grade
Glandular/Tubular Differentiation
Nuclear Pleomorphism
Mitotic Rate
+ Number of mitoses per 10 high-power fields

+ Tumor Focality

Ductal Carcinoma In Situ

+ LCIS in specimen

Tumor Extension

Margins - Invasive carcinoma

Margins - DCIS

Treatment Effect

+ Lymphovascular Invasion

Pathologic Staging (pTNM)
TNM Descriptors (select all that apply)
pT
pN
pN modifiers
pM

- ANCILLARY HORMONE RECEPTOR STUDIES -
Estrogen Receptor Status
Specify % positive
Specify staining intensity
Progesterone Receptor Status
Specify % positive
Specify staining intensity
HER2 - IHC
HER2 - FISH
Ki67%
Cold Ischemia and Fixation Times

- BIOMARKER METHODOLOGY -
+ Testing Performed on Block (or Prior case) Number(s)
Fixative
Estrogen Receptor
Progesterone Receptor
HER2 (IHC) Receptor - Method
HER2 FISH - Method
+ Image Analysis