Received without fixative/in formalin, labeled with the patient’s name, medical record number, and “ _____”, is a partial esophagectomy/esophagogastrectomy specimen including a segment of esophagus (__ cm in length x __ cm in circumference) and a portion of proximal stomach ( __ cm along the less curvature, __ cm along the greater curvature, __ cm circumference at the stapled/open distal resection margin). The outer surface of the esophagus is _____ (color, texture, with/without segmental dilation). The serosal surface of the stomach is _____ (color, texture, focally puckered over an area of __ cm over the _____ surface). The specimen is inked as follows: proximal margin _____, distal margin _____, puckered mucosal area _____. There is a fungating/ulcerated __ x __ cm mass, with borders __ cm above the adjacent mucosa surface at the EG junction/_____ curvature/anterior vs. posterior aspect. The mass does not appear to invade the wall/has a depth of invasion of __ cm and is transmural/is __ cm from the serosa. It is __ cm from the distal resection margin, __ cm from the proximal resection margin, and __ cm from the EG junction. The EG junction is regular/irregular. There is/is no perforation. The remaining mucosal surface of the stomach has _____ (color, texture) folds. __ (number) lymph nodes ranging from __ to __ cm in diameter are present in the periesophageal/perigastric soft tissue. The majority of the nodes have _____ (color, consistency) cut surfaces, but the largest node, which is located _____, has a _____ (color, consistency) cut surface. Photographs are taken. Representative____ (percent of tissue) submitted as follows:
#__ = proximal (esophageal) resection margin; __ pieces.
#__ - #__ = distal (gastric) resection margin with/without tumor, __ pieces in each.
#__ - #__ = tumor with adjacent mucosa, full thickness sections; 1 piece in each.
#__ & #__ = EG junction; __ pieces in each.
#__ & #__ = uninvolved gastric and esophageal mucosa; __ pieces in each.
#__ = three intact esophageal lymph nodes proximal to mass; __ pieces in each.
#__ = entire largest lymph node, bisected; 2 pieces.
#__ = four intact esophageal lymph nodes adjacent to mass; 4 pieces.
#__ = one bisected esophageal lymph node distal to mass; 2 pieces.
#__ = three intact cardiac lymph nodes; 3 pieces.
__ blocks, __ H&E