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Perihilar Bile Duct
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Perihilar Bile Duct
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- For resection specimens with invasive carcinomas of the perihilar bile ducts (i.e. proximal to the origin of the cystic duct up to and including the hepatic duct bifurcation). Well differentiated neuroendocrine neoplasms (carcinoid tumors) are NOT included.
Specimen and Surgical Procedure
Specimen, procedure....................................................................
Tumor
Tumor site...................................................................................
Tumor size...................................................................................
Histologic type..............................................................................
Histologic grade............................................................................
Tumor extension...........................................................................
Lymphovascular invasion.............................................................. present/absent Perineural invasion...................................................................... present/absent
Final margins
(If positive specify: High grade intraepithelial neoplasia or invasive carcinoma)
For segmental resection specimens only
Proximal margin.......................................................... positive/negative
Distal margin.............................................................. positive/negative
Radial margin.............................................................. positive/negative
Other margin(s) (if applicable; please specify).............................. positive/negative
For hilar resection and partial hepatectomy specimens only
Hepatic parenchymal margin...................................................... positive/negative
Bile duct margin.......................................................... positive/negative
Radial margin.............................................................. positive/negative
Other margin(s) (if applicable; please specify).............................. positive/negative
For total hepatectomy specimens only
Bile duct margin.......................................................... positive/negative
Radial 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 Ed)................................................... pT__N__M__