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specimen : A.sentinel lymph node #1(FS)

B. 4 and 5o¡¯clock right breast resection margin(FS)

C. 6 o¡¯clock right breast resection margin(FS)

D. 7 o¡¯clock right breast resection margin(FS)

E. Right breast cancer,

F. Right re-excision resection

G. 4:30 Right re-excision resection margin

H. 6o¡¯clok Right re-excision resection margin

 

DIAGNOSIS:

A-I)REAST,(right), breast conserving operation with axillary staging

-MICROINVASIVE DUCTAL CARCINOMA, NUCLEAR GRADE 2/3,

HISTOLOGIC GRADE 2/3,

with 1) intraductal component:99%/EIC(+)

NUCLEAR GRADE 2/3,WITH NECROSIS 3.2¡¿3.0¡¿0.8cm.

2) lymphovascular invasion:not identified.

3) tumor infiltrating lymphicytes:<10%.

4) no involvement of resection margins

(<0.1mm from closest superficial and 6 o¡¯clock resection margin).

5) no metastasis in 1 lymph node(0/1)

(sentinel LN #1, 0/1), (see note)

-DUCTAL CARCINOMA IN SITU, NUCLEAR GRADE 2/3, WITHOUT NECROSIS,0.4cm IN GREATEST DIMENSION. ¡°RIGHT RE-EXCISION RESETION¡±(SPECIMEN ¡°F¡±)

 

NOTE:

no metastatic tumor cells are indetified in 1 sentinel lymph node (sentinel LN #1, 0/1) by cytokeratin immunohistochemical staining

 

 

Results of immunohistochemical studies(16SC-3855)

 

ITEM REAULT

Estrogen receptor Positive (3/5, 8, Strong)

Progesterone receptor Positive (2/3, 5, Intermediate)

Her-2(c-erb B2) Negative (0)

Her-1(EGFR) Negative (0)

CK5/6 Negative

P53 Positive (1+)

KI-67 10-20%

 

D.

1.Specimen : 7 o¡¯clock resection margin x1, 3cm in greatest dimension

2. Slide key :Totally embedded in one block.

FDx:( 7 O¡¯CLOCK RESENTION MARGIN):

DUCTAL CARCINOMA IN SITU (3mm)

E.

1. Specimen ststus:FORMALIN FIXED(13:32)WITH TWO SUTURE MARKINGS AT 12 AND 3 O¡¯CLOCK

2. Procedure:Breast conserving operation

3. Specimen: A lump of breast (7¡¿6.4¡¿1.7cm, 30gm)

4. Lesion:

An ill-defined, infiltrative, solid mass(3.2¡¿3¡¿0.8cm)

- Cut surface: yellowish white, granular

5. Resection margins: not involved

(safety margin : superficial, 0.1cm; deep, 0.1cm;

3 o¡¯clock 0.9cm; 6 o¡¯clock, 0.9cm;

9 o¡¯clock 0.3cm; 12 o¡¯clock, 0.2cm)

6. Other findings:

Remaining parenchyma: unremarkable

7. Photo (x1), BRC request(-), BRC sampling(-)

8. INK code :yello superficial margin, green-deep margin,

red-12 and 3 o¡¯clock margins,

blue-6 and 9 o¡¯clock margin

9. Slide keys: 25 cassettes (entire)

EI-25, serial sections. 3 to 9 o¡¯clock direction, 3mm interval

[1, 3 o¡¯clock margin:2-23, 4-5, 6-7,8-9,10-11,12-13,14-15,16-17,18-19,20-21, and 22-23]; 24,25 9 o¡¯clock margin]

 

F.

1. Specimen: Labeled ¡°right re-excision resection¡±

A piece of breast tissue(5.5¡¿3.5¡¿1cm, 6gm)

2. Slide key : 6 cassettes(entire; F1-3&FMG1-3).

 

G.

1.Specimen: Labeled ¡°4:30 right re-excision resection margin¡±

A piece of breast tissue (2.5¡¿1.5¡¿0.5cm)

2. Slide key : 1 cassettes(entire).

 

H.

1.Specimen: Labeled ¡°6 O¡¯clock right re-excision resection margin¡±

A piece of breast tissue (0.9cm in greatest dimension)

2. Slide key : 1 cassettes(entire).

I.

1.Specimen: Labeled ¡°7 O¡¯clock right re-excision resection margin¡±

A piece of breast tissue (1.1cm in greatest dimension)

2. Slide key : 1 cassettes(entire).

 

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