Shaukat Khanum Memorial Cancer Hospital & Research Centre
Johar Town, Lahore, Pakistan - Phone: +92-42-35905000, 111-155-555, Fax: 042-35945198
Email:
[email protected], Website: www.shaukatkhanum.org.pk
Department of Pathology
PDF: 10-Oct-2024 19:26:56 Histopathology Report Page 1 of 3
Dept Ref# : 001HIS24083089 Ordered By : Muhammad Jamshaid Naseem
MRNO : 001-80005173019 Referring Physician : Tayyab Abbas
Name : Sajida In-house Consultant :
Report Destination : Main Reception
Date of Birth : 10-SEP-1974
Age/Sex : 50 Year(s)/Female Requested : 28-SEP-2024 21:02:27
Phone : 92 0333 8980049 Specimen Collected : 28-SEP-2024 21:06:23
Address : JEEWAN CITY, SAHIWAL - PAKISTAN Specimen Received : 28-SEP-2024 21:06:25
Reported : 10-OCT-2024 18:51:42
Specimen is brought to Lab
Test : Histopathology (Gross, Microscopy & Immunohistochemistry)
Specimen Nature: MODIFIED RADICAL MASTECTOMY
Specimen Site: RIGHT BREAST
History: No history of chemotherapy, wedge biopsy diagnosis, ductal carcinoma in situ, high nuclear grade solid
and comedo pattern, trucut biopsy Paget's disease, T4N1Mx.
Gross: Cold ischemia time is not available and total fixation time is more than 48 hours
Specimen container is labeled with the patient's name and medical record number and is marked for site
as right breast.
Received in formalin
Procedure: Modified radical mastectomy
Laterality: Right breast
Dimensions:
Entire specimen: 205 x 145 x 55 mm
Skin ellipse: 178 x 95 mm
Nipple/areola complex: 45 x 45 mm
Skin:
Any Scars: Present, possible scar measures 10 mm
Skin ulcer: Absent
Ink Key: Deep margin (green ink)
Specimen sliced from: Medial to lateral side, into 11 slices
There is granular fibrotic area present in slice #5-7 measuring 25 x 20 x 19 mm
Distance of fibrotic area from all margins:
Superior - 45 mm
Inferior - 44 mm
Lateral - 65 mm
Medial - 45 mm
Deep - 25 mm
Muscle present at deep margin: Absent
Axilla present: Yes, attached
Size of axilla: 55 x 54 x 25 mm
Number of lymph nodes: 7 lymph nodes identified ranging in size from 25 to 6 mm
Representative sections are taken and submitted as follows:-
A) Nipple; B) Skin scar; C) Deep margin; D-H) Section from slice #4 fibrotic area; J-L) Section from slice
Mudassar Hussain Dr.
Consultant Pathologist
Electronically verified by,no signature(s) required.
Dr. Asif Loya Dr. Maryam Hameed Dr. Mudassar Hussain Dr. Sajid Mushtaq Dr. Umer Nisar Sheikh
MBBS, DABP (AP and MBBS, FRCPath MBBS, FCPS MBBS, FCPS, FRCPath MBBS, DABP (AP, CP,
Cytopathology), FIAC (Histopathology), Cytopathology)
Fellowship in Renal Pathology
(Canada)
Dr. Usman Hassan
MBBS, FCPS, FRCPath
Shaukat Khanum Memorial Cancer Hospital & Research Centre
Johar Town, Lahore, Pakistan - Phone: +92-42-35905000, 111-155-555, Fax: 042-35945198
Email:
[email protected], Website: www.shaukatkhanum.org.pk
Department of Pathology
PDF: 10-Oct-2024 19:26:56 Histopathology Report Page 2 of 3
Dept Ref# : 001HIS24083089 Ordered By : Muhammad Jamshaid Naseem
MRNO : 001-80005173019 Referring Physician : Tayyab Abbas
Name : Sajida In-house Consultant :
Report Destination : Main Reception
Date of Birth : 10-SEP-1974
Age/Sex : 50 Year(s)/Female Requested : 28-SEP-2024 21:02:27
Phone : 92 0333 8980049 Specimen Collected : 28-SEP-2024 21:06:23
Address : JEEWAN CITY, SAHIWAL - PAKISTAN Specimen Received : 28-SEP-2024 21:06:25
Reported : 10-OCT-2024 18:51:42
Specimen is brought to Lab
#5 fibrotic area; M-N) Section from slice #6 fibrotic area; P) Single bisected lymph node; Q) 2 lymph
nodes; R-U) Single bisected lymph node in each block; V-AE) Axillary fat for possible lymph nodes.
