Example Synoptic Report – Minimal

This report generator has not been peer reviewed – if used for diagnostic purposes, pathologists should review the information and use at their own risk.

Gross Description

Sample Measurements (cm)

Tumor Measurements (cm)

Sample inked?

Yes, by submitter
Yes, by laboratory
No (representative sections)

Neoplasia at Margin?

Present
Absent

Histologic Tumor Free Distance – Deep (mm)

Histologic Tumor Free Distance – Peripheral (mm)

Lymphovascular Invasion

Not identified
Equivocal
Present

Lymphovascular Invasion Criteria Detected

Thrombus adherent to intravascular tumor
Tumor cells invading through a vessel wall and endothelium
Neoplastic cells within a space lined by lymphatic or blood vascular endothelium
Neoplastic cells in a structure confirmed to be a lymphatic or blood vessel by the use of IHC markers

Number of foci of thrombi adherent to intravascular tumor detected?

Few (less than 5)
Moderate (5-10)
Many (more than 10)

Number of foci of tumor cells invading through a vessel wall and endothelium detected?

Few (less than 5)
Moderate (5-10)
Many (more than 10)

Number of foci of neoplastic cells within a space lined by lymphatic or blood vascular endothelium detected?

Few (less than 5)
Moderate (5-10)
Many (more than 10)

Number of foci of neoplastic cells in a structure confirmed to be a lymphatic or blood vessel by the use of IHC markers detected?

Few (less than 5)
Moderate (5-10)
Many (more than 10)

Mitotic Count per 2.37mm2

Microscopic Description

Morphologic Diagnosis

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