|
Breast Ductal Carcinoma (DCIS) Only
|  |
|
Breast Ductal Carcinoma (DCIS) Only
| |
Breast Ductal Carcinoma (DCIS) Only
- Any complete excision (i.e. lumpectomy, partial mastectomy) or mastectomy with ONLY DCIS. If invasive carcinoma was diagnosed on a previous core biopsy, the "Breast Invasive Carcinoma" synoptic template should be used.
Specimen and Surgical Procedure
Specimen, laterality, procedure.......................................................
Lymph nodes submitted and/or identified in the specimen................... yes/no
If present, specify type(s) of lymph nodes..............................
Tumor
Tumor site...................................................................................
Tumor size.................................................................................. at least __ mm
Blocks with DCIS (# with DCIS/# of total blocks)............................. __/__
Histologic type............................................................................. DCIS
Nuclear grade..............................................................................
Necrosis (specify focal vs. comedo type if present).......................... present/absent
Location of calcifications if targeted...............................................
Final Margins
Closest Linear Extent Specimen
Location Distance (within 2 mm) Designation
Mastectomy
Deep Base of nipple*
Other surgical surface
Anterosuperior
Anteroinferior
Lumpectomy
Superficial
Deep
Medial
Lateral
Superior
Inferior
*applicable to nipple-sparing mastectomies only
Lymph Nodes (section required ONLY if LNs present in the specimen)
SLN Non-SLN Total
# Examined
# with isolated tumor cells
# with micrometastasis (>0.2 mm up to 2 mm)
# with macrometastasis (>2 mm)________________________________________
Size of largest metastasis............................................................
Extranodal extension .................................................................. present/absent
Ancillary Studies(MOL-__-_____)..................................................... yes/pending
Estrogen Receptor.................................................................... positive/negative (% nuclear staining …./ …. Intensity)
Progesterone Receptor.............................................................. positive/negative (% nuclear staining …./ …. Intensity)
Is repeat testing ordered/ needed: Yes/ No
Pathologic stage (AJCC 8th Ed.)........................................................................ pTis N__M__