(Gross assisted by: Nazia Nawaz)
Micro: Procedure: Modified radical mastectomy
Specimen Laterality: Right
Size (Extent) of DCIS : 25 mm
Histologic Type : Ductal carcinoma in situ, solid and comedo pattern
Nuclear Grade : High
Necrosis: Present
Margins: Free of tumor
(Uninvolved) Distance from closest margin: 25 mm (deep)
Regional Lymph Nodes :
Number of Lymph Nodes with Macrometastases (>2 mm): 0
Number of Lymph Nodes with Micrometastases (>0.2 mm to 2 mm and/or >200 cells): 0
Number of Lymph Nodes with Isolated Tumor Cells (=0.2 mm and =200 cells): 0
Extranodal Extension: Not applicable
Number of Lymph Nodes Examined: 8
Number of Sentinel Nodes Examined 0
Pathologic Stage Classification (pTNM, AJCC 8th Edition)
TNM Descriptors
Primary Tumor (pT)
___ pTis (DCIS): Ductal carcinoma in situ
Regional Lymph Nodes (pN)
___ pN0: No regional lymph node metastasis identified or ITCs only#
Distant Metastasis (pM)
___ Not applicable - pM cannot be determined from the submitted specimen(s)
Screened By: Shariqah Sadaf Dr.
IMMUNO/HISTOCHEMICAL/IN SITU HYBRIDIZATION (ISH) STAIN(S):
Mudassar Hussain Dr.
Consultant Pathologist
Electronically verified by,no signature(s) required.
Dr. Asif Loya Dr. Maryam Hameed Dr. Mudassar Hussain Dr. Sajid Mushtaq Dr. Umer Nisar Sheikh
MBBS, DABP (AP and MBBS, FRCPath MBBS, FCPS MBBS, FCPS, FRCPath MBBS, DABP (AP, CP,
Cytopathology), FIAC (Histopathology), Cytopathology)
Fellowship in Renal Pathology
(Canada)
Dr. Usman Hassan
MBBS, FCPS, FRCPath
Shaukat Khanum Memorial Cancer Hospital & Research Centre
Johar Town, Lahore, Pakistan - Phone: +92-42-35905000, 111-155-555, Fax: 042-35945198
Email:
[email protected], Website: www.shaukatkhanum.org.pk
Department of Pathology
PDF: 10-Oct-2024 19:26:56 Histopathology Report Page 3 of 3
Dept Ref# : 001HIS24083089 Ordered By : Muhammad Jamshaid Naseem
MRNO : 001-80005173019 Referring Physician : Tayyab Abbas
Name : Sajida In-house Consultant :
Report Destination : Main Reception
Date of Birth : 10-SEP-1974
Age/Sex : 50 Year(s)/Female Requested : 28-SEP-2024 21:02:27
Phone : 92 0333 8980049 Specimen Collected : 28-SEP-2024 21:06:23
Address : JEEWAN CITY, SAHIWAL - PAKISTAN Specimen Received : 28-SEP-2024 21:06:25
Reported : 10-OCT-2024 18:51:42
Specimen is brought to Lab
CK5/6: Positive in myoepithelial cells
Myosin: Positive in myoepithelial cells
Diagnosis: RIGHT BREAST, MODIFIED RADICAL MASTECTOMY:
Extensive ductal carcinoma in situ, high nuclear grade, solid and comedo pattern.
Cancerization lobules is present.
No invasive carcinoma present.
Skin and deep margins, free of tumor.
8 reactive lymph nodes, free of tumor in extensively sampled axillary fat.
Note: CROSS REFERENCE: 001HIS24076787
For any query regarding diagnosis, treating physician can contact at 03000453078 between 8:00 AM to
5:00 PM (working days only).
SNOMED: T-04000 M-85003
Mudassar Hussain Dr.
Consultant Pathologist
Electronically verified by,no signature(s) required.
Dr. Asif Loya Dr. Maryam Hameed Dr. Mudassar Hussain Dr. Sajid Mushtaq Dr. Umer Nisar Sheikh
MBBS, DABP (AP and MBBS, FRCPath MBBS, FCPS MBBS, FCPS, FRCPath MBBS, DABP (AP, CP,
Cytopathology), FIAC (Histopathology), Cytopathology)
Fellowship in Renal Pathology
(Canada)
Dr. Usman Hassan
MBBS, FCPS, FRCPath
