• Note the presumptive diagnosis of “intraductal papilloma” on the requisition form.
• Measure and describe the specimen.
• Serially section the specimen in 2-3 mm intervals, checking the cut surface after each slice for the presence of a lesion within a distended duct.  If one is identified, attempt to maintain the connection between the lesion and the duct wall with subsequent sections. 
• Measure the lesion, the distance of the lesion from the nipple and margins (including the duct margin, if identified), and the entire length of the duct.
• Note any abnormalities in the surrounding periductal tissue.
• Frozen sections of grossly papillary breast lesions are not recommended.  Definite diagnosis of a breast papillary lesion is a diagnosis to be deferred to permanent sections.

• Submit the lesion entirely, plus 4-8 sections of the surrounding fibrous stroma.
• Submit the resection margins nearest to the lesion (at least 2 sections per close margin).
• Submit the nipple, if included with the specimen.

Internal use only

Received without fixative/in formalin, labeled _____ and “_____”, is a portion of fibroadipose tissue measuring __ x __ x __ cm, with an attached nipple measuring __ cm in diameter and __ cm in height.  The specimen is oriented by a long suture (e.g. superior) and a short suture (e.g. lateral).  No abnormalities are noted on the nipple skin.  The margins are inked as follows:  black = deep, blue = superior, green = inferior, yellow = anterior, red = medial and lateral.  There is blue dye on the cut surface corresponding to a __ cm duct which is contiguous with the nipple.  __ cm deep to the nipple and attached to the inner lining of this duct is a __cm _____ (color) papillary lesion.  The breast tissue surrounding the lesion is fibrotic.  The lesion is __ cm from the _____ margin, __ cm from the _____ margin, __ cm from the _____ margin, __ cm from the _____ margin, __ cm from the _____ margin, and __ cm from the _____ margin.  The breast tissue in the rest of the specimen is predominantly fatty.  No additional lesions are identified.  Representatively submitted as follows:

#__ & #__ = entire nipple, perpendicular to the skin surface; 1 piece in each.

#__ & #__  = papillary lesion and duct with _____ and _____ margins; 1 piece in each.

#__ = remainder of duct

#__ - #__  = _____ margin near lesion; 1 piece in each.

#__ - #__  = surrounding fibrous tissue; 1 piece in each.

__ blocks, __ H&E