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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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