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Procedure

Specimen Laterality

Size (Extent) of DCIS (mm)
+ Number of blocks with DCIS:
+ Number of blocks examined

+ Architectural Patterns

Nuclear Grade

Necrosis

Margins

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

+ Microcalcifications

- 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