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Distal Extrahepatic Bile Duct
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Distal Extrahepatic Bile Duct
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Distal Extrahepatic Bile Duct (SBDEH)
- For resection specimens with invasive carcinomas of the distal extrahepatic bile ducts (i.e.
the origin of the cystic duct and below). Well-differentiated neuroendocrine neoplasms (carcinoid tumors) are NOT included.
Specimen and Surgical Procedure
Specimen, procedure....................................................................
Tumor
Tumor site...................................................................................
(example - "common bile duct, intrapancreatic")
Tumor size...................................................................................
Histologic type..............................................................................
Histologic grade............................................................................
Tumor extension...........................................................
Depth of tumor extension*………………………………………………………………………………
Lymphovascular invasion.............................................................. present/absent
Perineural invasion...................................................................... present/absent
Final margins (for high grade dysplasia and invasive carcinoma)
For segmental resection specimens only:
Proximal bile duct............................... positive/negative
Distal bile duct............................... positive/negative
Radial margin............................... positive/negative
Other margin(s) ............................... positive/negative
For pancreaticoduodenal resection specimens only:
Proximal margin (gastric or duodenal)......................................... positive/negative
Distal margin (distal duodenal)................................................... positive/negative Superior Mesenteric Artery (Uncinate/Retroperitoneal) Margin......... positive/negative
Inked surface of portal vein bed................................................. positive/negative
Bile duct margin....................................................................... positive/negative
Pancreatic resection margin....................................................... positive/negative
Other margin(s) (if applicable; please specify).............................. positive/negative
Lymph Nodes
Regional lymph nodes involved......................................... __
Regional lymph nodes examined....................................... __
Pathologic stage (AJCC 8th edition) ................................... pT__N__M__